Cheung R T
Division of Neurology, University Department of Medicine, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong.
J Clin Neurosci. 2001 Jul;8(4):311-4. doi: 10.1054/jocn.2000.0805.
A prospective interview of consecutive patients admitted with acute stroke was conducted over an 8-week period to study the influence of patients' knowledge of stroke on time to presentation in Hong Kong. Early arrival was defined as within 6h of symptom onset. The patients' general knowledge of stroke was fair, and early arrival was seen in 40 (56.3%) of 71 patients. Early presentation was associated with male sex (P= 0.028) and a lower initial Glasgow coma scale score (P= 0.072), but not with age, a better general knowledge of stroke, a previous history of stroke or transient ischaemic attack, Rankin score upon discharge, and level of education. On the other hand, late presentation was associated with a belief in permanent disability (P= 0.056). Thus, improving the general knowledge of stroke among Hong Kong people may not reduce delay in hospital presentation of stroke patients.
在为期8周的时间里，对连续收治的急性中风患者进行了前瞻性访谈，以研究香港患者对中风的认知对就诊时间的影响。早到被定义为症状发作后6小时内。患者对中风的一般认知情况尚可，71例患者中有40例（56.3%）早到。早就诊与男性性别（P=0.028）和较低的初始格拉斯哥昏迷量表评分（P=0.072）相关，但与年龄、对中风更好的一般认知、中风或短暂性脑缺血发作病史、出院时的Rankin评分以及教育程度无关。另一方面，晚就诊与认为会留下永久性残疾有关（P=0.056）。因此，提高香港民众对中风的一般认知可能无法减少中风患者就诊的延迟。
