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意大利区域急性卒中单元护理评估:PROSIT研究

Assessment of regional acute stroke unit care in Italy: the PROSIT study.

作者信息

Sterzi Roberto, Micieli Giuseppe, Candelise Livia

机构信息

UO Neurologia, Azienda Ospedaliera Sant'Anna, Como, Italy.

出版信息

Cerebrovasc Dis. 2003;15 Suppl 1:16-8. doi: 10.1159/000068210.

Abstract

BACKGROUND/OBJECTIVES: The aim of this study was to survey acute in-hospital stroke services in seven Italian regions.

METHODS

Regional hospital discharge registers were searched to identify hospital services that record at least 50 acute stroke discharges per year and the doctors in charge of these services were interviewed.

RESULTS

Only 31 (7%) out of 447 services could be classified as stroke units (SUs). Of these, only 9 (29%) were found to have vital function monitoring systems available for all patients. The most striking differences between SUs and mixed stroke services emerged when comparing staff/patient ratios in the two types of unit.

CONCLUSIONS

There are still not enough SUs in Italy, and fewer than 10% of stroke patients can be admitted to such units.

摘要

背景/目的:本研究旨在调查意大利七个地区的急性住院卒中服务情况。

方法

检索地区医院出院登记册,以确定每年记录至少50例急性卒中出院病例的医院服务,并对负责这些服务的医生进行访谈。

结果

447项服务中只有31项(7%)可归类为卒中单元(SUs)。其中,只有9项(29%)被发现拥有可供所有患者使用的生命功能监测系统。比较两种类型单元的医护人员与患者比例时,卒中单元和混合卒中服务之间最显著的差异显现出来。

结论

意大利的卒中单元仍然不足,不到10%的卒中患者能够入住此类单元。

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