Kay R, Woo J, Poon W S
Department of Medicine, Chinese University of Hong Kong, Shatin.
J Neurol Neurosurg Psychiatry. 1992 Oct;55(10):973-4. doi: 10.1136/jnnp.55.10.973.
To estimate the proportion of patients with stroke likely to be eligible for a trial of anticoagulant treatment for acute ischaemic stroke, the interval between onset of symptoms and arrival at hospital was analysed prospectively. Of 773 patients with stroke admitted in one year, 63% arrived at hospital within 12 hours, 76% within 24 hours, and 85% within 48 hours of ictus. The arrival time varied significantly with stroke subtype. Patients with intracerebral haemorrhage tended to arrive earlier than those with cerebral infarct, who arrived sooner than those with lacunar infarct. The results suggest that about half of all patients with ischaemic stroke in Hong Kong would present within 12 hours of ictus, in time for inclusion in a therapeutic trial.
为了估计可能符合急性缺血性卒中抗凝治疗试验条件的卒中患者比例，对症状发作至入院的时间间隔进行了前瞻性分析。在一年中收治的773例卒中患者中，63%在发病后12小时内入院，76%在24小时内入院，85%在48小时内入院。入院时间因卒中亚型而异。脑出血患者比脑梗死患者入院更早，脑梗死患者比腔隙性梗死患者入院更早。结果表明，香港约一半的缺血性卒中患者会在发病后12小时内就诊，及时纳入治疗试验。
