Stroke Program, University of Michigan Medical School, Ann Arbor, MI, USA.
Stroke. 2010 May;41(5):905-9. doi: 10.1161/STROKEAHA.110.578112. Epub 2010 Mar 25.
Use of emergency medical services has been shown to decrease transport and triage times for stroke. Mexican Americans and women experience a large stroke burden. The objective of this study was to compare time to hospital arrival and emergency medical services use for stroke care by ethnicity, sex, and language preference among Mexican American and non-Hispanic white ischemic stroke patients.
The Brain Attack Surveillance in Corpus Christi (BASIC) project is a population-based study in south Texas. All stroke cases were identified by active or passive surveillance and validated by neurologists. Logistic regression models assessing time to hospital arrival and emergency medical services use were analyzed.
There were 1134 ischemic stroke cases ascertained between January 1, 2000, and December 31, 2006. Mexican Americans were less likely than non-Hispanic whites to arrive by emergency medical services (odds ratio, 0.6; 95% CI, 0.4, 0.8). Men were more likely than women to present to the hospital within 3 hours (odds ratio, 0.7; 95% CI, 0.5, 0.9); language was not associated with study outcomes.
Sex and ethnic differences in hospital presentation were found in this community. There is a need to promote an urgent response to stroke symptoms, especially in groups that experience the greatest stroke burden.
使用急救医疗服务可以减少脑卒中患者的转运和分诊时间。墨西哥裔美国人和女性脑卒中负担较大。本研究旨在比较墨西哥裔美国人和非西班牙裔白种人缺血性脑卒中患者的种族、性别和语言偏好对到达医院时间和脑卒中治疗中使用急救医疗服务的影响。
大脑攻击监测在科珀斯克里斯蒂（BASIC）项目是德克萨斯州南部的一项基于人群的研究。所有的脑卒中病例均通过主动或被动监测来确定，并由神经科医生进行验证。通过逻辑回归模型分析到达医院时间和使用急救医疗服务的情况。
2000 年 1 月 1 日至 2006 年 12 月 31 日期间，共确定了 1134 例缺血性脑卒中病例。与非西班牙裔白种人相比，墨西哥裔美国人通过急救医疗服务到达医院的可能性较低（比值比，0.6；95%置信区间，0.4，0.8）。男性比女性更有可能在 3 小时内到医院就诊（比值比，0.7；95%置信区间，0.5，0.9）；语言与研究结果无关。
在这个社区发现了医院就诊时的性别和种族差异。需要促进对脑卒中症状的紧急反应，特别是在负担最大的群体中。
