Kircher Charles, Kreitzer Natalie, Adeoye Opeolu
aDepartment of Emergency Medicine, University of Cincinnati bUniversity of Cincinnati Neuroscience Institute cDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, USA.
Curr Opin Neurol. 2016 Feb;29(1):14-9. doi: 10.1097/WCO.0000000000000281.
With the recent demonstration of the effectiveness of rapid recanalization of large vessel occlusions in acute ischemic stroke, it is important to assess the current status of pre and intrahospital workflow for acute stroke.
We will review trends in the evaluation and treatment of acute stroke and offer suggestions for how best to advance the workflow for acute stroke care in the coming years.
Future research is needed for: field use of clinical scores for predicting large vessel occlusions, telemedicine to facilitate prehospital triage, and pre and intrahospital processes for optimizing stroke care delivery.
鉴于近期已证实急性缺血性卒中大血管闭塞快速再通的有效性,评估急性卒中院前和院内工作流程的当前状况具有重要意义。
我们将回顾急性卒中评估和治疗的趋势,并就未来几年如何优化急性卒中护理工作流程提供建议。
未来需要开展以下研究:用于预测大血管闭塞的临床评分在现场的应用、利用远程医疗促进院前分诊,以及优化卒中护理服务的院前和院内流程。