Servicio de Emergencias Sanitarias de Castilla y León - Sacyl, España. Departamento de Ciencias de la Salud, Facultad de Ciencias de la Salud, Universidad de Burgos, España.
Servicio de Neurología, Hospital Universitario de Burgos, España.
Emergencias. 2019;31(2):86-90.
To identify factors associated with activation of emergency medical services (EMS) in stroke.
Cross-sectional study of all patients admitted with stroke to Hospital Universitario de Burgos in Spain between September 1, 2015, and August 31, 2016. We recorded sociodemographic, clinical, behavioral, cognitive, and context information and explored possible associations with calls for EMS units.
Three hundred eleven patients were included. EMS units were activated in 171 cases (55%) associated with an assessment that the patient was unable to manage the health situation from the onset of symptoms (adjusted odds ratio [OR], 6.95; 95% CI, 3.64-13.26), a witness's call for help (rather than the patient's) (OR, 5.68; 95% CI, 2.99-10.83), serious neurological deficit defined by a score over 16 on the National Institute of Health Stroke Scale (OR, 4.51; 95% CI, 1.10-18.46), a patient's awareness of serious symptoms leading to a call for help (OR, 4.03; 95% CI, 1.42-11.42), and a patient's history of high blood pressure (OR, 2.38; 95% CI, 1.25-4.54).
Calls for EMS attendance from either a patient or a witness are associated with objective signs of severe stroke and subjective perception of severity.
确定与急诊医疗服务（EMS）激活相关的因素。
这是一项在西班牙布尔戈斯大学医院于 2015 年 9 月 1 日至 2016 年 8 月 31 日期间收治的所有中风患者的横断面研究。我们记录了社会人口统计学、临床、行为、认知和环境信息，并探讨了与呼叫 EMS 单位相关的可能关联。
共纳入 311 例患者。在 171 例（55%）患者中激活了 EMS 单位，这与以下评估相关：患者从症状发作开始就无法处理健康状况（调整后的优势比 [OR]，6.95；95%置信区间 [CI]，3.64-13.26），有目击者呼叫帮助（而不是患者自己）（OR，5.68；95% CI，2.99-10.83），国立卫生研究院中风量表评分超过 16 分的严重神经功能缺损（OR，4.51；95% CI，1.10-18.46），患者意识到导致呼叫帮助的严重症状（OR，4.03；95% CI，1.42-11.42），以及患者高血压病史（OR，2.38；95% CI，1.25-4.54）。
无论是患者还是目击者呼叫 EMS，都与严重中风的客观迹象和对严重程度的主观感知有关。
