优化资源和调整急性缺血性脑卒中治疗方案以应对全球 COVID-19 大流行。
Optimization of resources and modifications in acute ischemic stroke care in response to the global COVID-19 pandemic.
机构信息
Department of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States.
Department of Neurology, Boston University School of Medicine, 72 East Concord Street, Collamore C3 Neurology, Boston 02118, MA, United States; NHLBI's Framingham Heart Study, Framingham, MA, United States.
出版信息
J Stroke Cerebrovasc Dis. 2020 Aug;29(8):104980. doi: 10.1016/j.jstrokecerebrovasdis.2020.104980. Epub 2020 May 23.
BACKGROUND
The COVID-19 pandemic has presented unprecedented challenges to healthcare organizations worldwide. A steadily rising number of patients requiring intensive care, a large proportion from racial and ethnic minorities, demands creative solutions to provide high-quality care while ensuring healthcare worker safety in the face of limited resources. Boston Medical Center has been particularly affected due to the underserved patient population we care for and the increased risk of ischemic stroke in patients with COVID-19 infection.
METHODS
We present protocol modifications developed to manage patients with acute ischemic stroke in a safe and effective manner while prioritizing judicious use of personal protective equipment and intensive care unit resources.
CONCLUSION
We feel this information will benefit other organizations facing similar obstacles in caring for the most vulnerable patient populations during this ongoing public health crisis.
背景
COVID-19 大流行给全球医疗保健组织带来了前所未有的挑战。需要重症监护的患者数量稳步上升，其中很大一部分来自少数族裔，这需要创造性的解决方案，以便在资源有限的情况下提供高质量的护理，同时确保医护人员的安全。波士顿医疗中心受到的影响尤其大，因为我们照顾的是服务不足的患者群体，而且 COVID-19 感染患者发生缺血性中风的风险增加。
方法
我们提出了一些方案修改，以安全有效地管理急性缺血性中风患者，同时优先合理使用个人防护设备和重症监护病房资源。
结论
我们认为，在这场持续的公共卫生危机中，其他面临类似障碍的组织在照顾最脆弱的患者群体方面会从中受益。
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