Department of Emergency Medicine, Hallym University Medical Center, Hallym University Sacred Heart Hospital, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang 14068, Korea.
Department of Neurology, Hallym University Medical Center, Hallym University Sacred Heart Hospital, 22, Gwanpyeong-ro 170 beon-gil, Dongan-gu, Anyang 14068, Korea.
Int J Environ Res Public Health. 2021 Sep 8;18(18):9461. doi: 10.3390/ijerph18189461.
We aimed to evaluate the overall clinical characteristics of patients treated by a neuro-emergency expert dedicated to the emergency department (ED) as an attending neurologist during the COVID-19 pandemic. We included adult patients who visited the ED between 1 January and 31 December 2020 and were treated by a neuro-emergency expert. We retrospectively obtained and analyzed the data on patients' clinical characteristics and outcome. The neuro-emergency expert treated 1155 patients (mean age, 62.9 years). The proportion of aged 18-40 years was the lowest, and the most common modes of arrival were public ambulance (50.6%) and walk-in (42.3%). CT and MRI examinations were performed in 94.4 and 33.1% of cases, respectively. The most frequent complaints were dizziness (31.8%), motor weakness (24.2%), and altered mental status (15.8%). The ED diagnoses were acute ischemic stroke (19.8%), benign paroxysmal positional vertigo (14.2%), vestibular neuritis (9.9%), and seizure (8.8%). The mean length of stay in the ED was 207 min. Of the patients, 55.0% were admitted to the hospital, and 41.8% were discharged for outpatient follow-up. Despite the longer stay and the complexity and difficulty of neurological diseases during the COVID-19 pandemic, the accurate diagnosis and treatment provided by a neuro-emergency expert can be presented as a good model in the ED.
我们旨在评估专注于急诊科（ED）的神经急诊专家治疗的患者的总体临床特征。我们纳入了 2020 年 1 月 1 日至 12 月 31 日期间在 ED 就诊并接受神经急诊专家治疗的成年患者。我们回顾性地获取并分析了患者临床特征和结局的数据。神经急诊专家共治疗了 1155 例患者（平均年龄为 62.9 岁）。18-40 岁的患者比例最低，最常见的到达方式是公共救护车（50.6%）和自行就诊（42.3%）。94.4%和 33.1%的患者分别进行了 CT 和 MRI 检查。最常见的主诉是头晕（31.8%）、运动无力（24.2%）和意识状态改变（15.8%）。ED 诊断为急性缺血性卒中（19.8%）、良性阵发性位置性眩晕（14.2%）、前庭神经炎（9.9%）和癫痫发作（8.8%）。ED 平均停留时间为 207 分钟。55.0%的患者住院，41.8%的患者出院进行门诊随访。尽管在 COVID-19 大流行期间 ED 中的患者停留时间更长，且神经疾病的复杂性和难度增加，但神经急诊专家提供的准确诊断和治疗可以作为 ED 中的一个良好模式。
