Servicio de Emergencias Sanitarias de Castilla y León - Sacyl, España. Departamento de Ciencias de la Salud, Universidad de Burgos, España.
Departamento de Ciencias de la Salud, Universidad de Burgos, España.
Emergencias. 2021 Dec;33(6):454-463.
To identify factors that affect prehospital time (PHT) for patients with stroke.
Systematic review. We searched 6 databases to select descriptive studies of factors influencing PHT in stroke. The studies selected were published in English, Portuguese, or Spanish between 1995 and 2019.
One hundred one articles were analyzed. Sociodemographic, clinical, contextual, cognitive, and behavioral data related to PHT in patients with stroke were identified. Calling the emergency medical services (EMS) immediately after onset of stroke symptoms was the main factor associated with a shorter PHT. Referral from another hospital was associated with a longer PHT.
PHT is affected by factors inherent to patients and the setting for the event. Educational strategies should be developed to address relevant factors, especially regarding the importance of recognizing the onset of a stroke and calling the EMS immediately.
确定影响脑卒中患者院前时间（PHT）的因素。
系统评价。我们检索了 6 个数据库，以选择描述性研究影响脑卒中患者 PHT 的因素。选择的研究发表于 1995 年至 2019 年间，使用英语、葡萄牙语或西班牙语。
共分析了 101 篇文章。确定了与脑卒中患者 PHT 相关的社会人口统计学、临床、背景、认知和行为数据。在脑卒中症状发作后立即呼叫紧急医疗服务（EMS）是与 PHT 缩短相关的主要因素。从另一家医院转诊与 PHT 延长相关。
PHT 受患者内在因素和事件发生环境的影响。应制定教育策略来解决相关因素，特别是要认识到脑卒中的发作并立即呼叫 EMS 的重要性。
