卒中单元中医疗护理线的效果：巴西东北部某中心三年的经验。
The effects of the healthcare line in a stroke unit: three years' experience of a center in the Northeast of Brazil.
机构信息
Hospital Geral de Fortaleza, Fortaleza CE, Brazil.
Instituto de Saúde e Gestão Hospitalar, Hospital Regional do Sertão Central, Serviço de AVC, Quixeramobim CE, Brazil.
出版信息
Arq Neuropsiquiatr. 2023 Aug;81(8):707-711. doi: 10.1055/s-0043-1770350. Epub 2023 Aug 30.
BACKGROUND
Treatment at an organized stroke unit center (SUC) improves survival after stroke. Stroke mortality has decreased worldwide in recent decades.
OBJECTIVE
This study shows the experience of a SUC in the Northeast of Brazil, comparing its first, second, and third years.
METHODS
We compared data on the SUC prospectively collected from 31 July 2018 to 31 July 2019 (year 1), August 1, 2019, to July 31, 2020 (year 2), and August 1 to July 31, 2021 (year 3).
RESULTS
There was an expertise evolution through the years, with good outcomes in spite of the coronavirus disease 2019 pandemic in the 3 year. Also, in the 1 year, the median (interquartile range) door-to-needle time was 39.5 (29.5-60.8) minutes evolving to 22 (17-30) minutes, and then to 17 (14-22) minutes in the last year.
CONCLUSION
This was the first report on a SUC's outcome in the Brazil's Central Arid Northeast countryside, and it shows the improvement in care for patients with stroke through an effective healthcare line.
背景
在有组织的卒中单元中心（SUC）进行治疗可以改善卒中后的生存率。近几十年来，全球卒中死亡率有所下降。
目的
本研究展示了巴西东北部 SUC 的经验，比较了其第一年、第二年和第三年的情况。
方法
我们比较了 2018 年 7 月 31 日至 2019 年 7 月 31 日（第 1 年）、2019 年 8 月 1 日至 2020 年 7 月 31 日（第 2 年）和 2021 年 8 月 1 日至 7 月 31 日（第 3 年）前瞻性收集的 SUC 数据。
结果
尽管在这 3 年中有新冠疫情，但通过多年的专业知识积累，治疗效果良好。此外，在第 1 年，门到针的中位（四分位间距）时间为 39.5（29.5-60.8）分钟，逐渐缩短至 22（17-30）分钟，最后一年缩短至 17（14-22）分钟。
结论
这是巴西中干旱东北部农村地区首个 SUC 预后报告，它展示了通过有效的医疗保健线改善卒中患者护理的效果。
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