Shin Jinyoung, Kim Hyeongsu, Jeong Ho Jin, Lee Jeehye, Moon Jusun, Ko Kwang-Pil, Kim Youngtaek
Department of Family Medicine, Konkuk University School of Medicine, 05030 Seoul, Republic of Korea.
Department of Preventive Medicine, Konkuk University School of Medicine, 05030 Seoul, Republic of Korea.
Rev Cardiovasc Med. 2023 Mar 6;24(3):83. doi: 10.31083/j.rcm2403083. eCollection 2023 Mar.
A prehospital delay from symptom onset to hospital arrival resulted in stroke-related complications or in-hospital deaths in acute stroke patients. We aimed to investigate trends in prehospital visits as a cause of prehospital delay using data from the Korean Health Insurance Service.
This nationwide, population-based, retrospective cohort study included 524,524 newly-diagnosed stroke patients admitted via the emergency departments of secondary and tertiary hospitals. We obtained the prehospital visits rate from 2010 to 2019 and identified the related characteristics.
Prehospital visits were observed in 111,465 patients (21.3%). The prehospital visits rate decreased from 25.1% in 2010 to 17.8% in 2019, but the number of patients increased from 11,255 cases in 2010 to 11,747 cases in 2019. Fortunately, the rate of delayed admission for more than one day decreased from 26.7% to 21.3%. However, 10.4% of patients were diagnosed more than two days later. Young, females, or patients with higher income status and living in low urbanization areas exhibited a higher rate of prehospital visits.
Prehospital visits in Korean stroke patients decreased from 25.1% in 2010 to 17.8% in 2019. However, more than 10,000 patients still visited other medical institutions before admission to treatment.
急性卒中患者从症状发作到入院的院前延误导致了与卒中相关的并发症或院内死亡。我们旨在利用韩国健康保险服务的数据，调查作为院前延误原因的院前就诊趋势。
这项基于全国人群的回顾性队列研究纳入了524,524例通过二级和三级医院急诊科收治的新诊断卒中患者。我们获取了2010年至2019年的院前就诊率，并确定了相关特征。
111,465例患者（21.3%）出现院前就诊。院前就诊率从2010年的25.1%降至2019年的17.8%，但患者数量从2010年的11,255例增加至2019年的11,747例。幸运的是，延迟入院超过一天的比例从26.7%降至21.3%。然而，10.4%的患者在两天多后才被诊断。年轻、女性、收入状况较高且生活在城市化程度较低地区的患者院前就诊率较高。
韩国卒中患者的院前就诊率从2010年的25.1%降至2019年的17.8%。然而，仍有超过10,000名患者在入院治疗前前往了其他医疗机构。
