Claudi Christian, Worm André, Schramm Patrick, Huttner Hagen B
Neurologische Klinik des Universitätsklinikums Gießen, Klinikstraße 33, 35392, Gießen, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Mar;120(2):110-119. doi: 10.1007/s00063-024-01220-1. Epub 2025 Jan 7.
Strokes are common neurological emergencies that require rapid diagnosis to minimize long-term damage. Prehospital detection and triage play a critical role in patient outcomes.
How effective are different prehospital diagnostic tools for stroke detection, and which triage strategies optimize patient care?
The article compares prehospital diagnostic tools for stroke detection and evaluates different transport strategies. Case studies illustrate their practical application.
Traditional stroke diagnosis methods have limitations, particularly in identifying strokes in the posterior circulation. Newer diagnostic tools that incorporate additional symptoms, such as dizziness and vision problems, show higher sensitivity. The choice of triage strategy depends on the severity of symptoms and regional factors. Direct transport to specialized centers is beneficial for severe strokes, while initial stabilization at nearby units is more efficient in rural areas.
Modern diagnostic tools offer better sensitivity for prehospital stroke detection. Regional cooperation and the selection of appropriate triage strategies are key to improving stroke care.
中风是常见的神经急症，需要快速诊断以尽量减少长期损害。院前检测和分诊对患者的治疗结果起着关键作用。
不同的院前诊断工具对中风检测的效果如何，以及哪种分诊策略能优化患者护理？
本文比较了用于中风检测的院前诊断工具，并评估了不同的转运策略。案例研究说明了它们的实际应用。
传统的中风诊断方法存在局限性，尤其是在识别后循环中风方面。纳入头晕和视力问题等额外症状的新型诊断工具显示出更高的敏感性。分诊策略的选择取决于症状的严重程度和地区因素。对于严重中风，直接转运至专科中心有益，而在农村地区，在附近单位进行初步稳定治疗则更有效。
现代诊断工具对院前中风检测具有更高的敏感性。区域合作和选择合适的分诊策略是改善中风护理的关键。
