Müffelmann B, Glahn J, Kunz S, Busse O
Neurologische Klinik Minden.
Nervenarzt. 1995 Feb;66(2):111-5.
From March to August 1993 we performed a comprehensive educational campaign about stroke and acute stroke therapies to shorten admission delay and to recruit more patients for the ECASS trial [8]. We compared the presentation data of all stroke patients admitted in a six month preeducational period with data of a six month posteducational period. The median admission delay was significantly reduced from eight hours in the preeducational to five hours in the posteducational period. The number of patients undergoing thrombolytic treatment increased. The following factors shortened admission delay: age > 70 years, living in cities, stroke onset during daytime, admission by ambulance, stroke in anterior circulation, cardiogenic embolic stroke, severe symptoms.
1993年3月至8月,我们开展了一项关于中风及急性中风治疗的全面教育活动,以缩短入院延迟时间,并为欧洲急性中风协作研究(ECASS)试验招募更多患者[8]。我们将教育活动开展前六个月内所有中风患者的就诊数据与教育活动开展后六个月的数据进行了比较。入院延迟的中位数从教育活动开展前的八小时显著缩短至教育活动开展后的五小时。接受溶栓治疗的患者数量有所增加。以下因素可缩短入院延迟时间:年龄大于70岁、居住在城市、白天中风发作、通过救护车入院、前循环中风、心源性栓塞性中风、症状严重。