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[中风患者早期入院的策略]

[Strategies for early admission of stroke patients].

作者信息

Müffelmann B, Glahn J, Kunz S, Busse O

机构信息

Neurologische Klinik Minden.

出版信息

Nervenarzt. 1995 Feb;66(2):111-5.

PMID:7715749
Abstract

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.

摘要

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。

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1
[Strategies for early admission of stroke patients].[中风患者早期入院的策略]
Nervenarzt. 1995 Feb;66(2):111-5.
2
[Delayed hospitalization of the patient with acute stroke].[急性中风患者的延迟住院治疗]
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Variations in the incidence, management and outcome of stroke in residents under the age of 75 in two health districts of southern England.英格兰南部两个健康区75岁以下居民中风发病率、治疗及预后的差异
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Rev Neurol (Paris). 2001 Dec;157(12):1525-9.
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[Modifiable determinants of delayed hospital admission following a cerebrovascular accident].
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[Latent period before hospital admission in cerebrovascular pathology: determining factors].[脑血管疾病入院前潜伏期:决定因素]
Rev Neurol. 1996 Apr;24(128):431-4.
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Predicting the impact of population level risk reduction in cardio-vascular disease and stroke on acute hospital admission rates over a 5 year period--a pilot study.预测5年内心血管疾病和中风的人群水平风险降低对急性住院率的影响——一项试点研究。
Public Health. 2006 Dec;120(12):1140-8. doi: 10.1016/j.puhe.2006.10.012. Epub 2006 Nov 3.
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Factors associated with prolonged prehospital delay in patients with acute myocardial infarction.急性心肌梗死患者院前延迟延长的相关因素。
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[Thrombolytic therapy in acute cerebral infarction--a time study when organizing a new therapeutic option].[急性脑梗死的溶栓治疗——组织一项新治疗方案时的时间研究]
Tidsskr Nor Laegeforen. 1999 Aug 30;119(20):2978-81.

引用本文的文献

1
Stroke warning campaigns: delivering better patient outcomes? A systematic review.中风预警宣传活动:能带来更好的患者预后吗?一项系统综述。
Patient Relat Outcome Meas. 2015 Feb 25;6:61-73. doi: 10.2147/PROM.S54087. eCollection 2015.
2
[Symptoms, risk factors, and etiology of transient ischemic attack and stroke].[短暂性脑缺血发作和中风的症状、危险因素及病因]
Nervenarzt. 2005 Oct;76(10):1231-2, 1234-6, 1238. doi: 10.1007/s00115-005-1928-3.
3
[Stroke. Public knowledge and information sources].[中风。公众认知与信息来源]
Nervenarzt. 2005 Jun;76(6):716-23. doi: 10.1007/s00115-004-1838-9.
4
[Causes of a prolonged prehospital phase in patients admitted to a stroke unit. Can it be influenced by campaigns to educate the public?].[入住卒中单元患者院前阶段延长的原因。它会受到公众教育活动的影响吗?]
Nervenarzt. 2005 Feb;76(2):181-5. doi: 10.1007/s00115-004-1785-5.