지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Background and Purpose Factors associated with early arrival may vary according to the characteristics of the hospital. We investigated the factors associated with early hospital arrival in two different stroke centers located in Korea and Japan.
Methods Consecutive patients with ischemic stroke arrived hospital within 48 hours of onset between January 2011 and December 2012 were identified and the clinical and time variables were retrieved from the prospective stroke registries of Severance Hospital of Yonsei University Health System (YUHS; Seoul, Korea) and National Cerebral and Cardiovascular Center (NCVC; Osaka, Japan). Subjects were dichotomized into early (time from onset to arrival ≤4.5 hours) and late (>4.5 hours) arrival groups. Univariate and multivariate analyses were performed to evaluate factors associated with early hospital arrival.
Results A total of 1,966 subjects (992 from YUHS; 974 from NCVC) were included in this study. The median time from onset to arrival was 6.1 hours [interquartile range, 1.7-17.8 hours]. In multivariate analysis, the factors associated with early arrival were atrial fibrillation (Odds ratio [OR], 1.505; 95% confidence interval [CI], [1.168-1.939]), higher initial National Institute of Health Stroke Scale scores (OR, 1.037; 95% CI [1.023-1.051]), onset during daytime (OR, 2.799; 95% CI [2.173-3.605]), and transport by an emergency medical service (OR, 2.127; 95% CI [1.700-2.661]). These factors were consistently associated with early arrival in both hospitals.
Conclusions Despite differences between the hospitals, there were common factors related to early arrival. Efforts to identify and modify these factors may promote early hospital arrival and improve stroke outcome.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Berkhemer OA / 2015 / A randomized trial of intraarterial treatment for acute ischemic stroke / N Engl J Med 372 : 11 ~ 20
Derex L / 2002 / Factors influencing early admission in a French stroke unit / Stroke 33 : 153 ~ 159
Emberson J / 2014 / Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis
Faiz KW / 2013 / Prehospital delay in acute stroke and TIA / Emerg Med J 30 : 669 ~ 674
Fassbender K / 2013 / Streamlining of prehospital stroke management: the golden hour / Lancet Neurol 12 : 585 ~ 596
Derex L / 2002 / Factors influencing early admission in a French stroke unit / Stroke 33 : 153 ~ 159
Emberson J / 2014 / Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis
Faiz KW / 2013 / Prehospital delay in acute stroke and TIA / Emerg Med J 30 : 669 ~ 674
Fassbender K / 2013 / Streamlining of prehospital stroke management: the golden hour / Lancet Neurol 12 : 585 ~ 596
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Factors in early hospital arrival following suspected acute stroke symptoms
대한응급의학회지
2022 .10
-
Acute Stroke Care in Korea in 2013–2014: National Averages and Disparities
Journal of Korean Medical Science
2020 .01
-
급성심근경색증 환자의 증상 인지와 건강행위 이행이 내원시간에 미치는 영향
성인간호학회지
2015 .02
-
Clinical Characteristics of Elderly Acute Ischemic Stroke Patients Calling Emergency Medical Services
Annals of geriatric medicine and research
2017 .01
-
Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society
대한뇌졸중학회지
2019 .01
-
Gender Differences in Factors Related to Prehospital Delay in Patients with ST-Segment Elevation Myocardial Infarction
Yonsei Medical Journal
2017 .07
-
In-hospital mortality of atrial fibrillation-associated acute ischemic stroke in the intensive care unit
Journal of Neurocritical Care
2022 .12
-
Visibility of CT Early Ischemic Change Is Significantly Associated with Time from Stroke Onset to Baseline Scan beyond the First 3 Hours of Stroke Onset
대한뇌졸중학회지
2017 .01
-
Length of Hospital Stay After Stroke: A Korean Nationwide Study
Annals of Rehabilitation Medicine
2016 .01
-
의료기관별 뇌졸중 유형에 따른 진료비, 재원일수 이학요법료의 차이분석
보건의료산업학회지
2017 .01
-
Characteristics and Outcomes of Trauma Patients via Emergency Medical Services
Journal of trauma and injury : JTI
2017 .01
-
Clinical Variables and Genetic Risk Factors Associated with the Acute Outcome of Ischemic Stroke: A Systematic Review
대한뇌졸중학회지
2019 .01
-
Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea
대한뇌졸중학회지
2015 .01
-
We Did It: A to Z at University Hospital
대한외과학회 학술대회 초록집
2019 .10
-
Early Neurologic Deterioration after Stroke Depends on Vascular Territory and Stroke Etiology
대한뇌졸중학회지
2016 .01
-
The Comparison of Risk Factors for Ischemic Stroke or Intracranial Hemorrhage in Korean Stroke Patients : A Nationwide Population-based Study
대한의생명과학회지
2018 .12
-
Pneumococcal meningitis complicated by otomastoiditis and pneumocephalus confounding an acute ischemic stroke diagnosis
Journal of Neurocritical Care
2021 .01
-
Sex Differences by Hospital-Level in Performance and Outcomes of Endovascular Treatment for Acute Ischemic Stroke
대한뇌졸중학회지
2020 .01
-
Effects of Temperature and Pressure on Acute Stroke Incidence Assessed Using a Korean Nationwide Insurance Database
대한뇌졸중학회지
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0