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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: Stroke is a time-sensitive disease that could have reduced complications and mortality with timely diagnosis and treatment. This study aimed to analyze the causes of delay in detecting the clinical signs and symptoms of stroke. Methods: This retrospective observational study analyzed the emergency medical services reports of suspected stroke patients with positive predictive values on the Cincinnati Prehospital Stroke Scale. The study was conducted in Daejeon, Republic of Korea from January 1, 2016 through December 31, 2017. Results: Prolonged prehospital time was associated with high blood pressure, history of cerebrovascular disease, and incidences during daily activities, and sleep. High blood pressure and complications from a previous stroke strongly associated with the prolonged stroke-detection phase (p<.05). Total prehospital time was shortened when patients had evident stroke symptoms, such as decreased level of consciousness, dysarthria, and hemiplegia (p<.05). There was no significant difference in gender or age as a factor that delayed the total prehospital time of the suspected stroke patients. Conclusion: Many patients did not recognize the early clinical symptoms and signs of a stroke. Furthermore, risk factors, such as high blood pressure and history of stroke, prolonged the total prehospital time. Therefore, we need targeted interventions that educate about warning symptoms of stroke, along with emphasis on the importance of emergency calls to substantially reduce the prehospital delays.
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참고문헌 (17)
참고문헌 신청
Fonarow GC / 2011 / Timeliness of tissue-type plasminogen activator therapy in acute ischemic stroke: patient characteristics, hospital factors, and outcomes associated with door-to-needle times within 60minutes / Circulation 123:750~758
Jauch EC / 2013 / Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 44:870~947
Faiz KW / 2014 / Factors related to decision delay in acute stroke / J Stroke Cerebrovasc Dis 23(3):534~539
Gonzalez-Aquines A / 2019 / Contribution of onset-to-alarm time to prehospital delay in patients with ischemic stroke / J Stroke Cerebrovasc Dis 28(11):104331
Seno S / 2017 / The relationship between functional outcome and prehospital time interval in patients with cerebral infarction / J Stroke Cerebrovasc Dis 26(12):2800~2805
Jauch EC / 2013 / Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 44:870~947
Faiz KW / 2014 / Factors related to decision delay in acute stroke / J Stroke Cerebrovasc Dis 23(3):534~539
Gonzalez-Aquines A / 2019 / Contribution of onset-to-alarm time to prehospital delay in patients with ischemic stroke / J Stroke Cerebrovasc Dis 28(11):104331
Seno S / 2017 / The relationship between functional outcome and prehospital time interval in patients with cerebral infarction / J Stroke Cerebrovasc Dis 26(12):2800~2805
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Family History and Functional Outcome in Korean Stroke Patients: A Preliminary Study
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Cancer-Related Stroke: An Emerging Subtype of Ischemic Stroke with Unique Pathomechanisms
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