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.
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초록· 키워드
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Purpose: This study was designed to investigate the time delay in the prehospital and inhospital course of acute ischemic stroke patients at an emergency department (ED).
Methods: We collected data from medical records retrospectively,including baseline characteristics, mode of arrival, arrival time, and neurological symptoms, from January 2006 to October 2008. Time data were also collected;from symptom onset to ED visit (prehospital delay),ED visit to brain imaging (imaging delay), and from ED visit to treatment (treatment delay). We designed multivariate Cox-regression models to predict factors influencing prehospital and ED time for ischemic stroke.
Results: In total, 946 ischemic stroke patients were enrolled. Diabetes mellitus was associated with a longer prehospital delay. Heart disease, hyperlipidemia, and use of an emergency medical service (EMS) were associated with a shorter prehospital delay. Female gender, night time visits,and abnormal speech were associated with a longer imaging delay. Hypertension, use of EMS, multiple symptoms,and prehospital delay within 3 hours were associated with a shorter delay. Abnormal speech was also a significant factor for a longer treatment delay. Tingling sense or numbness, multiple symptoms, and a prehospital delay within 3 hours were related to a shorter treatment delay.
Conclusion: The time delay in the prehospital and ED course of acute ischemic stroke patients was associated with multiple factors including gender, comorbidities, use of EMS, arrival time, acute symptom onset within 3 hours, neurological symptoms, and multiple neurological symptoms.
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참고문헌 (22)
참고문헌 신청
Morris DL / 1999 / Timedelays in accessing stroke care in the emergency department / Acad Emerg Med 6:218~223
Lacy CR / 2001 / Delay in presentationand evaluation for acute stroke: Stroke TimeRegistry for Outcomes Knowledge and Epidemiology(S.T.R.O.K.E.) / Stroke 32:63~69
Barber PA / 2001 / Why are stroke patients excluded from TPA therapy?An analysis of patient eligibility / Neurology 56:1015~1020
Evenson KR / 2009 / Acomprehensive review of prehospital and in-hospital delaytimes in acute stroke care / Int J Stroke 4:187~199
Hong ES / 2010 / Factorsassociated with prehospital delay in acute stroke / EmergMed J
Lacy CR / 2001 / Delay in presentationand evaluation for acute stroke: Stroke TimeRegistry for Outcomes Knowledge and Epidemiology(S.T.R.O.K.E.) / Stroke 32:63~69
Barber PA / 2001 / Why are stroke patients excluded from TPA therapy?An analysis of patient eligibility / Neurology 56:1015~1020
Evenson KR / 2009 / Acomprehensive review of prehospital and in-hospital delaytimes in acute stroke care / Int J Stroke 4:187~199
Hong ES / 2010 / Factorsassociated with prehospital delay in acute stroke / EmergMed J
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