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JAMA Sub-Journal: Outstanding Achievement in Stroke First Aid——Comparison of the triage of stroke patients in different stroke centers

 Last Update: 2021-09-11
 Source: Internet
 Author: User

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October 29, 2020 is the 15th "World Stroke Day", which was called for by the World Stroke Organization in 2004

Stroke last year’s themed propaganda film emphasized that at least one out of every four people will have a stroke in their lifetime.

Heart vascular stroke has a high incidence and high mortality, high morbidity, "four high" recurrence rate characteristics

The early goal of reperfusion therapy for acute ischemic stroke is to restore blood flow in the ischemic but not yet infarcted brain area

Behind the outstanding achievements, some researchers have asked whether the implementation of the regional prehospital transfer policy for comprehensive stroke center triage is related to the increase in the rate of endovascular treatment (EVT)? Experts from the Department of Neurology at the Pritzker School of Medicine at the University of Chicago carried out relevant research, and the results were published in the journal JAMA Neurology

JAMA

This retrospective, multi-center pre-implementation-post-implementation study used discontinuous time series analysis to assess the relationship between the regional prehospital transfer policy that directly diverts patients with suspected LVO stroke to the nearest comprehensive stroke center and the EVT rate

Of the 7709 stroke patients, 663 (mean [SD] age, 68.

In general, the EVT rate of all AIS patients increased overall (pre-implementation, 4.

In the intermittent time series analysis of patients transported by EMS, the level change within 1 month after implementation was 7.

In summary, the implementation of the pre-hospital transfer policy of comprehensive stroke center triage is related to the significant, rapid and continuous increase in the EVT rate of AIS patients, but is not harmfully related to the thrombolysis rate or time

references:

Prehospital Comprehensive Stroke Center vs Primary Stroke Center Triage in Patients With Suspected Large Vessel Occlusion Stroke.

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