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Evaluation of the factors leading to delay from stroke onset to arrival at hospital
Author(s): 
Pages: 728-731
Year: Issue:  11
Journal: CHINESE JOURNAL OF INTERNAL MEDICINE

Keyword:  脑血管意外住院时间病人教育;
Abstract: 目的调查卒中发作→到达医院及开始治疗的时间,分析导致延迟送诊及治疗的相关因素.方法前瞻性调查623例急性卒中病人发病→急诊、急诊→CT、急诊→治疗时间,并做卒中知识调查.结果发病后<1.5h到达者23.1%、<3h 38.2%、<6h 53.5%;发病-急诊中位数时间5.17h.多元逐步回归分析:发病时未接触任何人、未使用急救车转运、首诊初级医疗机构或其他医院、脑梗死、发病时症状轻、发病地点与医院间距离远、发病1h内未寻求帮助、发病时不重视与到院时间延迟最为相关(P<0.05或P<0.001).急诊→CT中位数时间10 min.做CT→读CT时间,30 min内完成者75.8%.到达急诊后1h内接受治疗者78.2%.结论脑血管病人发病后到院明显延迟,需加强对公众的健康教育,提高卒中发作后的求救意识,尽可能使用急救车转运至医院.
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