頁籤選單縮合
| 題 名 | Factors Delaying Hospital Arrival after Acute Stroke in Southern Taiwan=南臺灣急性腦中風到院時間研究 |
|---|---|
| 作 者 | 陳廷耀; 張谷州; 劉嘉為; | 書刊名 | 長庚醫學 |
| 卷 期 | 25:7 2002.07[民91.07] |
| 頁 次 | 頁458-463 |
| 分類號 | 415.922 |
| 關鍵詞 | 到院時間; 急性腦中風; 緊急醫療轉送; 醫院; 治療; Prehospital-delayed; Acute stroke; Emergency medical service; Hospital; Treatment; |
| 語 文 | 英文(English) |
| 英文摘要 | Background: Acute stroke management emphasizes prompt recognition of symptoms and early medial attention. The effectiveness of stroke treatment is highly dependent on amount of time lapsed between onset of symptoms and treatment. In this study, factors that delayed seeking medical attention after stroke in southern Taiwan were explored. Methods: This was a prospective one-center study in which information was collected form patients who arrived at eh emergency department of the study hospital within 48 hours after stroke onset. All the data were categorized into arrival time less than 2 hours (T<2 hours) and from 2 to 48 hours (T=2-48 hours) after stroke onset. Results: There were 789 stroke patients screened and 197 (25%) of them fulifilled the inclusion criteria. Among the 197 patients, 52 (26%) arrived at the study hospital within 2 hours of stroke (median, 75 minutes) and 145 (74%) arrived between 2-48 hours (median, 575 minutes). Among patients with T=2-48 hours, 47(24%) patients initially sought medical attention at other hospitals or clinics within 2 hours. The factors associated with T=2-48 hours included interhospital transfer, location of stroke onset, first aid at out-patient clinic, and lack of awareness of emergent medical help for stroke. Conclusion: Significant prehospital delays for stroke patients exist in Taiwan. The implementation of well designed, effective public health programs, coordination of stroke centers within the community hospitals, and effective emergent medical service system are needed to minimize that time to evaluation and treatment of stroke. Because of the high population density and the high incidence of stroke in Taiwan, the programs mentioned aboe could have a major impact on improving the care of stroke patients. |
本系統中英文摘要資訊取自各篇刊載內容。