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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Tokyo Metropolitan Stroke Emergency Medical Services for Interventional Stroke Treatment: The Tama-REgistry of Acute (TREAT) Study
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Tokyo Metropolitan Stroke Emergency Medical Services for Interventional Stroke Treatment: The Tama-REgistry of Acute (TREAT) Study

机译：东京都市中风紧急医疗服务用于介入中风治疗：急性（治疗）研究的TAMA-Registry

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Objective: It is not clear how patients with large vessel occlusion (LVO) who have undergone mechanical thrombectomy (MT) were transported to hospitals by emer-gency medical services. Here, we describe the current status of the stroke delivery system in a large city. Methods: We investigated data from 328 patients (male, n = 199; average age, 74.8 12.9 years) who underwent MT at 12 facilities in the Tama area of Tokyo, between January 2015 and December 2017. The patients were classified according to the destination institution as Stroke A eligible (group A, n = 266 [8.2%]), Tertiary critical care center (group T; n = 35 [10.7%]), and other des-tinations such as emergency rooms (group O; n = 27 [8.2%]), and then reasons for using Emergency Medical Service (EMS) services and outcomes were compared among the groups. Results: Rates of milder stroke, and middle cerebral artery occlu-sion were significantly higher in group A than T, whereas that of vertebral-basilar artery occlusion was significantly lower in group A than in groups T and O. The amount of elapsed time from door to picture (DTP) was significantly lower in group A. The time from onset to recanalization, as well as rates of successful recanalization and favorable outcomes (90-day modified Rankin scale 0-2) did not significantly differ regardless of destination. Conclusions: Most patients with LVO in the Tama area were categorized into group A. DTP was significantly lower in group A.
机译：目的：目前尚不清楚接受机械血栓切除术（MT）的大血管闭塞（LVO）患者如何通过急救医疗服务送往医院。在这里，我们描述了一个大城市中风治疗系统的现状。方法：我们调查了2015年1月至2017年12月期间328名患者（男性，n=199；平均年龄74.8岁，12.9岁）的数据，这些患者在东京多摩地区的12家医疗机构接受了MT治疗。根据目的地机构将患者分类为中风A合格（A组，n=266[8.2%]）、三级重症监护中心（T组；n=35[10.7%]）和其他目的地，如急诊室（O组；n=27[8.2%]），然后比较各组使用紧急医疗服务（EMS）服务的原因和结果。结果：A组轻度卒中和大脑中动脉闭塞的发生率显著高于T组，而A组椎-基底动脉闭塞的发生率显著低于T组和O组。A组从门到图片的经过时间（DTP）显著低于T组，无论目的地如何，成功再通率和良好结果（90天改良Rankin量表0-2）均无显著差异。结论：塔马地区的大多数LVO患者被分为A组。A组的DTP显著降低。

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