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首页> 外文期刊>European journal of neurology: the official journal of the European Federation of Neurological Societies >Prehospital identification of stroke--room for improvement.
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Prehospital identification of stroke--room for improvement.

机译：院前中风识别-有待改善

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INTRODUCTION: Rapid recognition of stroke is important because it allows early brain imaging and management such as thrombolytic therapy. We evaluated the identification of the diagnosis acute cerebrovascular incident in a physician-based prehospital emergency medical system. METHODS: From the Copenhagen Mobile Emergency Care Unit (MECU) register we identified patients classified as having an acute cerebrovascular incident through a 2-year period. We subsequently searched the hospital registration system and compared the consistency between the primary hospital discharge diagnosis and the MECU diagnosis made on referral. Our primary aim was to calculate the proportion of admitted patients with a hospital discharge diagnosis from the category 'acute cerebrovascular incident.' RESULTS: In total, 583 patients were included in our study. In 25 patients, no hospital discharge diagnosis could be found. Of the remaining 558 patients, a hospital discharge diagnosis of cerebrovascular incident was made for 168 (30.1%) patients. Other cerebral disease was found in 171 (30.7%), systemic disease in 52 (9.3%), and other diagnoses in 167 (29.9%). DISCUSSION: We found a low accuracy of the clinical diagnosis acute cerebrovascular incident in the prehospital setting with room and need for improvement in order to allow appropriate and expeditious referral for thrombolytic therapy.
机译：简介：快速识别中风很重要，因为它可以早期进行脑部成像和处理，例如溶栓治疗。我们评估了基于医师的院前急诊医疗系统对诊断急性脑血管事件的鉴定。方法：从哥本哈根移动急诊科（MECU）注册中，我们确定了在2年内被分类为患有急性脑血管事件的患者。随后，我们搜索了医院注册系统，并比较了主要医院出院诊断与转诊时MECU诊断之间的一致性。我们的主要目标是从“急性脑血管事件”类别中计算出住院诊断出院的患者比例。结果：总共583例患者被纳入我们的研究。在25名患者中，未发现出院诊断。在其余的558位患者中，有168位（30.1％）患者被出院诊断为脑血管事件。其他的脑部疾病被发现171（30.7％），全身性疾病被发现52（9.3％），其他疾病被发现167（29.9％）。讨论：我们发现院前环境中有空间的临床诊断急性脑血管事件的准确性较低，需要改进以允许适当和快速的转诊以进行溶栓治疗。

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