Study on the in-hospital diagnosis and treatment time in patients with ischemic stroke in Hebei Province
10.3760/cma.j.issn.1671-0282.2021.08.015
- VernacularTitle:河北省缺血性脑卒中院内诊治时间分布研究
- Author:
Dongqi YAO
1
;
Weiwei YAO
;
Yanling DONG
;
Yingsen HUANG
;
Haiying WU
;
Hengbo GAO
;
Tuokang ZHENG
;
Hao XIAO
;
Qingbing MENG
;
Yingping TIAN
Author Information
1. 河北医科大学第二医院急诊科，石家庄 050000
- Keywords:
Stroke;
In-hospital delay;
Emergency treatment;
Hospital grade
- From:
Chinese Journal of Emergency Medicine
2021;30(8):992-996
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the in-hospital diagnosis and treatment time for patients with acute ischemic stroke in Hebei Province.Methods:The data of in-hospital diagnosis and treatment of acute ischemic stroke in Hebei Province were collected and analyzed, and then compared with the NINDS recommended time. Methods The data of in-hospital diagnosis and treatment of acute ischemic stroke in Hebei Province were collected and analyzed, and then compared with the NINDS recommended time.Results:The median time in hospital diagnosis and treatment was significantly longer than the NINDS recommended time (104 min vs. 60 min, P<0.001). The median time from completing the cranial CT scan to getting the CT report differed significantly to the NINDS recommended time (30 min vs. 20 min, P<0.001). The median time from getting the CT report to obtaining treatment was 43 min, which was significantly longer than the NINDS recommended 15 min ( P<0.001). The median time of in-hospital diagnosis and treatment for emergency service system (EMS) patients was 101 min, which was shorter than that for non-EMS patients (104 min, P=0.01). The median time of in-hospital diagnosis and treatment in Tertiary Hospital was 105 min, which was significantly longer than that in Secondary Hospital 99 min, ( P<0.05). Conclusions:The in-hospital emergency treatment delay in Hebei Province was relatively serious for patients with acute ischemic stroke. The time between obtaining the head CT report to beginning thrombolytic therapy is the most important factor in hospital delay. EMS can shorten in-hospital delay for acute ischemic stroke. Compared with the tertiary hospital, the secondary hospital has shorter in-hospital delay time.
