https://scholars.lib.ntu.edu.tw/handle/123456789/590497
標題: | Utilization of emergency medical service increases chance of thrombolytic therapy in patients with acute ischemic stroke | 作者: | MING-JU HSIEH SUNG-CHUN TANG WEN-CHU CHIANG Huang K.-Y. Chang A.M. PATRICK CHOW-IN KO LI-KAI TSAI JIANN-SHING JENG MATTHEW HUEI-MING MA |
公開日期: | 2014 | 卷: | 113 | 期: | 11 | 起(迄)頁: | 813-819 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: To determine whether utilization of emergency medical service (EMS) can increase use and expedite delivery of the thrombolytic therapy in acute ischemic stroke patients. Methods: We analyzed consecutive patients presenting to the emergency department (ED) with an ischemic stroke within 72 hours of symptom onset from a prospective stroke registry. Variables associated with early ED arrival (within 3hours of stroke onset) and administration of intravenous thrombolytic therapy were analyzed. Results: From January 1, 2010 to July 31, 2011, there were 1081 patients (62.3% men, age 69.6±13 years) included in this study. Among them, 289 (26.7%) arrived in the ED within 3 hours, and 88 (8.1%) received thrombolytic therapy. Patients who arrived at the ED by EMS (. n=279, 25.8%) were independently associated with earlier ED arrival (adjusted odds ratio=3.68, 95% confidence interval=2.54-5.33), and higher chance of receiving thrombolytic therapy (adjusted odds ratio=3.89, 95% confidence interval=1.86-8.17). Furthermore, utilization of EMS significantly decreased onset-to-needle time by 26 minutes in patients receiving thrombolytic therapy. Conclusion: Utilization of EMS can not only help acute ischemic stroke patients in early presentation to ED, but also effectively facilitate thrombolytic therapy and shorten the onset-to-needle time. ? 2013 . |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922009031&doi=10.1016%2fj.jfma.2013.10.020&partnerID=40&md5=04eb999108d6ee13cafe635247791a0b https://scholars.lib.ntu.edu.tw/handle/123456789/590497 |
ISSN: | 9296646 | DOI: | 10.1016/j.jfma.2013.10.020 | SDG/關鍵字: | aged; Article; brain ischemia; emergency health service; emergency ward; female; fibrinolytic therapy; health care delivery; health care utilization; human; major clinical study; male; observational study; prospective study; register; stroke patient; symptom; emergency health service; fibrinolytic therapy; middle aged; multivariate analysis; odds ratio; statistical model; statistics and numerical data; Stroke; time; utilization; very elderly; fibrinolytic agent; tissue plasminogen activator; Aged; Aged, 80 and over; Emergency Medical Services; Emergency Service, Hospital; Female; Fibrinolytic Agents; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Odds Ratio; Prospective Studies; Registries; Stroke; Thrombolytic Therapy; Time Factors; Tissue Plasminogen Activator |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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