Objective:To explore the effect of stroke on-site assessment and categorical transport scale on prehospital shunting and first aid quality in stroke patients.Methods:A total of 302 patients with acute stroke admitted to the emergency department of the stroke center of the hospital from January 2020 to January 2021 were selected as the research objects,among which the patients admitted from January to June 2020 were taken as the control group,and the patients admitted from July 2020 to Jan-uary 2021 were taken as the observation group,with 151 cases in each group.The control group was given routine pre-hospital assessment,and the observation group was given field assessment stroke tri-age for emergency destination(FAST-ED)scale evaluation;pre-hospital shunt effect(visit reaction time,call for help to first aid time,and call for help to hospital time),the success rate of first aid,transfer success rate,and emergency department continue to rescue success rate were compared be-tween the two groups.The clinical outcomes and the neurological and cognitive deficits of the two groups were also compared before and 14 days after treatment.Results:The reaction time,the time from calling for help to first aid,and the time from calling for help to admission in the observation group were significantly shorter than those in the control group(P<0.05).The success rate of on-site first aid of the control group was 99.34%,and that of the observation group was 90.73%,and there was a significant difference between the two groups(P<0.05).The success rate of transport was 100%(150/150)in the observation group and 96.35%(132/137)in the control group,with significant difference between the two groups(P<0.05).The success rate was 98.67%(148/150)in the obser-vation group,which was higher than 93.94%(124/132)in the control group with significant differ-ence(P<0.05).The clinical outcome of the observation group was significantly better than that of the control group(P<0.05).After 14 days of treatment,the national institutes of health stroke scale(NIHSS)score of the patients in the observation group who were successfully rescued was significant-ly lower than that of the control group,while the mini-mental state examination(MMSE)score in the observation group was significantly higher(P<0.05).Conclusion:FAST-ED on-site assessment can significantly improve the prehospital shunting effect of stroke patients,improve the success rate of on-site,transfer,and continuation of rescue,improve the clinical outcome of patients,and reduce the degree of neurological and cognitive impairment in patients with successful rescue.
Field Assessment Stroke Triage for Emergency DestinationAcute StrokePre-hospital Shunt EffectClinical Rescue Outcome
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