Objective To study the application effect of the pre-hospital and in-hospital medical linkage system in emergency care of ischemic stroke patients.Methods The observation group consisted of patients diagnosed with acute ischemic stroke and treated with thrombolysis through the pre-hospital and in-hospital medical linkage system from January 1,2022 to March 31,2023(n=117),and the control group consisted of stroke patients under routine emergency treatment from January 1,2021 to March 31,2021(n=109).The patient identification time,patient transport time,pre-hospital to in-hospital time,door to needle time(DNT),hospital stay,incidence of complications,mortality,Barthel index,and NIHSS score were compared between two groups.Results Compared with the control group,the observation group had shorter pre-hospital and in-hospital transition time,DNT,and hospital stay(P＜0.05).The total incidence of complications in the control group was higher than that in the observation group(44.95％vs 20.51％,χ2=15.415,P＜0.05).After treatment,the Barthel index of the observation group was higher than that of the control group,and the NIHSS score was lower than that of the control group,with statistical significance(P＜0.05).Conclusion The application of pre-hospital and in-hospital linkage system in emergency care of ischemic stroke patients has a significant effect,which can shorten DNT,reduce complications,and effectively improve patients'daily living ability and neurological function recovery.
Ischemic strokePre-hospital first aidIn-hospital first aidComplicationThrombolysisMedical linkage system
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