Effect of sequential assessment of conditions on the efficiency of prehospital emergency care and clinical outcomes in acute ischemic stroke
Objective To analyze the effect of sequential assessment of conditions on the efficiency of prehospital emergency care and clinical outcomes in acute ischemic stroke.Methods The clinical data of 110 acute ischemic stroke patients were retrospectively analyzed,and the patients were divided into a control group(55 cases,conventional emergency triage)and an observation group(55 cases,sequential assessment of conditions)according to the triage mode.The clinical indicators[pre-emergency assessment time,call-to-treatment time,hospital response time,Glasgow Outcome Scale(GOS)score],occurrence of complications,treatment effect and death were compared between the two groups.Results The pre-emergency assessment time,call-to-treatment time and hospital response time in the observation group were(4.36±1.15),(12.16±5.86)and(5.26±2.15)min,which were shorter than(7.56±1.36),(22.36±5.58)and(17.54±5.25)min in the control group;the observation group had significantly higher GOS score of(4.15±0.42)points than(3.48±0.56)points in the control group(P<0.05).The incidence of central hyperthermia,rectal dysfunction,pulmonary infection and abnormal liver and kidney function in the observation group were 20.00%,3.64%,1.82%and 0,which were significantly lower than 38.18%,16.36%,12.73%and 7.27%in the control group(P<0.05).The total effective rate of 87.27%in the observation group was significantly higher than 56.36%in the control group,and the mortality rate of 1.82%was significantly lower than 12.73%in the control group(P<0.05).Conclusion Sequential assessment of the condition can improve the efficiency of pre-hospital emergency care for acute ischemic stroke,shorten the overall emergency time,increase the cure rate of patients,and reduce the risk of patient death.
Sequential assessment of conditionsAcute ischemic strokePrehospital emergency careClinical outcomes
万方数据
维普
