Association of Hospital Arrival Time with Modified Rankin Scale at Discharge in Patients with Acute Cerebral Infarction

被引:15
作者
Kwon, Young Dae [3 ]
Yoon, Sung Sang [2 ]
Chang, Hyejung [1 ]
机构
[1] Kyung Hee Univ, Sch Management, Dept Hlth Serv Management, Seoul 130701, South Korea
[2] Kyung Hee Univ, Coll Med, Dept Neurol, Seoul 130701, South Korea
[3] Catholic Univ Korea, Coll Med, Dept Med Humanities & Social Sci, Seoul, South Korea
关键词
Cerebrovascular disorders; Brain ischemia; Hospital arrival time; Early intervention; ACUTE ISCHEMIC-STROKE; ADMISSION; PREDICTORS; ONSET; ATLANTIS; WINDOW; NINDS; ECASS; DELAY;
D O I
10.1159/000319176
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This study evaluated the time interval from the development or recognition of a symptom to hospital arrival and investigated its association with the modified Rankin Scale (mRS) at discharge in patients with acute cerebral infarction. A registry was established with ischemic stroke patients admitted to an academic medical center in Korea from January 2005 to March 2009. The time interval between symptom onset and hospital arrival was recorded for each patient and analyzed along with the patient's clinical characteristics and mRS at discharge. Regardless of initial severity at admission, mRS was significantly different between two groups of hospital arrival: within 3 h and beyond 3 h. Multiple regression analysis also showed more positive mRS scores for patients within the 3-hour arrival, controlling for other significant factors. The findings provided patients' initiatives for early hospital arrival. Copyright (C) 2010 S. Karger AG, Basel
引用
收藏
页码:207 / 213
页数:7
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