Improvement in stroke quality management by an educational programme.

作者: Stephan Behrens , Michael Daffertshofer , Cordula Interthal , Klaus Ellinger , Klaus van Ackern

DOI: 10.1159/000057853

关键词:

摘要: Time after symptom onset in ischaemic stroke has to be as short possible increase success of treatment. We prospectively analysed latencies from until the start therapy and rate thrombolysis 196 patients with suspected sequentially admitted hospital before (6 weeks prior, n = 83) (n 113) initiating an educational programme (EP). A total 345 dispatchers, paramedics, emergency staff were trained, each person for at least 2 h. The mean pre-hospital time interval admission was significantly decreased by nearly h (p < 0.05). Thrombolytic frequencies increased 10.5% 0.01) because overall 69 min EP, increasing numbers suitable acute therapies within a 0- 3-hour treatment window.

参考文章(17)
Deidre A. Wentworth, Richard P. Atkinson, Implementation of an Acute Stroke Program Decreases Hospitalization Costs and Length of Stay Stroke. ,vol. 27, pp. 1040- 1043 ,(1996) , 10.1161/01.STR.27.6.1040
K. Ellinger, C. Koch, M. Daffertshofer, T. Luiz, S. Behrens, Das Mannheimer Schlaganfallprojekt Notfall & Rettungsmedizin. ,vol. 2, pp. 428- 433 ,(1999) , 10.1007/S100490050172
Joseph P. Broderick, Logistics in acute stroke management. Drugs. ,vol. 54, pp. 109- 117 ,(1997) , 10.2165/00003495-199700543-00015
Maureen A Smith, Katherine M Doliszny, Eyal Shahar, Paul G McGovern, Donna K Arnett, Russell V Luepker, Delayed Hospital Arrival for Acute Stroke: The Minnesota Stroke Survey Annals of Internal Medicine. ,vol. 129, pp. 190- 196 ,(1998) , 10.7326/0003-4819-129-3-199808010-00005
Emily B. Schroeder, Wayne D. Rosamond, Dexter L. Morris, Kelly R. Evenson, Albert R. Hinn, Determinants of Use of Emergency Medical Services in a Population With Stroke Symptoms The Second Delay in Accessing Stroke Healthcare (DASH II) Study Stroke. ,vol. 31, pp. 2591- 2596 ,(2000) , 10.1161/01.STR.31.11.2591
P. Bratina, L. Greenberg, W. Pasteur, J. C. Grotta, Current Emergency Department Management of Stroke in Houston, Texas Stroke. ,vol. 26, pp. 409- 414 ,(1995) , 10.1161/01.STR.26.3.409
Martin Grond, Christoph Stenzel, Susanne Schmülling, Jobst Rudolf, Michael Neveling, Alex Lechleuthner, Susanne Schneweis, Wolf-Dieter Heiss, Early Intravenous Thrombolysis for Acute Ischemic Stroke in a Community-Based Approach Stroke. ,vol. 29, pp. 1544- 1549 ,(1998) , 10.1161/01.STR.29.8.1544
Antoni Dávalos, José Castillo, Eduardo Martinez-Vila, Delay in Neurological Attention and Stroke Outcome Stroke. ,vol. 26, pp. 2233- 2237 ,(1995) , 10.1161/01.STR.26.12.2233
Rashmi Kothari, William Barsan, Thomas Brott, Joseph Broderick, Stephen Ashbrock, Frequency and Accuracy of Prehospital Diagnosis of Acute Stroke Stroke. ,vol. 26, pp. 937- 941 ,(1995) , 10.1161/01.STR.26.6.937