Tụnyere ọnụ ọgụgụ nke ụlọ ọgwụ maka ịkọ amụma nnukwu ụgbọ mmiri dị n'ihu na ntọala ụgbọ ihe mberede.

Ọnụ ọgụgụ nke ụlọ ọgwụ na uru ha bara na ambulances, otu nnyocha e bipụtara na Jama na-amalite na ajụjụ a: kedu ihe arụmọrụ na ọnụọgụ ọnụọgụ nke amụma amụma maka nnukwu mkpuchi ụgbọ mmiri dị n'ihu mgbe a kwadoro na mpụga ma jiri ya tụnyere isi n'isi na ntọala nlekọta ahụike mberede?

N'ime ọmụmụ ihe a nke ndị ọrịa natara nnukwu koodu strok, a na-enyocha akpịrịkpa amụma prehospital 7

N'ime ọmụmụ ihe otu a nke ndị ọrịa 2007 bụ ndị natara nnukwu koodu strok, 7 amụma akpịrịkpa gosipụtara akara ngosi dị mma, nkọwa dị elu, na mmetụta dị ala, na-akwado ọnụ ọgụgụ nke Los Angeles Motor Scale na Rapid Arterial Occlusion Evaluation scale.

Ọnụego ike ime masịrị n'ogo Prehospital Acute Stroke Severity.

Nsonaazụ dị ugbu a na-egosi na obere ma ọ bụ ọnụ ọgụgụ dị iche iche dị iche iche dị na nkenke na-egosi na ọ bụ ihe gbasara ụlọ ọgwụ na ọnụ ọgụgụ buru ibu maka ibelata oge ọgwụgwọ, na-emeziwanye nsonaazụ ụlọ ọgwụ na-esote, na na ekwesịrị ịtụle ihe ga-ekwe omume tupu emejuputa atumatu.

DEFIBRILLATORS, Gaa na ZOLL BOOTH na ngosi ngosi mberede.

Mkpa nke akpịrịkpa ụlọ ọgwụ tupu ụlọ ọgwụ na ambulances

Ịdị irè nke endovascular thrombectomy (EVT) maka ihe mgbaàmà nke nnukwu oghere azụ azụ (sLAVO) na-ebelata nke ọma ka oge na-aga.

N'ihi na amachibidoro EVT na ụlọ ọrụ strok zuru oke, ụlọ ọgwụ ịlụ nke ndị ọrịa nwere nnukwu koodu ọrịa strok maka sLAVO dị oke mkpa, na agbanyeghị na ejirilarị ọtụtụ amụma amụma, nkwenye mpụga, ntụnyere isi na isi, na data enwere ike enweghị.

Ebumnuche: Iji mee nkwado nke mpụga na ntụnyere isi na isi nke 7 sLAVO amụma amụma na ọnọdụ ọrụ ahụike mberede (EMS) na iji nyochaa ike nke EMS paramedics.

Emere ọmụmụ ihe otu a na-atụ anya ya n'etiti July 2018 na Ọktọba 2019 na nnukwu obodo mepere emepe na Netherlands nke nwere ihe dị ka nde mmadụ 2 ma tinye 2 EMS, ụlọ ọrụ strok 3 zuru oke, na ebe isi ọrịa strok 4.

Ndị so na ya bụ ndị ọrịa na-esochi afọ 18 ma ọ bụ karịa bụ ndị EMS malitere koodu strok siri ike.

N'ime 2812 nnukwu koodu strok, 805 (28.6%) ewepụrụ, n'ihi na ọ dịghị ngwa eji eme ihe ma ọ bụ enweghị data ụlọ ọgwụ dị, na-ahapụ ndị ọrịa 2007 gụnyere na nyocha.

ỌZỌ gbasara Ahụike Maka Ihe omume na Ọzụzụ Enyemaka Nke Mbụ: DMC DINAS DSKA NDS KWESEDR EM ỌR AT N'EMLỌ NCHE

Atụlela ọnụ ọgụgụ amụma ụlọ ọgwụ

Ngwa nwere nlebanya ụlọ ọgwụ jupụtara na EMS paramedics maka koodu strok ọ bụla na-eme ka nwughari nke amụma amụma 7 ndị a: Los Angeles Motor Scale (LAMS); Nlebanya mgbochi akwara ngwa ngwa (RACE); Ngwá Ọrụ Nyochaa Triage Stroke Cincinnati; Ọdịmma Stroke Severity (PASS); anya-ihu-ogwe-aka-okwu-oge; Ntụle Ugbo Stroke Triage maka Ebe Mberede; na anya, ihu asymmetry, ọkwa nke nsụhọ, mkpochapụ/enweghị mmasị.

Nsonaazụ ndị isi na nke abụọ akwadoro bụ sLAVO na ọnụego enwere ike ime ya (ya bụ, oke nke koodu strok siri ike nke enwere ike wughachi ọkwa ụlọ ọgwụ mbụ).

Usoro arụmarụ amụma gụnyere izi ezi, nghọta, nkọwapụta, ndeksi Youden, na ụkpụrụ amụma.

N'ime ndị ọrịa 2007 natara nnukwu koodu strok (pụtara [SD] afọ, 71.1 [14.9] afọ; 1021 [50.9%] nwoke), 158 (7.9%) nwere SLAVO.

izi ezi nke akpịrịkpa ahụ sitere na 0.79 ruo 0.89, yana ọnụ ọgụgụ LAMS na RACE na-enye akara kacha elu.

Mmetụta nke akpịrịkpa ahụ sitere na 38% ruo 62%, yana nkọwapụta sitere na 80% ruo 93%.

Ọnụego ike ime nke a sitere na 78% ruo 88%, yana ọnụego kachasị elu maka ọnụ ọgụgụ PASS.

Ọmụmụ ihe a chọpụtara na ọnụ ọgụgụ amụma 7 niile nwere ezi izi ezi, nkọwapụta dị elu, na mmetụta dị ala, yana LAMS na RACE bụ ọnụ ọgụgụ kachasị elu.

Ọnụego ekwe omume dị n'etiti 78% na 88% na ekwesịrị iburu n'uche tupu emejuputa atumatu.

jamaneurology_nguyen_2020_oi_200086_1612851442.47901

Gụọ kwa:

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Isi Iyi:

JAMA

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