Zviyero zvePrehospital uye kubatsira kwavo muma ambulensi, chidzidzo chakabudiswa muJama chinotanga nemubvunzo uyu: chii chinonzi kushanda uye kukwanisa kwemazinga ekufanotaura zviyero zvekuvharidzirwa kwechikepe chepamberi kana chichisimbiswa kunze uye chichienzaniswa nemusoro nemusoro muhutano hwehutano hwekukurumidzira?

Muchidzidzo ichi chevarwere vakagamuchira acute stroke codes, 7 prehospital kufanotaura zviyero zvinoongororwa.

Mune iyi cohort yekudzidza ye2007 varwere vakagamuchira acute sitiroko macode, 7 kufanotaura zviyero zvakaratidza zvakanaka zvibodzwa, yakakwirira chaiyo, uye yakaderera senitivity, nenhamba ichifarira Los Angeles Motor Scale uye Rapid Arterial Occlusion Evaluation scale.

Feasibility rates yaifarira Prehospital Acute Stroke Severity scale.

Mhedzisiro yemazuva ano inoratidza kuti misiyano midiki asi yenhamba yakakura mukururama inoratidzika kunge ine kliniki inoreva muhuwandu hwehuwandu hwekudzikisa kunonoka kurapwa, nekuzotevera kunatsiridza mhedzisiro yekiriniki, uye kuti kuitika kunofanirwa kutariswa kusati kwaitwa chikero.

DEFIBRILLATORS, SHANYIRA ZOLL BOOTH PAKUKANGANISIRA EXPO

Kukosha kwezvikero zvepre-chipatara muma ambulensi

Kushanda kwe endovascular thrombectomy (EVT) yechiratidzo chikuru chepamberi mudziyo wekuvhara (sLAVO) inoderera zvakanyanya nekufamba kwenguva.

Nekuti EVT inongogumira kune yakazara sitiroko nzvimbo, prehospital triage yevarwere vane acute stroke codes ye sLAVO inokosha, uye kunyange zvazvo zviyero zvakawanda zvekufungidzira zvatove kushandiswa, kusimbiswa kwekunze, kuenzaniswa kwemusoro-kune-musoro, uye data inogona kuitika haisipo.

Chinangwa: Kuita kusimbiswa kwekunze uye kuenzaniswa kwemusoro-kune-musoro kwe7 sLAVO kufanotaura zviyero muhutano hwehutano hwekukurumidzira (EMS) kugadzirisa uye kuongorora chiyero chinogoneka neEMS paramedics.

Iyi inofungidzirwa cohort chidzidzo chakaitwa pakati paChikunguru 2018 naGumiguru 2019 munzvimbo huru yemadhorobha muNetherlands ine huwandu hwevanhu vangangoita mamirioni maviri uye yaisanganisira 2 EMS, 2 yakazara sitiroko nzvimbo, uye 3 primary sitiroko nzvimbo.

Vatori vechikamu vaiva varwere vakatevedzana vane makore 18 kana kupfuura avo EMS-yakatanga acute stroke code yakashandiswa.

Pakati pe2812 acute stroke codes, 805 (28.6%) yakanga isingabatanidzwi, nokuti hapana kushandiswa kwakashandiswa kana kuti hapana data yekliniki yakanga iripo, ichisiya varwere ve2007 vaibatanidzwa mukuongororwa.

KUSHANDISWA KWEZVOZVINHU NEZVAKAITIKA NEKUTANGA KUDZIDZISA KWEDZIDZO: DMC DINAS VANOGONESESA VEMUPENYU KUE EMERGENCY EXPO

The prehospital prediction scales akaongororwa

Zvikumbiro zvine makiriniki anocherechedzwa akazadzwa neEMS paramedics kune yega yega acute stroke code inogonesa kuvakwazve kweanotevera 7 kufanotaura zviyero: Los Angeles Motor Scale (LAMS); Rapid Arterial Occlusion Evaluation (RACE); Cincinnati Stroke Triage Assessment Tool; Prehospital Acute Stroke Severity (PASS); kutarisa-chiso-ruoko-kutaura-nguva; Munda Wekuongorora Stroke Triage yeEmergency Destination; uye kutarisa, asymmetry yechiso, chiyero chekuziva, kupera / kusateerera.

Yakarongwa yekutanga uye yechipiri mhedzisiro yaive sLAVO uye inogoneka mitengo (kureva, chikamu cheacute stroke codes iyo prehospital scale inogona kuvakwazve).

Matanho ekufanotaura ekuita aisanganisira kurongeka, kunzwa, kujeka, iyo Youden index, uye fungidziro tsika.

Pakati pevarwere ve2007 vakagamuchira acute stroke codes (kureva [SD] zera, 71.1 [14.9] makore; 1021 [50.9%] murume), 158 (7.9%) yakanga ine sLAVO.

Kururama kwezviyero zvakabva ku0.79 kusvika ku0.89, neLAMS uye RACE zviyero zvichipa zvibodzwa zvepamusoro.

Sensitivity yezviyero zvakabva pa38% kusvika 62%, uye chaiyo kubva pa80% kusvika 93%.

Scale feasibility rates yakabva pa78% kusvika 88%, ine mwero wepamusoro wePASS scale.

Ichi chidzidzo chakawana kuti ese 7 ekufanotaura zviyero zvaive nekururama kwakanaka, kukwirira kwakanyanya, uye kuderera kwekunzwa, neLAMS uye RACE iri iyo yepamusoro-soro zviyero.

Feasibility mareti aive pakati pe78% ne88% uye anofanirwa kuverengerwa asati aita chiyero.

jamaneurology_nguyen_2020_oi_200086_1612851442.47901

Verenga Uyewo:

Mashandisiro Aungaita Nokukurumidza Uye Nechokwadi Kuziva Iyo Yakanyanya Stroke Kurwara Murwere Mune A Prehospital Setting?

Kwete Zvekukurumidzira Kufona KweSitiroko Zviratidzo, Iyo Nyaya Yekuti Ndiani Anorarama Ari Oga Nekuda kwe COVID Lockdown

Kukosha Kwekufonera Nhamba Yenyu Yenharaunda Kana Yenyika Emergency Muchiitiko Chekufungidzirwa Sitroke

Stroke Care Certification yeChirangaridzo Chipatara cheFreemont

Yakakwirira Njodzi Yekurohwa Kune Veterans Vane Mental Health Matambudziko

Stroke Idambudziko Kune Vanhu Vane Nguva Yakareba Yebasa Shift

Cincinnati Prehospital Stroke Scale. Basa Rayo MuDhipatimendi Rekukurumidzira

Source:

JAMA