Ukuthelekiswa kweZilinganisi ze-Prehospital zokuQikelela i-Occlusion enkulu ye-Anterior ye-Anterior kwi-Ambulance Setting
Izikali ze-Prehospital kunye nokusebenziseka kwazo kwii-ambulensi, uphando olupapashwe kwi-Jama luqala ngalo mbuzo: yiyiphi imilinganiselo yokusebenza kunye nokunokwenzeka kwezikali zokubikezela i-occlusion enkulu yenqanawa yangaphambili xa iqinisekisiwe ngaphandle kwaye ithelekisa intloko nentloko kwindawo yokumisela iinkonzo zonyango eziphuthumayo?
Kolu phononongo lwezigulane ezifumene iikhowudi ze-stroke ezibukhali, i-7 prehospital prediction scales ihlalutywa.
Kolu phando lweqela lezigulane ze-2007 ezifumene iikhowudi ze-stroke ezibukhali, izikali ze-7 zokubikezela zibonise amanqaku achanekileyo achanekileyo, ukuchaneka okuphezulu, kunye novakalelo oluphantsi, ngokwezibalo ukuthanda i-Los Angeles Motor Scale kunye ne-Rapid Arterial Occlusion Evaluation scale.
Amazinga okunokwenzeka athande isikali se-Prehospital Acute Stroke Severity.
Iziphumo zangoku zibonisa ukuba ukungafani okuncinci kodwa okubalulekileyo kwizibalo ngokuchanekileyo kubonakala kunentsingiselo yeklinikhi kubantu abaninzi ekunciphiseni ukulibaziseka kwonyango, kunye neziphumo eziphuculweyo zeklinikhi ezizayo, kwaye ukuba kunokwenzeka kufuneka kuthathelwe ingqalelo ngaphambi kokuphumeza isikali.
DEFIBRILLATORS, NDWENDWELA IZOLL BOOTH KWIMIBONELELO YONGXAMISEKO
Ukubaluleka kwezikali zangaphambi kwesibhedlele kwii-ambulensi
Ukusebenza kwe-endovascular thrombectomy (EVT) yeempawu ezinkulu ze-anterior occlusion (sLAVO) ziyancipha ngokukhawuleza ngexesha.
Ngenxa yokuba i-EVT ithintelwe kumaziko e-stroke abanzi, i-prehospital udidi yezigulane ezineekhowudi ze-stroke ezibukhali ze-sLAVO zibalulekile, kwaye nangona izikali ezininzi zokubikezela sele zisetyenziswa, ukuqinisekiswa kwangaphandle, ukuthelekiswa kwentloko-entloko, kunye nolwazi olunokwenzeka alukho.
Injongo: Ukuqhuba ukuqinisekiswa kwangaphandle kunye nokuqhathaniswa kweentloko ze-7 sLAVO izikali zokubikezela kwinkonzo yonyango engxamisekileyo (EMS) kunye nokuvavanya ukunyanzeliswa kwesikali ngama-paramedics e-EMS.
Olu phononongo lweqela elilindelekileyo lwenziwe phakathi kukaJulayi 2018 kunye no-Okthobha ka-2019 kwiziko elikhulu lasedolophini eNetherlands elinabemi abamalunga nezigidi ezi-2 kwaye libandakanya ii-EMS ezi-2, amaziko ama-3 abanzi e-stroke, kunye namaziko ama-4 aphambili.
Abathathi-nxaxheba babe zizigulane ezilandelelanayo ezineminyaka eyi-18 okanye ngaphezulu apho i-EMS-iqaliswe ikhowudi ye-stroke ebukhali yenziwe yasebenza.
Kwiikhowudi ze-2812 ezibukhali ze-stroke, i-805 (28.6%) yayingabandakanywa, kuba akukho sicelo sisetyenzisiweyo okanye akukho datha yeklinikhi ekhoyo, ishiya izigulane ze-2007 zibandakanyiwe kuhlalutyo.
UKUQHUTYELWA KWEZONYANGO NGOKWENZEKILEYO KUNYE NOQEQESHO LONcedo LOKUQALA: I-DMC DINAS
Izikali zokubikezela kwangaphambili kwesibhedlele zihlalutyiwe
Izicelo ezinoqwalaselo lweklinikhi ezizaliswe yi-EMS i-paramedics kwikhowudi nganye ye-stroke enzima eyenza ukwakhiwa kwakhona kwezikali zilandelayo ze-7 zokubikezela: I-Los Angeles Motor Scale (LAMS); UVavanyo oluKhawulezayo lwe-Arterial Occlusion Evaluation (RACE); Isixhobo soVavanyo lwe-Cincinnati Stroke Triage; I-Prehospital Acute Stroke Severity (PASS); jonga-ubuso-ingalo-ixesha-intetho; UVavanyo lweNdawo yoVavanyo lweStroke kwindawo yokuSikela eNgxamisekileyo; kunye nokujonga, i-asymmetry yobuso, inqanaba lokuqonda, ukuphela / ukungakhathaleli.
Iziphumo ezicwangcisiweyo eziphambili nezesekondari ziyi-sLAVO kunye namazinga okunokwenzeka (oko kukuthi, umlinganiselo weekhowudi ze-stroke ezibukhali apho isikali se-prehospital sinokuphinda sakhiwe).
Amanyathelo okusebenza aqikelelweyo abandakanya ukuchaneka, ubuntununtunu, ukuchaneka, isalathisi se-Youden, kunye namaxabiso aqikelelwayo.
Kwizigulane ze-2007 ezifumene iikhowudi ze-stroke ezibukhali (zithetha [SD] ubudala, i-71.1 [14.9] iminyaka; i-1021 [50.9%] indoda), i-158 (7.9%) ine-sLAVO.
Ukuchaneka kwezikali ukusuka kwi-0.79 ukuya kwi-0.89, kunye ne-LAMS kunye ne-RACE izikali ezivelisa amanqaku aphezulu.
Uvakalelo lwezikali luvela kwi-38% ukuya kwi-62%, kunye nokucaciswa kwe-80% ukuya kwi-93%.
Izinga lokwenzeka kwe-Scale lisusela kwi-78% ukuya kwi-88%, kunye nezinga eliphezulu kwisikali se-PASS.
Olu pho nonongo lufumene ukuba zonke izikali ze-7 zokubikezela zichaneke kakuhle, ukuchaneka okuphezulu, kunye novelwano oluphantsi, kunye ne-LAMS kunye ne-RACE ibe yimilinganiselo ephezulu yamanqaku.
Amazinga okunokwenzeka aphakathi kwama-78% kunye nama-88% kwaye kufuneka athathelwe ingqalelo ngaphambi kokuphumeza isikali.
jamaneurology_nguyen_2020_oi_200086_1612851442.47901Funda kwakhona:
Akukho ziFowuni zikaXakeka zeMpawu zeStrowuku, uMba wokuHlala yedwa ngenxa yeCOVID Lockdown
Isiqinisekiso soKhathalelo lweStroke kwiSibhedlele seSikhumbuzo saseFreemont
Umngcipheko oPhezulu weStroke kwaBantu abaNgciniweyo abaneengxaki zeMpilo yeNgqondo
I-Stroke Yingxaki Kubantu abane-Shift yeeyure zokusebenza ezinde
ICincinnati Prehospital Stroke Scale. Indima yayo kwiSebe eliNgxamisekileyo