Prehospital stroke care in Singapore.

Timothy Jia Rong Lam, Zhenghong Liu, Benjamin Yong-Qiang Tan, Yih Ying Ng, Colin Kaihui Tan, Xiang Yi Wong, Narayanaswamy Venketasubramanian, Leonard Leong Litt Yeo, Andrew Fu Wah Ho, Marcus Eng Hock Ong
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Abstract

Abstract: Due to the narrow window of opportunity for stroke therapeutics to be employed, effectiveness of stroke care systems is predicated on the efficiency of prehospital stroke systems. A robust prehospital stroke system of care that provides a rapid and well-coordinated response maximises favourable poststroke outcomes, but achieving this presents a unique set of challenges dependent on demographic and geographical circumstances. Set in the context of a highly urbanised first-world nation with a rising burden of stroke, Singapore's prehospital stroke system has evolved to reflect the environment in which it operates. This review aims to characterise the current state of prehospital stroke care in Singapore, covering prehospital aspects of the stroke survival chain from symptom onset till arrival at the emergency department. We identify areas for improvement and innovation, as well as provide insights into the possible future of prehospital stroke care in Singapore.

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新加坡的院前中风护理。
摘要:由于卒中治疗的机会窗口很窄,卒中救治系统的有效性取决于院前卒中系统的效率。强大的院前卒中救治系统能提供快速、协调的响应,最大限度地改善卒中后的预后,但要实现这一目标却面临一系列独特的挑战,这取决于人口和地理环境。新加坡是高度城市化的第一世界国家,脑卒中发病率不断上升,在此背景下,新加坡的院前卒中系统也在不断发展,以反映其所处的环境。本综述旨在描述新加坡院前卒中救治的现状,涵盖从症状出现到到达急诊科的卒中存活链的院前环节。我们确定了需要改进和创新的领域,并对新加坡院前卒中救治可能的未来提出了见解。
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