Transportation Time is Significantly Decreased in Acute Ischemic Stroke Patients Under Drip-and-Ship Paradigm for Thrombolysis

Q4 Nursing Journal of Neurocritical Care Pub Date : 2018-12-19 DOI:10.18700/JNC.180058
Jeong-Yeon Kim, J. Cha, Dae-Hyun Kim, H. Nah, Jin-Heon Jeong
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Abstract

Results: During the observation period, 225 patients were treated under ‘Drip-and-Ship’ or ‘Ship-and-Drip’ paradigm. Twenty-three were excluded due the lack of detailed data. Among 202 patients, 73 and 129 were treated under Drip-and-Ship and Ship-and-Drip paradigms, respectively. In 2013, 35 patients from 18 hospitals (median distance, 25 km) were transferred to our regional stroke center and their median ITD time was 116 minutes. It was gradually decreased after 2015. In 2017, ITD time was significantly (P<0.01) shortened to 85 minutes without significant changes in transfer distance. The median onset to puncture time was also significantly (P=0.03) decreased from 365 minutes in 2013 to 270 minutes in 2017.
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急性缺血性脑卒中患者在滴加船溶栓模式下运输时间显著缩短
结果:在观察期内,225名患者接受了“滴加船”或“船加滴”模式的治疗。23人因缺乏详细数据而被排除在外。在202名患者中,73名和129名患者分别接受了Drip和Ship以及Ship和Drip模式的治疗。2013年,来自18家医院(中位距离25公里)的35名患者被转移到我们的地区中风中心,他们的中位ITD时间为116分钟。2015年以后逐渐减少。2017年,ITD时间显著缩短(P<0.01)至85分钟,转移距离无显著变化。穿刺开始时间的中位数也从2013年的365分钟显著下降到2017年的270分钟(P=0.03)。
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来源期刊
Journal of Neurocritical Care
Journal of Neurocritical Care Nursing-Advanced and Specialized Nursing
CiteScore
0.60
自引率
0.00%
发文量
16
审稿时长
10 weeks
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