Stroke and the need for immediate assistance at the place of onset: the future of mandatory training for lay people in Italy.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Annali di igiene : medicina preventiva e di comunita Pub Date : 2023-07-01 Epub Date: 2022-12-15 DOI:10.7416/ai.2022.2553
G Stirparo, R Pireddu, E Kacerik, T Scognamiglio, A Andreassi, G M Sechi, A Zoli, C Signorelli
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Abstract

Introduction: Lay training is essential to manage emergencies properly, although patients or bystanders need increased recognition of medical urgencies such as strokes. In Italy, as defined by Legislative Decree 81/08, all companies must train employees responsible for correctly recognizing and managing medical emergencies. Our study aims to evaluate the characteristics of medical emergencies concerning patients with a possible stroke in the Lombardy Region.

Methods: A retrospective observational study was conducted. All missions performed by Regional Agency for Emergencies and Urgencies (Agenzia Regionale Emergenza Urgenza - AREU) in which the patient presented a possible stroke, recorded in the SAS-Areu database, were analyzed. The study period was from January 1, 2019, to December 31, 2019.

Results: 10,201 patients with possible stroke were rescued, of whom only 540 (5.3%) occurred in workplaces. In workplaces, the percentage of males with a possible stroke was higher (62.2% vs 45.2%; p<0.01) and the mean age of rescued patients was lower (64.7 vs 77.5; p<0.01).

Conclusions: A stroke occurs less frequently in the workplace, while most events occur at home. Man-datory training on early stroke recognition should be extended to schools and conveyed through a media information campaign. Lay training is the first point in the chain of survival; redefining training is critical for the future.

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中风与发病地的即时救助需求:意大利非专业人员强制培训的未来。
导言:尽管患者或旁观者需要提高对脑卒中等紧急医疗事件的识别能力,但业余培训对正确处理紧急情况至关重要。在意大利,根据第 81/08 号法令的规定,所有公司都必须对负责正确识别和处理医疗紧急情况的员工进行培训。我们的研究旨在评估伦巴第大区可能发生脑卒中的医疗紧急情况的特点:方法:我们进行了一项回顾性观察研究。研究分析了 SAS-Areu 数据库中记录的由地区急诊和急救机构(Agenzia Regionale Emergenza Urgenza - AREU)执行的所有任务,在这些任务中,患者可能患有中风。研究时间为2019年1月1日至2019年12月31日:抢救了 10201 名可能中风的患者,其中只有 540 人(5.3%)发生在工作场所。在工作场所,可能发生中风的男性比例更高(62.2% vs 45.2%;p结论:中风在工作场所发生的频率较低,而大多数事件发生在家中。有关早期中风识别的人工培训应扩展到学校,并通过媒体宣传进行传播。非专业培训是生存链的第一点;重新定义培训对未来至关重要。
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来源期刊
Annali di igiene : medicina preventiva e di comunita
Annali di igiene : medicina preventiva e di comunita HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
69
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