摘要
目的通过北京卒中登记数据库(BSR)研究,探讨北京远郊区县卒中患者院前延误状况。方法将北京10个远郊区县10家医院作为北京卒中登记数据库研究协作中心。采用专家制订的北京卒中登记数据库,内容包括患者的一般人口学信息、院前卒中急救信息、院前院内关键延误时间、卒中亚型、卒中评价和治疗信息、溶栓信息等。由接受统一培训的神经科医生采用网络直报的形式进行登记。结果共有1095名合格的卒中患者进入登记数据库;卒中登记患者付费方式均以新农合为主,平均为53.6%;出租车仍为首选转运方式,占全部转运方式的38.7%,昌平区高达67.6%。使用EMS的比例前4个区县为:平谷(37.4%)、大兴(36.2%)、顺义(30.6%)、房山(21.7%),其中,平谷以急救中心转运为主。通过EMS途径到院时间小于2小时的比例为40.7%,显著高于其他途径到院患者(χ2=54.746,p<0.001)。结论自行转运卒中患者仍为北京卒中患者院前主要的转运方式;使用EMS方式转运患者的就诊延误小于其他方式;应加强公众教育,提高EMS转运比例。
Abstract Objective To explore the status of delaying pre - hospital in ten suburban districts of Beijing from data of CARDS. Method A total number of 10 hospitals eligible were enrolled in the CARDS study. The register databank including de- mographic characteristic, pre- hospital emergency information, the key delaying time, stroke subtype and others was set up by expertise group. The doctors receiving license filled up the databank in emergency department. Result A total number of 1 095 patients eligible were registered and included in the final databank. The proportion of patients who went to emergency by way of taking taxi was 38.7 percents and was higher than the other communication methods. The first 4 districts with high proportion of patients using EMS are Pinggu district （ 37.4% ）, Daxing district （ 36.2% ）, Sunyi district （ 30.6% }, Fangshan district （ 21. 7% }. The proportion of patients reaching emergency within two hours with EMS was 40.7% and was higher significantly than other methods （ ~2 = 54. 746, p 〈 0. 001 ）. Conclusion The health education about stroke emergency catering to public should be emphasized to improve the long delaying pre - hospital admission.
出处
《中国卫生质量管理》
2010年第1期20-23,共4页
Chinese Health Quality Management
基金
首都医学发展科研基金项目--"北京急性卒中远程救治模式(BATTLES)的前期研究"资助(课题编号:2005-1020)
首都医学发展科研基金项目--"北京地区脑卒中医疗服务质量监测与评价标准的研究"资助(课题编号:2007-1033)
关键词
急性脑血管事件
登记
急救
现况调查
Registry
Acute Cerebrovascular Events
Emergency Medical Service
Cross - Sectional Study
