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Chinese Journal of Hygiene Rescue(Electronic Edition) ›› 2019, Vol. 05 ›› Issue (04): 211-215. doi: 10.3877/cma.j.issn.2095-9133.2019.04.004

Special Issue:

• Original Article • Previous Articles     Next Articles

Prehospital epidemiological characteristics of acute stroke: clinical analyses of 116 cases

Chen Qiu1,(), Min Wu1, Xueying Ji1, Dongxue Fan1, Xin Pan1, Bin He1   

  1. 1. Zhenjiang Emergency Medical Center, Zhenjiang 212003, China
  • Received:2019-04-10 Online:2019-08-18 Published:2019-08-18
  • Contact: Chen Qiu
  • About author:
    Corresponding author: Qiu Chen, Email:

Abstract:

Objective

To investigate the clinical characteristics of acute stroke patients treated in Zhenjiang Emergency Center.

Methods

The medical records of all stroke patients treated in Zhenjiang Emergency Center from January 01 to March 31, 2019 were analyzed retrospectively. The basic characteristics of the patients, Glasgow coma scale (GCS) score, National Institutes of Health Stroke Scale (NIHSS) score and vital signs at hospital were analyzed.

Results

A total of 116 patients with an average age of 55.1±14.0 years were included. Among them, male aged 56.7±14.9 years and female 52.5±12.1 years. Young stroke (younger than 45 years old) accounted for 22.4% of all patients, and patients under 65 years old accounted for 78.4%. The majority of stroke patients were male (62.9%) and lived in urban (72.4%). The average time from the onset of stroke symptoms to arrival at the hospital was 27 hours (ranging from 0.5 to 72 hours). Forty patients (34.5%) arrived at thrombolytic hospitals within 4.5 hours (window period) of the onset of symptoms. The mean NIHSS of patients with hemorrhagic stroke (17.54±7.54) was significantly higher than that of patients with ischemic stroke (14±7.15) (P<0.05). The average GCS score of all stroke patients was 12.12 ±3.35, ischemic stroke was 13.07±2.56 and hemorrhagic stroke was 11.11±3.80 (P<0.05).

Conclusions

Most of the stroke patients treated before hospital in Zhenjiang Emergency Center are 65-year-old or younger men. although the level of consciousness of the patients is OK, the condition is generally serious and only about 1/3 of the patients can reach the hospital in a short time. Therefore, society, the media and medical institutions should actively promote awareness of risk factors and stroke. The first aid center should also further improve the corresponding treatment capacity.

Key words: Stroke, Glasgow coma scale, Pre-hospital care, National Institutes of Health Stroke scale

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