Yanxia Wu1, Yahui Yang2, Xiaoling Guo3, Dandan Guo1, Yanli Lu1, Guang Li1, Fengqing Gao4, Jingwei Wang5. 1. Emergency Department, The Second Affiliated Hospital of Xingtai Medical College Xingtai 054000, Hebei Province, China. 2. Department of Nephrology, Chengde Central Hospital Chengde 067000, Hebei Province, China. 3. Department of Neurology, Xingtai People's Hospital Xingtai 054000, Hebei Province, China. 4. Department of Neurology, The Second Affiliated Hospital of Xingtai Medical College Xingtai 054000, Hebei Province, China. 5. Department of Anatomy, Xingtai Medical College Xingtai 054000, Hebei Province, China.
Abstract
OBJECTIVE: This study aimed to explore the effect of pre-hospital early intervention combined with an in-hospital emergency model in the emergency care of patients with acute stroke. METHODS: Eighty-six patients with acute stroke treated in our hospital between December 2018 and January 2020 were enrolled prospectively and were divided into two groups according to the random number table method, with 43 cases in each group. The control group received conventional emergency mode care, while the study group received pre-hospital early intervention combined with an in-hospital emergency model. The success rate of successful resuscitation (CPR), resuscitation endpoints, complication rates, nursing satisfaction and changes in limb motor function (Fugl-Meyer score) and activity of daily living (ADL score) before and at 3 months after intervention were compared between the two groups. RESULTS: The total success rate of rescue and nursing satisfaction were higher in the study group (93.02%, 97.77%) than in the control group (74.42%, 79.07%), while the complication rate in the study group (4.65%) was lower than that in the control group (20.93%). Time to resuscitation, time to thrombolytic therapy, time from admission to completion of imaging, and the length of hospital stay were shorter in the study group than in the control group (P<0.05). Compared with pre-intervention, Fugl-Meyer and ADL scores were increased in both groups and were higher in the study group (P<0.05). CONCLUSION: Pre-hospital early intervention combined with in-hospital emergency model in the first aid of patients with acute stroke can effectively improve the success rate of rescue, shorten the duration of rescue and length of hospital stay, reduce the incidence of complications, increase nursing satisfaction, and improve limb motor function and ADL. AJTR
OBJECTIVE: This study aimed to explore the effect of pre-hospital early intervention combined with an in-hospital emergency model in the emergency care of patients with acute stroke. METHODS: Eighty-six patients with acute stroke treated in our hospital between December 2018 and January 2020 were enrolled prospectively and were divided into two groups according to the random number table method, with 43 cases in each group. The control group received conventional emergency mode care, while the study group received pre-hospital early intervention combined with an in-hospital emergency model. The success rate of successful resuscitation (CPR), resuscitation endpoints, complication rates, nursing satisfaction and changes in limb motor function (Fugl-Meyer score) and activity of daily living (ADL score) before and at 3 months after intervention were compared between the two groups. RESULTS: The total success rate of rescue and nursing satisfaction were higher in the study group (93.02%, 97.77%) than in the control group (74.42%, 79.07%), while the complication rate in the study group (4.65%) was lower than that in the control group (20.93%). Time to resuscitation, time to thrombolytic therapy, time from admission to completion of imaging, and the length of hospital stay were shorter in the study group than in the control group (P<0.05). Compared with pre-intervention, Fugl-Meyer and ADL scores were increased in both groups and were higher in the study group (P<0.05). CONCLUSION: Pre-hospital early intervention combined with in-hospital emergency model in the first aid of patients with acute stroke can effectively improve the success rate of rescue, shorten the duration of rescue and length of hospital stay, reduce the incidence of complications, increase nursing satisfaction, and improve limb motor function and ADL. AJTR
Authors: Jacek Staszewski; Aleksander Dębiec; Marta Derbich; Mateusz Antoniak; Adam Stępień Journal: J Neurosci Nurs Date: 2019-10 Impact factor: 1.230
Authors: Ashley Sanello; Marianne Gausche-Hill; William Mulkerin; Karl A Sporer; John F Brown; Kristi L Koenig; Eric M Rudnick; Angelo A Salvucci; Gregory H Gilbert Journal: West J Emerg Med Date: 2018-03-08