脳血管障害における急性期初期治療開始に要する時間の検討

• 星野 晴彦

  東京都済生会中央病院神経内科

• 高木 誠

  東京都済生会中央病院神経内科

• 土谷 治久

  東京都済生会中央病院神経内科

• 高木 康行

  いずゞ病院神経内科

書誌事項

タイトル別名

• Factors delaying CT examination, and antithrombotic therapy after onset in acute stroke.

抄録

To assess the factors influencing the times to CT examination, and antithrombotic therapy in acute stroke, we investigated the detailed circumstances in all patients admitted to our hospital over a period of 12 months. The patients comprised 28 with atherothrombotic infarction (ATI), 57 with lacunar infarction (LI), 25 with cardiogenic embolism (CE), 11 with unclassified infarction, and 31 with intracerebral hemorrhage (ICH). Twenty-five patients (16.4%; 7 ATI, 12 LI, 3 CE, and 2 ICH) awoke with stroke symptoms. The mean time from stroke onset to CT examination was 2.06 hours in CE, 6.84 hours in ICH, 20.78 hours in ATI, and 38.69 hours in Ll. An early CT examination time was associated with emergency department arrival, ambulance call, direct arrival (no refessal to another physician), CE and ICH. The CT examination was completed within 3 hours in 36 patients (15 CE, 15 ICH, and 5 LI) from stroke onset. However, no case was started on any antithrombotic therapy within 3 hours, and only 3 patietns were within 6 hours. These findings suggest that professional education in the hospital is needed for the early assessment of stroke (CT examination) and treatment.

収録刊行物

• 脳卒中

  脳卒中 20 (5), 480-488, 1998

  一般社団法人 日本脳卒中学会

キーワード

• early admission
• stroke onset
• early CT examination
• ambulance call

詳細情報

• CRID: 1390282679616476672
• NII論文ID: 10005237679
• NII書誌ID: AN0020186X
• DOI: 10.3995/jstroke.20.480
• ISSN: 18831923
• ISSN: 09120726
• Web Site: https://search.jamas.or.jp/link/ui/1999175045
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可