Effects of Improvement of Pre-hospital and Intra-hospital Management on Prognosis of Patients with Acute Venous Cerebral Infarction
SUN Yang-yang
GE Xiao-li
DAI Li-hua
WANG Hai-rong
SU Ying
ZHANG Ling-juan
CHEN Miao
Abstract：Objective To observe effects of improvement of pre-hospital and intra-hospital management on prognosis of patients with acute venous cereral infarction. Methods Anterior-posterior matching case-control study was used in this study. A total of 60 acute venous cerebral infarction inpatients admitted during January 2013 and August 2014 were selected as before intervention group, and 31 inpatients admitted during August 2014 and December 2015 after making improvement of pre-hospital and intra-hospital management were selected as after intervention group. Time of onset to door (OTD), time of door to needle ( DTN) ,rate of patients with DTN equal or less than 60 min and incidence rate of intra-cerebral hemorrhage were observed, and national institute of health stroke scale ( NIHSS) scores in 24 h after thrombolysis therapy were evaluated, and conditions of nerval functional rehabilitation and fatality rates were also observed. Results Compared with those in before intervention group, time of DTN, in after intervention group, time of door to CT scan and time of door to finishing laboratory examination were significantly decreased, while the rate of patients with DTN equal or less than 60 min was significantly in-creased (P<0. 05), but there were no significant differences in OTD , NIHSS score in 24 h after thrombolysis therapy, inci-dence rate of symptomatic intra-cerebral hemorrhage, fatality rate and nerval function score (P>0. 05). Conclusion Im-provement of pre-hospital and intra-hospital management may decrease time from onset of thrombolysis and improve the progno-sis of patients with acute venous cereral infarction.
Keywords：Brain infarctionIntravenous thrombolysisPersonnel administrationhospitalFirst aid
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 94-97 )