دورية أكاديمية
أعرض في EDS

Prehospital Identification of Stroke Subtypes in Chinese Rural Areas.

التفاصيل البيبلوغرافية
العنوان: Prehospital Identification of Stroke Subtypes in Chinese Rural Areas.
المؤلفون: Jin HQ, Wang JC, Sun YA, Lyu P, Cui W, Liu YY, Zhen ZG, Huang YN; Department of Neurology, Peking University First Hospital, Beijing 100034, China.
المصدر: Chinese medical journal [Chin Med J (Engl)] 2016 May 05; Vol. 129 (9), pp. 1041-6.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Chinese Medical Association ; produced by Wolters Kluwer Country of Publication: China NLM ID: 7513795 Publication Model: Print Cited Medium: Internet ISSN: 2542-5641 (Electronic) Linking ISSN: 03666999 NLM ISO Abbreviation: Chin Med J (Engl) Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : Beijing : Chinese Medical Association ; produced by Wolters Kluwer
Original Publication: Peking, Chinese Medical Assn.
مواضيع طبية MeSH: Stroke/*classification, Aged ; Cerebral Hemorrhage/classification ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Stroke/diagnosis ; Tomography, X-Ray Computed
مستخلص: Background: Differentiating intracerebral hemorrhage (ICH) from cerebral infarction as early as possible is vital for the timely initiation of different treatments. This study developed an applicable model for the ambulance system to differentiate stroke subtypes.
Methods: From 26,163 patients initially screened over 4 years, this study comprised 1989 consecutive patients with potential first-ever acute stroke with sudden onset of the focal neurological deficit, conscious or not, and given ambulance transport for admission to two county hospitals in Yutian County of Hebei Province. All the patients underwent cranial computed tomography (CT) or magnetic resonance imaging to confirm the final diagnosis based on stroke criteria. Correlation with stroke subtype clinical features was calculated and Bayes' discriminant model was applied to discriminate stroke subtypes.
Results: Among the 1989 patients, 797, 689, 109, and 394 received diagnoses of cerebral infarction, ICH, subarachnoid hemorrhage, and other forms of nonstroke, respectively. A history of atrial fibrillation, vomiting, and diabetes mellitus were associated with cerebral infarction, while vomiting, systolic blood pressure ≥180 mmHg, and age <65 years were more typical of ICH. For noncomatose stroke patients, Bayes' discriminant model for stroke subtype yielded a combination of multiple items that provided 72.3% agreement in the test model and 79.3% in the validation model; for comatose patients, corresponding agreement rates were 75.4% and 73.5%.
Conclusions: The model herein presented, with multiple parameters, can predict stroke subtypes with acceptable sensitivity and specificity before CT scanning, either in alert or comatose patients. This may facilitate prehospital management for patients with stroke.
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تواريخ الأحداث: Date Created: 20160422 Date Completed: 20170307 Latest Revision: 20181113
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC4852670
DOI: 10.4103/0366-6999.180521
PMID: 27098788
قاعدة البيانات: MEDLINE
الوصف
تدمد:2542-5641
DOI:10.4103/0366-6999.180521