Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China
Objective. Most patients of acute ischemic stroke (AIS) receive treatments in the department of emergency in China. We aimed to examine the status of AIS diagnosis and treatment and the impact of green pathway operation in different regions of China. Methods. In this nationwide survey, information r...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2019/3747910 |
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| _version_ | 1850213123667001344 |
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| author | Jianguo Li Jingming Liu Yuefeng Ma Peng Peng Xiaojun He Wei Guo |
| author_facet | Jianguo Li Jingming Liu Yuefeng Ma Peng Peng Xiaojun He Wei Guo |
| author_sort | Jianguo Li |
| collection | DOAJ |
| description | Objective. Most patients of acute ischemic stroke (AIS) receive treatments in the department of emergency in China. We aimed to examine the status of AIS diagnosis and treatment and the impact of green pathway operation in different regions of China. Methods. In this nationwide survey, information regarding the emergency care of AIS was collected from 451 hospitals in different regions of China, by interviewing 484 physicians from these hospitals. Structured questionnaire was used to explore the status of AIS care and impact of the green pathway. Results. 445 hospitals from 18 provinces, 4 municipalities, and 3 ethnic autonomous regions in China were included in the present study. Overall, the proportion of door-to-needle time (DNT) less than 60 min was 66.08% in the enrolled hospitals (n = 298). Stratified by regions, the results suggested that hospitals located in East regions had shorter DNT time (P=0.036), and more proportion of rtPA (P<0.001) than those in West regions. Further analysis suggested that hospitals with a green channel were more likely to shorten DNT and improve the proportion of rtPA (P<0.01). Conclusion. Considerable regional differences were observed in terms of DNT time and thrombolysis rates in the departments of emergency in China. Further studies are required to confirm the regional differences in AIS care in China. |
| format | Article |
| id | doaj-art-8c19d422df524e94a9ed5e02e6aa4ece |
| institution | OA Journals |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-8c19d422df524e94a9ed5e02e6aa4ece2025-08-20T02:09:11ZengWileyEmergency Medicine International2090-28402090-28592019-01-01201910.1155/2019/37479103747910Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in ChinaJianguo Li0Jingming Liu1Yuefeng Ma2Peng Peng3Xiaojun He4Wei Guo5Emergency Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, ChinaEmergency Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, ChinaDepartment of Chinese Journal of Emergency Medicine, The Second Hospital of Zhejiang University Medical College, Hangzhou 310009, ChinaThe First Affiliated Hospital of Xinjiang Medical University, Wulumuqi 830001, ChinaDepartment of Chinese Journal of Emergency Medicine, The Second Hospital of Zhejiang University Medical College, Hangzhou 310009, ChinaEmergency Department, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, ChinaObjective. Most patients of acute ischemic stroke (AIS) receive treatments in the department of emergency in China. We aimed to examine the status of AIS diagnosis and treatment and the impact of green pathway operation in different regions of China. Methods. In this nationwide survey, information regarding the emergency care of AIS was collected from 451 hospitals in different regions of China, by interviewing 484 physicians from these hospitals. Structured questionnaire was used to explore the status of AIS care and impact of the green pathway. Results. 445 hospitals from 18 provinces, 4 municipalities, and 3 ethnic autonomous regions in China were included in the present study. Overall, the proportion of door-to-needle time (DNT) less than 60 min was 66.08% in the enrolled hospitals (n = 298). Stratified by regions, the results suggested that hospitals located in East regions had shorter DNT time (P=0.036), and more proportion of rtPA (P<0.001) than those in West regions. Further analysis suggested that hospitals with a green channel were more likely to shorten DNT and improve the proportion of rtPA (P<0.01). Conclusion. Considerable regional differences were observed in terms of DNT time and thrombolysis rates in the departments of emergency in China. Further studies are required to confirm the regional differences in AIS care in China.http://dx.doi.org/10.1155/2019/3747910 |
| spellingShingle | Jianguo Li Jingming Liu Yuefeng Ma Peng Peng Xiaojun He Wei Guo Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China Emergency Medicine International |
| title | Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China |
| title_full | Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China |
| title_fullStr | Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China |
| title_full_unstemmed | Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China |
| title_short | Imbalanced Regional Development of Acute Ischemic Stroke Care in Emergency Departments in China |
| title_sort | imbalanced regional development of acute ischemic stroke care in emergency departments in china |
| url | http://dx.doi.org/10.1155/2019/3747910 |
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