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APPLICATION VALUE OF STROKE EMERGENCY NURSES IN EMERGENCY TREATMENT OF ACUTE ISCHEMIC STROKE PATIENTS

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ESOC-2019

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Abstract

Objective:We evaluate the effects of Stroke Emergency Nurses (ESN) in Emergency Treatment of Acute Ischemic Stroke (AIS) Patients. Methods: A total of 194 AIS patients treated with intravenous thrombolysis or endovascular treatment (EST) were recruited from December 2017 to November 2018. We divided patients into 2 groups: treatment without ESN (n=107) and with ESN (n=87). We compared door-to-needle time (DNT), door-to-imaging time (DIT), imaging-to-needle time (INT), onset-to-treatment time (OTT),door-to-puncture time (DPT), the rate of reaching standard (DTN≤60 min, DTP≤90 min) and the rate of modified Rankin score (mRS)≤2 in the two groups. Logistic regression model was used to detect the factor associated with qualified rate of treatment. Results: There was no significant difference in age, sex, medical history and NIHSS score at admission between the two groups (all P>0.05). The DNT, INT, OTT and DPT in patients with ESN were shorter than those without ESN. There is a higher qualified rate of treatment and a higher functional outcome at hospital discharge and 3 months in patients with ESN compared with those without ESN(all P<0.05). However, there were no significant difference in DIT and in hospital mortality between two groups (P>0.05). Logistic regression showed that the shorter door to catheter time and office time was significant associated with high qualified rate of treatment. Conclusion: The leading role of emergency stroke nurses can shorten the DNT, DPT and OTT time and save time for the treatment of acute ischemic stroke patients in the treatment time window.

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© Copyright 2020 Morressier GmbH.
All rights reserved.