MARC details
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04539nas a22003377a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20241128175248.0 |
| 006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS |
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m|||||r|||| 00| 0 |
| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION |
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ta |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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171219t2019 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0213-4853 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 0# - TITLE STATEMENT |
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| Title |
Utilización de transporte sanitario urgente por los pacientes con ictus isquémico e impacto en los tiempos de atención / |
| Statement of responsibility, etc. |
Olascoaga Arrate, A.; Freijo Guerrero, M.M.; Fernández Maiztegi, C.; Azkune Calle, I.; Silvariño Fernández, R.; Fernández Rodríguez, M.; Vazquez Naveira, P.; Anievas Elena, A.; Iturraspe González, I.; Pérez Díez, Y.; Ruiz Fernández, R.<br/><br/> |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p 87-88 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
Introducción Numerosos estudios han establecido que el traslado al hospital de los pacientes con ictus por los servicios de transporte sanitario urgente (TSU) implica demoras menores hasta el diagnóstico y tratamiento.<br/><br/>Objetivos Determinar la frecuencia de uso de TSU por los pacientes con ictus en Bizkaia (España), qué factores se asocian con el mismo y el impacto del medio de transporte en los tiempos de atención.<br/><br/>Métodos Se analizaron los datos de 545 pacientes con ictus isquémico agudo hospitalizados y reclutados consecutivamente. Se obtuvieron datos por entrevista a pacientes o acompañantes y de historia clínica. Se estudiaron variables sobre situación previa, síntomas y gravedad (NIHSS) del ictus, modalidad de traslado y tiempos de atención. Se realizaron análisis univariados y multivariados para identificar factores asociados al uso de TSU y con las demoras.<br/><br/>Resultados El 47,2% de los pacientes llegaron al hospital trasladados por TSU. Una mayor gravedad del ictus, la llegada al hospital en horario nocturno y un peor estado funcional previo resultaron asociados de forma independiente con el TSU. El TSU se asoció a una llegada más precoz al hospital. La demora puerta-imagen fue menor en el grupo TSU, pero la asociación desapareció al ajustar por gravedad. La revascularización fue más frecuente entre los trasladados por TSU.<br/><br/>Conclusiones El TSU se asoció a menor demora prehospitalaria. Es necesario desarrollar programas efectivos de educación sanitaria para incrementar el uso de TSU ante los síntomas del ictus. Debe mejorarse la gestión intrahospitalaria del ictus para reducir los tiempos de atención. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
Introduction According to numerous studies, using emergency medical services (EMS) to transport stroke patients to hospitals decreases diagnostic and treatment delays. Objectives To determine the frequency of use of EMS by stroke patients in Bizkaia (Spain), analyse the factors associated with using EMS, and study the impact of EMS on time to care.<br/><br/>Methods We gathered data from 545 patients hospitalised for acute ischaemic stroke and recruited consecutively. Data were obtained from the patients’ medical histories and interviews with the patients themselves or their companions. We studied the following variables: previous health status, stroke symptoms and severity (NIHSS), type of transport, and time to medical care. Univariate and multivariate analyses were performed to identify factors associated with use of EMS and care delays.<br/><br/>Results Patients transported to hospital by the EMS accounted for 47.2% of the total. Greater stroke severity, arriving at the hospital at night, and poor functional status at baseline were found to be independently associated with use of EMS. Use of EMS was linked to earlier arrival at the hospital. Door-to-imaging times were shorter in the EMS group; however, this association disappeared after adjusting for stroke severity. Revascularisation was more frequent among patients transported by the EMS.<br/><br/>Conclusions EMS transport was associated with shorter prehospital delays. Effective health education programmes should be developed to promote EMS transport for patients with stroke symptoms. In-hospital stroke management should also be improved to reduce time to medical care. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
ictus |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
servicios de emergencias médicas |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
síntomas de ictus |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
atención al ictus |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
demora intrahospitalaria |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
código ictus |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
stroke |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
emergency medical services |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
stroke symptoms |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
stroke management |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
in-hospital delay |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
code stroke |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2019, v. 34, n 2, p.80-88 |
| Title |
Neurología |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
