• 作者：José ; Luis Clua-Espuny^a ; ^{jlclua@telefonica.net} ; Josep Lluis Piñ ; ol-Moreso^b ; F. Vicente Gil-Guillé ; n^c ; Domingo Orozco-Beltran^d ; Ana Panisello-Tafalla^a ; Jorgina Lucas-Noll^a
• 关键词：Ictus ; Có ; digo Ictus ; Fibrinó ; lisis ; Supervivencia ; Dependencia ; Atenció ; n Primaria
• 刊名：Medicina Cl篓陋nica
• 出版年：2012
• 期刊代码：pca254_00257753
• 类别：med
• 出版时间：19 May, 2012
• 卷：138
• 期：14
• 页码：609-611
• 文件大小：252 K

Background and objective

We aimed to know the characteristics of the urgent stroke assistance system, the Stroke Code (SC) model, 2 years after its implementation through testing the specific impact on several result indicators on individuals with a first stroke.

Patients and method

Prospective study of a cohort who suffered a first stroke episode, 15 to 89-year-old. Several clinical indicators were selected to evaluate results according to the SC and an analysis survival for Kaplan-Meier's curves was made as well as a bivariate analysis between dead and surviving patients. Data were collected by a community based registry.

Results

A total of 380 patients 鈮?#xA0;80-year-aged were enrolled and the SC was activated in 54.3%(CI95%: 49,0-59.3), 77%at the hospital. An 80%of the therapeutic window was wasted before arrival to hospital. In 13.9%(CI95%: 9,2-19,8) thrombolysis was used. The immediate mortality was 9.9%(CI95%: 7.5-12.5).

Conclusions

The implantation of the SC is a system that improved the welfare chain of stroke in the whole territory, but its activation in the area of primary care was low.