使用区域卒中监测模块治疗克拉斯诺亚尔斯克地区蛛网膜下腔出血患者的经验

P. Shnyakin, I. A. Kazadaeva
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引用次数: 0

摘要

目的:评价2014-2020年克拉斯诺亚尔斯克地区使用区域卒中监测(RSM)模块管理蛛网膜下腔出血患者的结果。材料和方法。我们分析了2014-2020年该地区地区医院在RSM模块中对蛛网膜下腔出血患者的836份电子申请。结果。在RSM模块的7年工作期间(2014-2020年),将脑动脉瘤破裂患者从区域转移到手术的数量增加了52.2%(从2014年的88例增加到2020年的134例),并将蛛网膜下腔出血患者从进入区域医疗机构到转移到区域血管中心1天的时间(从2014年的1.5±0.6天减少到2020年的0.6±0.5天)。结论。在地理位置较长的克拉斯诺亚尔斯克地区,大多数地区医院无法进行神经外科手术,RSM模块有助于实时跟踪动脉瘤破裂患者,并在再次破裂或血管痉挛发展之前及时将其转移到区域血管中心进行手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience of curation of patients with subarachnoid hemorrhage in the Krasnoyarsk Region using Regional Stroke Monitoring module
Objective: to evaluate the results of managing patients with subarachnoid hemorrhage in the Krasnoyarsk Region using the Regional Stroke Monitoring (RSM) module for the period 2014-2020. Material and methods. We analyzed 836 electronic applications from regional hospitals of the region in the RSM module for patients with subarachnoid hemorrhage for the period 2014-2020. Results. Over the seven-year period of work in the RSM module (2014-2020) it was possible to increase the number of patients with ruptured cerebral aneurysms transferred from the regions for surgery by 52.2% (from 88 patients in 2014 to 134 in 2020) and reduce the time from the admission of patients with subarachnoid hemorrhage to the regional medical institutions to their transfer to the regional vascular center for 1 day (from 1,5±0,6 days in 2014 to 0,6±0,5 days in 2020). Conclusion. In the geographically long Krasnoyarsk Region, where it is impossible to perform neurosurgical operations in most district hospitals, RSM module helps to track patients with aneurysm ruptures in real time and transfer them to the regional vascular center for surgical treatment in a timely manner, before the re-rupture or development of angiospasm.
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