利用全国数据研究韩国急性中风患者的流行病学和功能预后。

IF 1.4 4区 医学 Q4 CLINICAL NEUROLOGY
Seungmin Shin, Young Woo Kim, Seung Hun Sheen, Sukh Que Park, Sung-Chul Jin, Jin Pyeong Jeon, Ji Young Lee, Boung Chul Lee, Young Wha Lim, Gui Ok Kim, Jae Sang Oh
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引用次数: 0

摘要

目的:韩国的医疗体系和政策提倡早期积极治疗中风,以改善预后。本研究反映了韩国脑卒中的流行病学和预后情况:本研究调查了急性中风评估登记处的数据。该登记处收集了全国 220 多家医院的数据,重点关注优质卒中服务管理。数据分析包括患者人口统计学、中风严重程度评估以及使用标准化量表进行的出院预后测量:在2016年至2021年的18个月期间,收集了86568名急性脑卒中患者的人口统计学和临床特征,重点关注急性蛛网膜下腔出血、急性脑内出血和急性缺血性脑卒中。在这86568名患者中,8.3%为蛛网膜下腔出血,16.3%为脑内出血,74.9%为缺血性中风。趋势显示,蛛网膜下腔出血病例逐年减少,脑内出血病例逐年增加。68.3%的中风患者有明确的发病时间。49.6%的中风患者在症状出现后 4.5 小时内到达医院,更多患者在综合医院接受治疗。58.3%的急性中风患者、55.9%的蛛网膜下腔出血患者、34.6%的脑出血患者和 63.8%的缺血性中风患者出院时功能状况良好:结果显示,缺血性卒中是最常见的亚型,其次是脑出血和蛛网膜下腔出血。不同亚型的预后不同,与脑出血相比,缺血性卒中和蛛网膜下腔出血的预后更佳。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology and Functional Outcome of Acute Stroke Patients in Korea using Nationwide data.

Objective: Korea's healthcare system and policy promotes early, actively stroke treatment to improve prognosis. This study represents stroke epidemiology and outcomes in Korea.

Methods: This study investigated data from the Acute Stroke Assessment Registry. The registry collects data from over 220 hospitals nationwide, focusing on quality stroke service management. Data analysis included patient demographics, stroke severity assessment, and discharge prognosis measurement using standardized scales.

Results: 86,568 acute stroke patients were collected with demographic and clinical characteristics during 18 months from 2016 to 2021, focusing on acute subarachnoid hemorrhage, acute intracerebral hemorrhage, and acute ischemic stroke. Of these 86,568 patients, 8.3% was subarachnoid hemorrhage, 16.3% intracerebral hemorrhage, and 74.9% ischemic stroke. Trends showed decreasing subarachnoid hemorrhage and increasing intracerebral hemorrhage cases over the years. 68.3% stroke patients had the clear onset time. 49.6 % stroke patients arrived within 4.5 hours of symptom onset, with more treated at general hospitals. Good functional outcomes at discharge was obtained with 58.3% of acute stroke patients, 55.9% of subarachnoid hemorrhage patients, 34.6% of intracerebral hemorrhage patients, and 63.8% of ischemic stroke patients.

Conclusion: The results showed that ischemic stroke was the most common subtype, followed by intracerebral hemorrhage and subarachnoid hemorrhage. Prognosis differed among subtypes, with favorable outcomes more common in ischemic stroke and subarachnoid hemorrhage compared to intracerebral hemorrhage.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
109
审稿时长
3-8 weeks
期刊介绍: The Journal of Korean Neurosurgical Society (J Korean Neurosurg Soc) is the official journal of the Korean Neurosurgical Society, and published bimonthly (1st day of January, March, May, July, September, and November). It launched in October 31, 1972 with Volume 1 and Number 1. J Korean Neurosurg Soc aims to allow neurosurgeons from around the world to enrich their knowledge of patient management, education, and clinical or experimental research, and hence their professionalism. This journal publishes Laboratory Investigations, Clinical Articles, Review Articles, Case Reports, Technical Notes, and Letters to the Editor. Our field of interest involves clinical neurosurgery (cerebrovascular disease, neuro-oncology, skull base neurosurgery, spine, pediatric neurosurgery, functional neurosurgery, epilepsy, neuro-trauma, and peripheral nerve disease) and laboratory work in neuroscience.
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