COVID-19大流行期间的卒中护理:亚洲卒中咨询小组共识声明

J. Pandian, Yohanna Kusuma, L. S. Kiemas, Tsong-Hai Lee, J. C. Navarro, Y. Nilanont, N. Suwanwela, H. Chiu, S. Kwon, K. Tan, N. H. Thang, B. Yoon, Junjay Tan, N. Venketasubramanian
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引用次数: 4

摘要

COVID-19大流行对全球卫生系统产生了影响。中风是世界上导致死亡和残疾的主要原因之一。亚洲拥有多样化的卫生系统,超过三分之二的中风发生在该地区。亚洲卒中咨询小组(ASAP)在成员国中进行了一项调查,以探讨COVID-19对卒中护理的影响。中风入院人数下降,接受溶栓和机械取栓的患者人数也下降了。卒中病房和康复病床已重新分配用于COVID-19护理。ASAP建议急诊部门对卒中患者进行COVID-19筛查,并对COVID-19疑似卒中患者激活卒中保护代码。非对比计算机断层扫描(CT), CT血管造影和CT胸部是首选的成像方式。所有参与分诊、成像和中风护理的卫生保健专业人员都应佩戴适当的个人防护装备。所有符合条件的卒中患者(疑似/阳性/非COVID)均应接受静脉溶栓/机械取栓。移动卒中单元和机器人可用于任何可用的评估和分诊。所有脑卒中患者都应接受标准的脑卒中单元护理。应向患者提供有限的康复治疗,并在必要时对护理人员进行培训。远程医疗/远程中风应用于康复和随访。ASAP的共识声明可以适应地方和国家的卫生保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Stroke Care During the COVID-19 Pandemic: Asian Stroke Advisory Panel Consensus Statement
The COVID-19 pandemic has impacted the health system worldwide. Stroke is one of the leading causes of death and disability in the world. Asia has a diverse health system and more than two-thirds of strokes occur in this region. The Asian Stroke Advisory Panel (ASAP) conducted a survey among the member countries to explore the impact of COVID-19 on stroke care. The stroke admission numbers have fallen, as have the number of patients who received thrombolysis and mechanical thrombectomy. The stroke unit and rehabilitation beds have been reallocated for COVID-19 care. ASAP recommends emergency department screening of stroke patients for COVID-19 and protected stroke code to be activated for COVID-19 suspect stroke patients. Noncontrast computed tomography (CT), CT angiography, and CT chest are the imaging modalities of choice. All health care professionals involved in triaging, imaging, and stroke care should wear appropriate personal protective equipment. All eligible stroke patients (COVID suspect/positive/non-COVID) should receive intravenous thrombolysis/mechanical thrombectomy. Mobile stroke units and robots can be used wherever available for evaluation and triaging. All stroke patients should receive standard stroke unit care. Limited rehabilitation should be offered to patients and training of caregivers if needed. Telemedicine/telestroke should be used for rehabilitation and follow-up. The ASAP consensus statement can be adapted to suit local and national health care systems.
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