国家神经系统疾病临床医学研究中心数据管理与共享系统

Data Management And Sharing System of China National Clinical Research Center for Neurological Diseases

《国家中心数据管理与共享系统操作说明书 —— 研究者部分》

Factors associated with delayed presentation in patients with TIA and minor stroke in China: analysis of data from the China National Stroke Registry (CNSR)

第一作者：Linyu Wang,Yangyun Chao

通讯作者：Yuming Xu

基本信息

2013-06-01

已发表文章

发表杂志：Neurological Research

发表类型: Original Contributions

影响因子(IF): 2.448

PMID: 23711326 Pubmed原文链接 全文下载

主要研究背景及目的

We aimed to evaluate the management of patients with transient ischemic attack (TIA) and minor stroke in China.

方法

Data from the China National Stroke Registry (CNSR) were used to identify patients who were admitted to 132 urban hospitals across China with TIA or minor stroke. Factors associated with delayed presentation to hospital were evaluated. Univariate and multivariate analyses were performed to analyze relationships between patient characteristics and time of presentation.

结论

In China, many patients with TIA and minor stroke do not seek medical treatment immediately. Further education is needed to teach members of the public about the warning signs and symptoms of TIA and minor stroke, and encourage the use of ambulance transportation after TIA or stroke.

主要结果

Of the 7467 patients entered into the CNSR (1204 with TIA, 6263 with minor stroke), 780 patients (64.78%) with TIA and 3467 patients (55.36%) with minor stroke had delayed presentation to hospital (.24 hours). In both groups, factors associated with early presentation ((24 hours) included transportation by ambulance and direct presentation to the emergency room. In patients with minor stroke, early presentation was associated with older age (65–80 years), motor and sensory symptoms, speech impairment, atrial fibrillation, previous TIA, and living in central or eastern China; and delayed presentation was associated with female sex, cognitive dysfunction, and diabetes. In patients with TIA, early presentation was associated with motor symptoms, and delayed presentation was associated with headache or vertigo.