Baidu
map

JAMA子刊:王拥军团队100万人数据提示,中国卒中患者的临床特征、管理和疗效

2021-08-15 MedSci原创 MedSci原创 发表于威斯康星

中风是我国死亡和成人残疾的主要原因,每年有超过1300万的中风和2390万的短暂性脑缺血发作(TIA)。

中风是我国死亡和成人残疾的主要原因,每年有超过1300万的中风和2390万的短暂性脑缺血发作(TIA)。尽管有中风和TIA有循证治疗和指南,但全国范围内在遵守循证中风和TIA护理方面仍然存在差异。 在中国,为了改善急性缺血性卒中(IS)患者对循证表现措施的依从性和院内结果,制定并实施了一项多方面的质量改进干预措施。此外,中国的一些机构已经建立了登记册来衡量、跟踪和改善急性卒中护理。 之前的研究描述了中国卒中或TIA住院患者的护理质量和结果,但这些研究主要限于城市地区的医院或一小部分省份。中国卒中中心联盟(CSCA)是由中国卒中学会发起的,旨在提高急性卒中和TIA的医疗质量,并为卒中研究提供数据。鉴于其全国范围、持续时间和前瞻性的数据收集方法,CSCA提供了一个独特的机会来更好地了解中国住院的大量卒中和TIA患者。 为了评价中国中风或TIA患者的临床特征、管理、院内临床结果和并发症的情况,来自我国天坛医院的王拥军教授团队开展了先关研究,旨在描述前100万例住院患者的特点,并研究在CSCA项目中遵守基于指南的绩效措施和院内结果的变化和时间趋势。结果发表在JAMA Network Open杂

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1842980, encodeId=d07818429802c, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Tue Apr 05 11:10:53 CST 2022, time=2022-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720405, encodeId=8a0d1e20405c1, content=<a href='/topic/show?id=915c3604e6b' target=_blank style='color:#2F92EE;'>#卒中患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36047, encryptionId=915c3604e6b, topicName=卒中患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940232842333, createdName=wangyang7969, createdTime=Sun Oct 24 21:10:53 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026932, encodeId=d4ff1026932b3, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033086, encodeId=f12a1033086fa, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036790, encodeId=76fd1036e90b2, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1842980, encodeId=d07818429802c, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Tue Apr 05 11:10:53 CST 2022, time=2022-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720405, encodeId=8a0d1e20405c1, content=<a href='/topic/show?id=915c3604e6b' target=_blank style='color:#2F92EE;'>#卒中患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36047, encryptionId=915c3604e6b, topicName=卒中患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940232842333, createdName=wangyang7969, createdTime=Sun Oct 24 21:10:53 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026932, encodeId=d4ff1026932b3, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033086, encodeId=f12a1033086fa, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036790, encodeId=76fd1036e90b2, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=1842980, encodeId=d07818429802c, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Tue Apr 05 11:10:53 CST 2022, time=2022-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720405, encodeId=8a0d1e20405c1, content=<a href='/topic/show?id=915c3604e6b' target=_blank style='color:#2F92EE;'>#卒中患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36047, encryptionId=915c3604e6b, topicName=卒中患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940232842333, createdName=wangyang7969, createdTime=Sun Oct 24 21:10:53 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026932, encodeId=d4ff1026932b3, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033086, encodeId=f12a1033086fa, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036790, encodeId=76fd1036e90b2, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=)]
    2021-08-15 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1842980, encodeId=d07818429802c, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Tue Apr 05 11:10:53 CST 2022, time=2022-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720405, encodeId=8a0d1e20405c1, content=<a href='/topic/show?id=915c3604e6b' target=_blank style='color:#2F92EE;'>#卒中患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36047, encryptionId=915c3604e6b, topicName=卒中患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940232842333, createdName=wangyang7969, createdTime=Sun Oct 24 21:10:53 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026932, encodeId=d4ff1026932b3, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033086, encodeId=f12a1033086fa, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036790, encodeId=76fd1036e90b2, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=)]
    2021-08-15 内科新手

    谢谢梅斯提供这么好的信息,学到很多

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1842980, encodeId=d07818429802c, content=<a href='/topic/show?id=112222886b8' target=_blank style='color:#2F92EE;'>#临床特征#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=22886, encryptionId=112222886b8, topicName=临床特征)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a12645, createdName=yeye5224612, createdTime=Tue Apr 05 11:10:53 CST 2022, time=2022-04-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1720405, encodeId=8a0d1e20405c1, content=<a href='/topic/show?id=915c3604e6b' target=_blank style='color:#2F92EE;'>#卒中患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=36047, encryptionId=915c3604e6b, topicName=卒中患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=940232842333, createdName=wangyang7969, createdTime=Sun Oct 24 21:10:53 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026932, encodeId=d4ff1026932b3, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1033086, encodeId=f12a1033086fa, content=谢谢梅斯提供这么好的信息,学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=内科新手, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036790, encodeId=76fd1036e90b2, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sun Aug 15 23:10:53 CST 2021, time=2021-08-15, status=1, ipAttribution=)]
    2021-08-15 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

相关资讯

Journal of stroke:机械取栓,全身麻醉和有意识的镇静,哪个效果好?

机械取栓,全身麻醉和有意识的镇静,哪个效果好?

Journal of stroke:房颤导致的脑中风,按照欧洲心脏协会指南进行治疗,效果如何?

房颤导致的脑中风,按照欧洲心脏协会指南进行治疗,效果如何?

JACC:无症状颅内动脉粥样硬化性狭窄的决定因素和预后

ICAS是无卒中病史受试者已明确的动脉粥样硬化疾病的影像学标志;一旦确诊ICAS后,应及时的对血管健康进行彻底的评估

Journal of stroke-脑中风取栓后,行纤维蛋白酶辅助治疗, 安全性和有效性如何?

脑中风取栓后,行纤维蛋白酶辅助治疗, 安全性和有效性如何?

Neurology:人工智能跨学科突破:无症状的脑血管病变,可有效预测未来脑卒中

偶然发现的SBI和WMD很常见,与随后的症状性卒中风险增加有关

重磅:脑中风幸存者,多运动,可大幅度减低全因死亡率

在既往卒中患者中,尤其是年轻的卒中幸存者中,PA与较低的全因死亡率有明显的剂量依赖关系

拓展阅读

急性缺血性脑卒中静脉溶栓获得良好效果

70 岁男性突发脑梗,入院后快速检查并溶栓,症状好转。诊断为右侧急性脑梗死等,给出治疗用药及出院医嘱,介绍相关指南。

STROKE:因跌倒急诊就诊后发生卒中的风险显著升高

跌倒的急诊就诊和治疗与短期缺血性卒中风险显著增加有关。

stroke:遗传变异和中风恢复——STRONG研究

这项研究确定了与中风后 1 年的认知功能、抑郁症和 PTSD 的遗传关联。

【临床速查】一目了然:卒中诊疗公式集锦

卒中是一种严重的脑血管疾病,它可以迅速导致脑组织损伤,甚至死亡。卒中的治疗需要我们具备高度的专业知识和快速响应能力。

贺歆彦教授:脑卒中相关性睡眠障碍的诊治

脑卒中相关性睡眠障碍,亦称卒中后睡眠障碍、中风后睡眠障碍,是在脑卒中后发生的睡眠紊乱,是脑卒中患者的常见并发症之一。为深入认识脑卒中相关性睡眠障碍,特邀黔南州人民医院贺歆彦主任同大家交流分享。

Stroke:全球 55 岁以上人群因体力活动少/BMI高而导致的中风负担

要解决体重指数和体力活动不足导致的中风负担的适度下降和区域性升级问题,必须采取多维度、针对具体情况的策略,重点关注可改变的生活方式风险。

Baidu
map
Baidu
map
Baidu
map