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Objective: To observe the practical application of the standardized green channel treatment system for stroke in Xi 'an in the real world. Methods: Clinical data and information of patients with acute ischemic stroke who received standardized green channel treatment for stroke were collected, and a multicenter observational clinical study was carried out in the real world to evaluate the prognosis, mortality, incidence of asymptomatic and symptomatic cerebral hemorrhage, incidence of pneumonia, and recurrence rate of stroke after 90 days.
The standardized green channel treatment system for acute ischemic stroke includes: Triage nurse triage timely, rapid assessment emergency doctor, suspected stroke the green channel, immediately start in the green channel of stroke accompanied by doctors and nurses stroke patients improve CT examination, intravenous thrombolysis or CT room, emergency room if considering large vascular lesions and the onset time in 6 hours, and rapidly to international for endovascular treatment, if the onset time of more than 6 hours, Rapid evaluation of ischemic penumbra and vascular occlusion by multi-mode imaging. If there are indications for endovascular treatment, go to the cath room for endovascular treatment as soon as possible.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standardized green channel treatment methods for stroke | Other | The measures include six measures: timely triage by triage desk nurses; Rapid evaluation by emergency room physician; If stroke is suspected, the green channel for nosocomial stroke should be activated immediately. Stroke greenway doctors and stroke nurses accompanied patients to complete CT examination; Intravenous thrombolysis in emergency rooms or CT rooms; Suspected macrovascular disease, if the onset time is less than 6 hours, quickly go to the catheter room for intravascular treatment; If the onset time was more than 6 hours, multi-mode imaging was used to quickly evaluate the ischemic penumbra and vascular occlusion, and then the patients were sent to the catheter room for intravascular treatment as soon as possible. |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of function independent | Rate of modified Rankin Scale(mRS) score less than 3 at 90 days | 90 days after onset |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of mortality | 90-day mortality rate | 90 days after onset |
| Rate of stroke recurrence | 90-day stroke recurrence rate | 90 days after onset |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with acute ischemic stroke within 24 hours of onset; Receive standardized green channel treatment for stroke
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mingze Chang, Doctor | Contact | 8615609250698 | changmingze191@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Ye Tian, Doctor | The dean | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Xi 'an No.3 Hospital | Recruiting | Xi'an | Shaanxi | 710018 | China |
Data is managed by the project team and can be shared according to individual needs
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| ID | Term |
|---|---|
| D000083242 | Ischemic Stroke |
| ID | Term |
|---|---|
| D020521 | Stroke |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| Rate of cerebral hemorrhage and pneumonia | Incidence of cerebral hemorrhage and pneumonia after thrombolysis or intravascular therapy | During hospitalization. |
| D009422 |
| Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |