Journal of Mazandaran University of Medical Sciences
مجله دانشگاه علوم پزشکی مازندران
J Mazandaran Univ Med Sci
Medical Sciences
http://jmums.mazums.ac.ir
1
admin
1735-9260
1735-9279
fa
jalali
1405
2
1
gregorian
2026
5
1
36
257
online
1
fulltext
fa
ارزیابی زمان سنجی خدمات اورژانس پیش بیمارستانی و مراکز درمانی دانشگاه علوم پزشکی مازندران در فعالسازی کد استروک در سال 1403، مطالعه مقطعی توصیفی-تحلیلی
Timeliness of Stroke Code Activation in Pre-Hospital and Hospital Settings at Mazandaran University of Medical Sciences in 2024: A Descriptive-Analytical Cross-Sectional Study
نورولوژی(بیماریهای مغز و اعصاب)
Neurology
پژوهشي-کامل
Research(Original)
<span style="line-height:2;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt">سابقه و هدف:</span></span></span></b> <span b="" lang="FA" style="font-family:" zar="">سکته مغزی، پس از بیماری</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="FA" style="font-family:" zar="">های ایسکمیک قلبی، چهارمین علت مرگ در ایران تا سال 2021 است. مطالعه حاضر جهت ارزیابی زمان سنجی خدمات اورژانس پیش بیمارستانی و مراکز درمانی دانشگاه علوم پزشکی مازندران در فعالسازی کد استروک در سال 1403، انجام پذیرفت.</span><span lang="FA"><span b="" roya="" style="font-family:"><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt">مواد و روش </span></span></span></b><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt"></span></span></span></b><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt">ها:</span></span></span></b> <span lang="FA"><span b="" style="font-family:" zar="">در این مطالعه مقطعی توصیفی- تحلیلی، اطلاعات جمعیت شناختی، با علائم سکته مغزی تمامی بیماران بستری شده در مراکز درمانی زیر مجموعه دانشگاه علوم پزشکی مازندران در سال 1403 از طریق چک لیست وزارت بهداشت و درمان و آموزش پزشکی موجود در سامانه پایش داده</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="FA"><span b="" style="font-family:" zar="">های مراقبت درمانی (</span></span><span dir="LTR" style="font-size:10.0pt">MCMC</span><span lang="FA"><span b="" style="font-family:" zar="">) (</span></span><span dir="LTR" style="font-size:10.0pt">Medical Care Monitoring Center</span><span lang="AR-SA" style="font-size:10.0pt"><span b="" style="font-family:" zar="">)</span></span> <span lang="FA"><span b="" style="font-family:" zar="">استان بررسی شد. اطلاعات استخراج شده با استفاده از نرم</span></span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span lang="FA"><span b="" style="font-family:" zar="">افزار آماری</span></span><span dir="LTR" style="font-size:10.0pt"> SPSS </span><span lang="FA"><span b="" style="font-family:" zar="">و آمار توصیفی تحلیل شد</span></span><span dir="LTR" style="font-size:10.0pt">.</span><span lang="FA"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt">یافته</span></span></span></b><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt"></span></span></span></b><b><span lang="AR-SA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.2pt">ها:</span></span></span></b> <span b="" lang="FA" style="font-family:" zar="">تعداد کل مراجعین در سال 1403، 582 نفر بودند، که از این تعداد 328 نفر مرد (57 درصد) و مابقی زن بودند. بیش از نیمی از درخواست</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="FA" style="font-family:" zar="">ها احتمال سکته مغزی و 18/7 درصد به دلیل کاهش سطح هوشیاری بود. کمتر از 6 درصد تماس</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="FA" style="font-family:" zar="">ها به دلیل سایر علل شامل تشنج، برق گرفتگی، سر درد، کمر درد، درد شکمی، فشار عصبی، دیابت و ... بود. در شش ماهه اول سال تشخیص سکته مغزی، سکته مغزی گذرا و احتمال سکته مغزی به طور معنی</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="FA" style="font-family:" zar="">داری بیشتر بود، همچنین </span><span b="" lang="AR-SA" style="font-family:" zar="">بیشترین اعزام بین بیمارستانی در شیفت شب (42 درصد) انجام شد.</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="letter-spacing:-.2pt"></span></span></span></span></span></span></span><br>
<span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA"><span b="" koodak="" style="font-family:"><span style="letter-spacing:-.1pt">استنتاج:</span></span></span></b> <span b="" lang="AR-SA" style="font-family:" zar="">زمان انتقال بیماران با تشخیص سکته مغزی توسط اورژانس پیش بیمارستانی و بین مراکز درمانی وضعیت</span> <span b="" lang="AR-SA" style="font-family:" zar="">قابل قبول دارد، ولی توجه به بازنگری در پروتکل</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="AR-SA" style="font-family:" zar="">های موجود و آموزش کارکنان جهت بهینه</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt"></span></span></span></span><span b="" lang="AR-SA" style="font-family:" zar="">سازی این فاصله زمانی توصیه می</span><span lang="AR-SA"><span b="" style="font-family:" zar=""><span style="color:black"><span style="letter-spacing:-.1pt">گردد</span></span></span></span><span b="" lang="AR-SA" style="font-family:" zar="">.</span><span lang="AR-SA"><span style="font-family:"B Zar""></span></span></span></span></span></span></span>
<span style="line-height:2;"><span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.1pt">Background and purpose:</span></span></span></b> <span style="font-size:10.0pt">Stroke, after ischaemic heart disease, is the fourth leading cause of death in Iran as of 2021. The present study was conducted to evaluate the timeliness of pre-hospital emergency services and medical centers of Mazandaran University of Medical Sciences in activating the Stroke Code in 2024 (1403 in the Iranian calendar).</span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Materials and methods:</span></span></span></b> <span style="font-size:10.0pt"><span style="letter-spacing:-.2pt">In this descriptive-analytical cross-sectional study, demographic information and stroke-related clinical characteristics of all patients hospitalized in medical centers affiliated with Mazandaran University of Medical Sciences in 2024 were reviewed using the Ministry of Health and Medical Education checklist available through the provincial Medical Care Monitoring Center (MCMC) database. The extracted data were analyzed using SPSS statistical software and descriptive statistical methods.</span></span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span arial="" style="font-family:"><span style="letter-spacing:-.3pt">Results:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="letter-spacing:-.3pt">A total of 582 patients were included, of whom 328 (57%) were male and the remainder were female. More than half of the cases were suspected stroke, and 18.7% were due to reduced level of consciousness. Less than 6% of calls were attributed to other causes, including seizures, electric shock, headache, back pain, abdominal pain, psychological distress, diabetes, and other conditions. In the first six months of the year, the frequencies of stroke, transient ischaemic attack (TIA), and suspected stroke were significantly higher. In addition, the highest proportion of inter-hospital transfers occurred during the night shift (42%).</span></span></span></span><br>
<span style="font-size:12pt"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:10.0pt"><span arial="" style="font-family:">Conclusion:</span></span></b> <span style="font-size:10.0pt">The findings of this study indicate that pre-hospital and inter-facility transfer times for patients with stroke were generally acceptable. However, it is recommended that current protocols be reviewed and healthcare staff be trained further to optimise these time intervals.</span></span></span></span>
سکته مغزی, مرکز اورژانس پیش بیمارستانی, مراقبت پیش بیمارستانی
Stroke, Emergency Medical Center, Pre-hospital Care
120
132
http://jmums.mazums.ac.ir/browse.php?a_code=A-10-9970-5&slc_lang=fa&sid=1
Zoya
Hadinejad
زویا
هادی نژاد
zoya.hadian@yahoo.com