Optimization Strategy for Acute Ischemic Stroke Fast Track during the COVID-19 Epidemic: Shanghai 
Experience during the Epidemic of Omicron Variant

doi:10.3969/j.issn.1673-5765.2022.09.020

Abstract

Abstract: With the spreading of Omicron variant of a novel coronavirus (SARS-CoV-2), the workflow of acute ischemic stroke emergency care faced great challenges. The increased transmissibility and the latent manifestations of the Omicron variant, made stroke emergency care more complex in Shanghai. The previous acute stroke in-hospital fast track had several limitations under the epidemic of Omicron variant. Combining the guidelines with clinical practice during the epidemic in Shanghai, this article summaried the optimized acute stroke emergency workflow, including SARS-CoV-2 antigen test, emergency area management and protective measure of medical staff, to provide reference for acute stroke emergency care.

Key words: SARS-CoV-2; COVID-19; Stroke

摘要： 在新型冠状病毒奥密克戎变异株流行的当下，急性卒中的绿色通道诊疗面临了更多挑战。由于奥密克戎变异株具有更高的传播能力且临床表现隐匿，新型冠状病毒肺炎疫情的防治工作难度增加。既往的绿色通道运行策略在当前疫情背景下存在着诸多局限性。结合指南与上海疫情期间的临床实践，本文梳理了包括新型冠状病毒抗原检测、急诊区域管理、医务人员防护等在内的急性卒中绿色通道诊疗优化策略，以期为急性卒中的急救流程管理提供更多参考。

关键词: SARS-CoV-2; 新型冠状病毒肺炎; 卒中

XU Jiawen, DONG Yi, WANG Zigao, GAO Chao, NI Wei, JIANG Xiaofei, CAO Wenjie, CHENG Xin, GU Yuxiang, DONG Qiang. Optimization Strategy for Acute Ischemic Stroke Fast Track during the COVID-19 Epidemic: Shanghai Experience during the Epidemic of Omicron Variant[J]. Chinese Journal of Stroke, 2022, 17(09): 1031-1036.

徐嘉文, 董漪, 王子高, 高超, 倪伟, 姜晓斐, 曹文杰, 程忻, 顾宇翔, 董强. 新型冠状病毒肺炎疫情时期急性卒中绿色通道诊疗优化策略——奥密克戎变异株流行期间的上海经验[J]. 中国卒中杂志, 2022, 17(09): 1031-1036.

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Optimization Strategy for Acute Ischemic Stroke Fast Track during the COVID-19 Epidemic: Shanghai Experience during the Epidemic of Omicron Variant

新型冠状病毒肺炎疫情时期急性卒中绿色通道诊疗优化策略——奥密克戎变异株流行期间的上海经验

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