台灣腦中風學會針對急性中風流程因應COVID-19疫情調整之建議

Taiwan Stroke Society Recommendations for Hyperacute Stroke Management During the COVID-19 Pandemic

劉濟弘(Chi-Hung Liu) ； 宋碧姍(Pi-Shan Sung) ； 陳志昊(Chih-Hao Chen) ； 謝鎮陽(Cheng-Yang Hsieh) ； 台灣腦中風學會年輕醫師發展委員會(Young Stroke Neurologist Development Committee of Taiwan Stroke Society)

《台灣中風醫誌》 2卷1期 (2020/03) Pp. 1-4

https://doi.org/10.6318/FJS.202003_2(1).0001

摘要

有鑑於近期COVID-19疫情之影響，儘管國內目前在各界努力下，尚能將確診案例控制分流得當，然神經科醫師及其他腦中風團隊照護成員在執行急性中風流程時，仍可能接觸居家檢疫之個案，甚至「無意間」接觸COVID-19確診或疑似個案，若因此導致腦中風團隊照護成員、甚至動脈血栓移除治療（EVT）團隊都需被隔離14天，則將嚴重癱瘓中風治療之能量。尤有甚者，若因不慎造成人員的感染，造成栽培不易的腦中風治療專業人員損失，絕非國人與醫界之福。因而，兼顧腦中風照顧品質與醫療人員之防備與安全，實屬不易卻必須正視並審慎處裡的議題。

並列摘要

During the unprecedented COVID-19 pandemic, balance must be made between the benefit of efficacious hyperacute stroke management and the risk of infectious exposure of stroke team members. Based on current clinical experience and experts' opinions around the world, Taiwan Stroke Society proposed temporary recommendations for hyperacute stroke management on patients with confirmed or suspected COVID-19 diagnosis, or patients under home quarantine or isolation status. We also suggest each hospital to develop protocols or algorithms tailored for local situation. The core concept is to minimize the risk of exposure and to maximize available medical resources to combat this pandemic while maintaining proper and ideal stroke management.