研究目的:住院死亡率在与急诊科就诊时机密切相关的特定医疗条件下会相对更高。本研究旨在探讨急性缺血性卒中患者在换班时间和非换班时间前往急诊科就诊,其溶栓率和预后是否存在差异。方法:回顾性追踪2005年—2010年就诊于主要卒中中心急诊室的缺血性卒中患者。记录通知卒中治疗团队、颅脑CT检查及开始静脉或动脉溶栓的时间,统计溶栓率、死亡率,并分别在3个月后及12个月后进行脑卒中评分(NIHSS量表)和生活活动能力评 Purpose of Study: In-hospital mortality is relatively high under specific medical conditions that are closely related to the timing of ED visits. The purpose of this study was to determine whether there is a difference in the rate of thrombolysis and prognosis among patients with acute ischemic stroke who visited the emergency department during or after the shift. METHODS: We retrospectively tracked ischemic stroke patients who visited the emergency department of the main stroke center from 2005 to 2010. Stroke treatment team, brain CT examination and time to start intravenous or arterial thrombolysis were recorded, and the thrombolytic rate and mortality rate were recorded. Stroke scale (NIHSS) was also obtained after 3 months and 12 months respectively Life activity evaluation