Application value of 5G+ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke

doi:10.3877/cma.j.issn.1673-9248.2026.03.009

Abstract

Abstract:

Objective

To explore the application effect of 5G⁺ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke.

Methods

The patients who received endovascular treatment in Zhangzhou Affiliated Hospital of Fujian Medical University from January 1, 2022 to March 1, 2024 were selected and divided into 5G transport group and non-5G transport group according to whether the 5G⁺ intelligent emergency system was used. The treatment time (onset-to-vascular puncture time, arrival-to-vascular puncture time, arrival-to-vascular recanalization time, puncture-to-vascular recanalization time) and clinical outcomes after 90 days were compared between the two groups. The Wilcoxon rank sum test was used for comparison of treatment time between groups. Pearson χ² test was used for comparison of clinical outcomes between groups.

Results

A total of 76 patients were enrolled, including 25 patients in the 5G transport group and 51 patients in the non-5G transport group. Compared with the non-5G transport group, the time from onset to puncture in the 5G transport group was significantly shorter [215.0 (142.0, 355.0) min vs 510.0 (348.0, 789.0) min, Z=4.505, P<0.001], the time from arrival to vascular puncture was significantly shorter [24.0 (19.5, 26.0) min vs 91.0 (79.0, 112.5) min, Z=6.890, P<0.001], and the time from arrival to recanalization was significantly shorter [77.0 (61.0, 101.5) min vs 146.0 (114.0, 169.5) min, Z=4.732, P<0.001]. There was no significant difference in the time from puncture to vascular recanalization between the two groups (P>0.05). Functional independence was better in the 5G transport group than in the non-5G transport group after 90 days (modified Rankin scale score 0 - 3: 68.00% vs 35.29%, χ²=7.223, P=0.007), while the symptomatic intracranial hemorrhage rate (0 vs 17.65%, χ²=5.004, P=0.025) and 90-day mortality rate (0 vs 33.33%, χ²=10.734, P=0.001) were significantly lower.

Conclusion

The 5G⁺ intelligent emergency system can effectively shorten the treatment time and significantly improve the prognosis of patients with acute large vessel occlusive ischemic stroke by optimizing the treatment process of stroke.

Key words: Cerebral infarction, 5G⁺ intelligent emergency system, Thrombectomy, Green channel

Xinyi Liu, Xiaohui Lin, Rongcheng Chen, Jinhuang Lin, Dinglai Lin, Tingyu Yi, Yanmin Wu, Wenhuo Chen. Application value of 5G⁺ intelligent emergency system in the treatment of patients with acute large vessel occlusion ischemic stroke[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(03): 294-300.

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URL: https://zhnxgbzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1673-9248.2026.03.009

https://zhnxgbzz.cma-cmc.com.cn/EN/Y2026/V20/I03/294

Figures/Tables 5

项目	5G转运组（n=25）	非5G转运组（n=51）	统计值	P值
年龄（岁， $x ¯$ ±s）	71.92±12.35	70.69±15.11	t=0.354	0.724
男性[例（%）]	10（40.00）	30（58.82）	χ²=2.384	0.123
既往史[例（%）]
高血压病	10（40.00）	25（49.02）	χ²=0.549	0.459
糖尿病	5（20.00）	7（13.73）	χ²=0.137	0.711
高脂血症	0（0）	1（1.96）	χ²=0.497	0.481
心房颤动	15（60.00）	20（39.22）	χ²=2.917	0.088
脑卒中	5（20.00）	4（7.84）	χ²=1.353	0.245
肿瘤	0（0）	3（5.88）	χ²=0.373	0.542
NIHSS评分[分，M（Q₁，Q₃）]
入院	19（16，22）	20（16，22）	Z=0.771	0.441
出院	10（3，10）	12（6，19）	Z=1.800	0.072
ΔNIHSS评分	8（4，13）	6（2，12）	Z=1.429	0.153
ASPECTS[分，M（Q₁，Q₃）]	7（6，9）	6（2，9）	Z=1.291	0.197
TOAST病因分型[例（%）]			χ²=7.839	0.020
大动脉粥样硬化型	4（16.00）	23（45.10）
心源性栓塞型	21（84.00）	27（52.94）
其他	0（0）	1（1.96）

项目	5G转运组（n=25）	非5G转运组（n=51）	统计值	P值
年龄（岁， $x ¯$ ±s）	71.92±12.35	70.69±15.11	t=0.354	0.724
男性[例（%）]	10（40.00）	30（58.82）	χ²=2.384	0.123
既往史[例（%）]
高血压病	10（40.00）	25（49.02）	χ²=0.549	0.459
糖尿病	5（20.00）	7（13.73）	χ²=0.137	0.711
高脂血症	0（0）	1（1.96）	χ²=0.497	0.481
心房颤动	15（60.00）	20（39.22）	χ²=2.917	0.088
脑卒中	5（20.00）	4（7.84）	χ²=1.353	0.245
肿瘤	0（0）	3（5.88）	χ²=0.373	0.542
NIHSS评分[分，M（Q₁，Q₃）]
入院	19（16，22）	20（16，22）	Z=0.771	0.441
出院	10（3，10）	12（6，19）	Z=1.800	0.072
ΔNIHSS评分	8（4，13）	6（2，12）	Z=1.429	0.153
ASPECTS[分，M（Q₁，Q₃）]	7（6，9）	6（2，9）	Z=1.291	0.197
TOAST病因分型[例（%）]			χ²=7.839	0.020
大动脉粥样硬化型	4（16.00）	23（45.10）
心源性栓塞型	21（84.00）	27（52.94）
其他	0（0）	1（1.96）

项目	5G转运组（n=25）	非5G转运组（n=51）	Z值	P值
发病至血管穿刺时间	215.0（142.0，355.0）	510.0（348.0，789.0）	4.505	<0.001
到院至血管穿刺时间	24.0（19.5，26.0）	91.0（79.0，112.5）	6.890	<0.001
到院至血管开通时间	77.0（61.0，101.5）	146.0（114.0，169.5）	4.732	<0.001
穿刺至血管开通时间	51.0（34.0，84.0）	45.0（36.0，62.8）	0.641	0.522

组别	例数	90 d mRS评分（分）			症状性颅内出血	住院期间死亡
组别	例数	0~2	0~3	6	症状性颅内出血	住院期间死亡
5G转运组	25	11（44.00）	17（68.00）	0（0）	0（0）	0（0）
非5G转运组	51	13（25.49）	18（35.29）	17（33.33）	9（17.65）	11（21.57）
χ²值		2.660	7.223	10.734	5.004	4.807
P值		0.103	0.007	0.001	0.025	0.028

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