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Socioeconomic dispa...
Socioeconomic disparities in prehospital stroke care
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- Niklasson, Amanda (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, The Sahlgrenska Academy, University of Gothenburg
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- Herlitz, Johan, 1949- (författare)
- Högskolan i Borås,Akademin för vård, arbetsliv och välfärd
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- Jood, Katarina, 1966 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, The Sahlgrenska Academy, University of Gothenburg
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(creator_code:org_t)
- 2019-05-02
- 2019
- Engelska.
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Ingår i: Scandinavian Journal of Trauma Resuscitation & Emergency Medicine. - : Springer Science and Business Media LLC. - 1757-7241. ; 27
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Abstract
Ämnesord
Stäng
- Background and purposeRecent studies have revealed socioeconomic disparities in stroke outcomes. Here, we investigated whether prehospital stroke care differs with respect to socioeconomic status (SES).MethodsConsecutive stroke and TIA patients (n=3006) admitted to stroke units at Sahlgrenska University Hospital, Gothenburg, Sweden, from 1 November 2014 to 31 July 2016, were included. Data on prehospital care were obtained from a local stroke register. Socioeconomic status was classified according to the average level of income and education within each patient's neighbourhood (postcode area).ResultsThe median system delay from calling the emergency medical communication centre (EMCC) to start of brain computed tomography on hospital arrival was 3h 47min (95% confidence interval (CI) 3h 30min to 4h 05min) for patients within the lowest SES tertile and 3h 17min (95% CI 3h 00min to 3h 37min) for the highest tertile (p<0.05). Patients with a lower SES were less likely to receive the highest priority in the ambulance (p<0.05) and had lower rates of prehospital recognition of stroke/TIA (p<0.05) than those with a high SES. No inequities were found concerning EMCC prioritisation or the probability of ambulance transport.ConclusionsWe found socioeconomic inequities in prehospital stroke care which could affect the efficacy of acute stroke treatment. The ambulance nurses' ability to recognise stroke/TIA may partly explain the observed inequities.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
Nyckelord
- Stroke
- Transient ischaemic attack
- Income
- Education
- Prehospital delay
- acute ischemic-stroke
- emergency medical-services
- delays
- symptoms
- health
- population
- knowledge
- survival
- income
- level
- Emergency Medicine
- Education
- Människan i vården
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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