Identification of stroke during the emergency call: a descriptive study of callers' presentation of stroke

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Berglund, AnnikaKarolinska Institutet (författare)

Identification of stroke during the emergency call : a descriptive study of callers' presentation of stroke

Artikel/kapitelEngelska2015

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2015-04-28
London, UK :BMJ Publishing Group Ltd,2015
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LIBRIS-ID:oai:DiVA.org:oru-80733
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-80733URI
https://doi.org/10.1136/bmjopen-2015-007661DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:131283569URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

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OBJECTIVES: To evaluate symptoms presented by the caller during emergency calls regarding stroke, and to assess if symptoms in the Face-Arm-Speech-Time Test (FAST) are related to identification of stroke.SETTING: Emergency calls to the Emergency Medical Communication Center (EMCC) concerning patients discharged with stroke diagnosis in a large teaching hospital in Stockholm, Sweden, in January-June 2011.PARTICIPANTS: The emergency calls of 179 patients who arrived at hospital by ambulance, and who were discharged with a stroke diagnosis and consented to participate were included in the study.OUTCOME MEASURES: Frequencies of stroke symptoms presented and a comparison of symptoms presented in calls with dispatch code stroke or other dispatch code.RESULTS: Of the 179 emergency calls analysed, 64% were dispatched as 'Stroke'. FAST symptoms, that is, facial or arm weakness or speech disturbances, were presented in 64% of the calls and were spontaneously revealed in 90%. Speech disturbance was the most common problem (54%) in all calls, followed by fall/lying position (38%) and altered mental status (27%). For patients with dispatch codes other than stroke, the dominating problem presented was a fall or being in a lying position (66%), followed by speech disturbance (31%) and altered mental status (25%). Stroke-specific symptoms were more common in patients dispatched as stroke. FAST symptoms were reported in 80% of patients dispatched as stroke compared with 35% in those dispatched as something else.CONCLUSIONS: This study implicates that fall/lying position and altered mental status could be considered as possible symptoms of stroke during an emergency call. Checking for FAST symptoms in these patients might uncover stroke symptoms. Future studies are needed to evaluate if actively asking for FAST symptoms in emergency calls presenting falls or a lying position can improve the identification of stroke.TRIAL REGISTRATION NUMBER: Stroke2010/703-31/2.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Allmänmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine General Practice hsv//eng
ACCIDENT & EMERGENCY MEDICINE
STROKE MEDICINE

Biuppslag (personer, institutioner, konferenser, titlar ...)

von Euler, Mia,1967-Karolinska Institutet(Swepub:oru)mavr (författare)
Schenck-Gustafsson, KarinKarolinska Institutet (författare)
Castrén, MaaretKarolinska Institutet (författare)
Bohm, KatarinaKarolinska Institutet (författare)
Karolinska Institutet (creator_code:org_t)

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Ingår i:BMJ OpenLondon, UK : BMJ Publishing Group Ltd5:42044-6055

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Av författaren/redakt...: Berglund, Annika; von Euler, Mia, ...; Schenck-Gustafss ...; Castrén, Maaret; Bohm, Katarina

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Allmänmedicin

Artiklar i publikationen: BMJ Open

Av lärosätet: Örebro universitet; Karolinska Institutet

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