The clinical consequences of a pre-hospital diagnosis of stroke by the emergency medical service system. A pilot study.

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The clinical consequences of a pre-hospital diagnosis of stroke by the emergency medical service system. A pilot study.

Wennman, Ingela (författare)

Nordling, Paula, 1979 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine

Herlitz, Johan, 1949 (författare): Högskolan i Borås,Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Institutionen för Vårdvetenskap

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Lernfelt, Bodil, 1950 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine

Kihlgren, Mats (författare)

Gustafsson, Claes (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine

Hansson, Per-Olof, 1958 (författare): Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine

Klittermark, P (författare)

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(creator_code:org_t)

2012-07-10
2012
Engelska.
Ingår i: Scandinavian journal of trauma, resuscitation and emergency medicine. - : Springer Science and Business Media LLC. - 1757-7241. ; 20

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

There is still a considerable delay between the onset of symptoms and arrival at a stroke unit for most patients with acute stroke.The aim of the study was to describe the feasibility of a pre-hospital diagnosis of stroke by an emergency medical service (EMS) nurse in terms of diagnostic accuracy and delay from dialing 112 until arrival at a stroke unit.Between September 2008 and November 2009, a subset of patients with presumed acute stroke in the pre-hospital setting were admitted by EMS staff directly to a stroke unit, bypassing the emergency department. A control group, matched for a number of background variables, was created.In all, there were 53 patients in the direct admission group, and 49 patients in the control group. The median delay from calling for an ambulance until arrival at a stroke unit was 54 minutes in the direct admission group and 289 minutes in the control group (p < 0.0001).In a comparison between the direct admission group and the control group, a final diagnosis of stroke, transient ischemic attack (TIA) or the sequelae of prior stroke was found in 85% versus 90% (NS). Among stroke patients who lived at home prior to the event, the percentage of patients that were living at home after 3 months was 71% and 62% respectively (NS).In a pilot study, the concept of a pre-hospital diagnosis of stroke by an EMS nurse was associated with relatively high diagnostic accuracy in terms of stroke-related diagnoses and a short delay to arrival at a stroke unit. These data need to be confirmed in larger studies, with a concomitant evaluation of the clinical consequences and, if possible, the level of patient satisfaction as well.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)

Nyckelord

Aged
Aged
80 and over
Emergency Medical Services
Emergency Service
Hospital
Feasibility Studies
Female
Hospital Units
Humans
Length of Stay
Male
Patient Admission
standards
Pilot Projects
Stroke
diagnosis
therapy
Integrated Caring Science

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ref (ämneskategori)
art (ämneskategori)

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Av författaren/redakt...: Wennman, Ingela; Nordling, Paula, ...; Herlitz, Johan, ...; Lernfelt, Bodil, ...; Kihlgren, Mats; Gustafsson, Clae ...; visa fler...; Hansson, Per-Olo ...; Klittermark, P; visa färre...

Om ämnet

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

Artiklar i publikationen: Scandinavian jou ...

Av lärosätet: Göteborgs universitet; Högskolan i Borås

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