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A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service.
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. (PreHospen)
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. (PreHospen)
Högskolan väst.
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. (PreHospen)ORCID-id: 0000-0003-4139-6235
Vise andre og tillknytning
2018 (engelsk)Inngår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

OBJECTIVES: We compare various aspects in the early chain of care among patients with haemorrhagic stroke and ischaemic stroke.

MATERIALS & METHODS: The Emergency Medical Services (EMS) and nine emergency hospitals, each with a stroke unit, were included. All patients hospitalised with a first and a final diagnosis of stroke between 15 December 2010 and 15 April 2011 were included. The primary endpoint was the system delay (from call to the EMS until diagnosis). Secondary endpoints were: (i) use of the EMS, (ii) delay from symptom onset until call to the EMS; (iii) priority at the dispatch centre; (iv) priority by the EMS; and (v) suspicion of stroke by the EMS nurse and physician on admission to hospital.

RESULTS: Of 1336 patients, 172 (13%) had a haemorrhagic stroke. The delay from call to the EMS until diagnosis was significantly shorter in haemorrhagic stroke. The patient's decision time was significantly shorter in haemorrhagic stroke. The priority level at the dispatch centre did not differ between the two groups, whereas the EMS nurse gave a significantly higher priority to patients with haemorrhage. There was no significant difference between groups with regard to the suspicion of stroke either by the EMS nurse or by the physician on admission to hospital.

CONCLUSIONS: Patients with a haemorrhagic stroke differed from other stroke patients with a more frequent and rapid activation of EMS.

sted, utgiver, år, opplag, sider
2018.
Emneord [en]
EMS, prehospital, stroke, system delay
HSV kategori
Identifikatorer
URN: urn:nbn:se:hb:diva-13521DOI: 10.1111/ane.12895ISI: 000429693800010PubMedID: 29315463Scopus ID: 2-s2.0-85040200414OAI: oai:DiVA.org:hb-13521DiVA, id: diva2:1174926
Tilgjengelig fra: 2018-01-17 Laget: 2018-01-17 Sist oppdatert: 2018-12-07bibliografisk kontrollert

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Andersson Hagiwara, MagnusWireklint Sundström, BirgittaHerlitz, Johan

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