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  • 1. E., Hedberg-Borenstein
    et al.
    Peter, Borenstein
    Göteborgs universitet.
    A., Lundgren
    I., Vidal
    The importance of disconnection and diaschisis in aphasia - A case study1992In: Scandinavian Journal of Rehabilitation Medicine, Supplement, ISSN 0346-8720, no 26, p. 81-82Article in journal (Refereed)
  • 2.
    Niklasson, Amanda
    et al.
    Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, The Sahlgrenska Academy, University of Gothenburg.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jood, Katarina
    Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, The Sahlgrenska Academy, University of Gothenburg.
    Socioeconomic disparities in prehospital stroke care.2019In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 27, no 1, article id 53Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND PURPOSE: Recent studies have revealed socioeconomic disparities in stroke outcomes. Here, we investigated whether prehospital stroke care differs with respect to socioeconomic status (SES).

    METHODS: Consecutive 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).

    RESULTS: The median system delay from calling the emergency medical communication centre (EMCC) to start of brain computed tomography on hospital arrival was 3 h 47 min (95% confidence interval (CI) 3 h 30 min to 4 h 05 min) for patients within the lowest SES tertile and 3 h 17 min (95% CI 3 h 00 min to 3 h 37 min) 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.

    CONCLUSIONS: We 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.

  • 3.
    Seoane, Fernando
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. KTH-School of Technology and Health.
    Atefi, Seyed Reza
    Harvard Univsersity.
    Tomner, Jens
    Karolinska Hospital.
    Kostulas, Konstantinos
    Karolinska Hospital.
    Lindecrantz, Kaj
    KTH-School of Technology and Health.
    Electrical Bioimpedance Spectroscopy on Acute Unilateral Stroke Patients: Initial Observations regarding Differences between Sides2015In: BioMed research international, Vol. 2015Article in journal (Refereed)
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