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A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service
University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
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2018 (Engelska)Ingår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, nr 5, s. 523-530Artikel i tidskrift (Refereegranskat) Published
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.

Ort, förlag, år, upplaga, sidor
2018. Vol. 137, nr 5, s. 523-530
Nyckelord [en]
EMS, prehospital, stroke, system delay
Nationell ämneskategori
Omvårdnad
Forskningsämne
VÅRD- OCH HÄLSOVETENSKAP, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:hv:diva-12003DOI: 10.1111/ane.12895ISI: 000429693800010PubMedID: 29315463Scopus ID: 2-s2.0-85040200414OAI: oai:DiVA.org:hv-12003DiVA, id: diva2:1174062
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First published online: 8 January 2018

Tillgänglig från: 2018-01-15 Skapad: 2018-01-15 Senast uppdaterad: 2018-04-30Bibliografiskt granskad

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Brink, Peter

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