ArticleJournal of the Formosan Medical Association = Taiwan yi zhi2014
Utilization of emergency medical service increases chance of thrombolytic therapy in patients with acute ischemic stroke.
Article in Journal of the Formosan Medical Association = Taiwan yi zhi, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Status of emergency medical service use for acute ischemic stroke in China.Scientific reports · 2026Article
- Effects of Stroke Awareness on Onset-to-Hospital Time and Healthcare Costs in Acute Ischemic Stroke: A Cross-Sectional Study.Noro psikiyatri arsivi · 2026Article
- Impact of Pre-Hospital and in-Hospital Optimization on the Management of Intravenous Thrombolysis in Hyperacute Ischemic Stroke: A Scoping Review.Risk management and healthcare policy · 2025Review
- Emergency medical services use and its association with acute ischaemic stroke evaluation and treatment in Singapore.Stroke and vascular neurology · 2020Observational
- Factors Associated with Shortening of Prehospital Delay among Patients with Acute Ischemic Stroke.Journal of clinical medicine · 2019Article
- [Effects of emergency medical service on prognosis of ischemic stroke patients treated with intravenous thrombolysis].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2019Article
- If Time Is Brain Where Is the Improvement in Prehospital Time after Stroke?Frontiers in neurology · 2017Review
- Strategies for streamlining emergency stroke care.Current neurology and neuroscience reports · 2014Review
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
background/purposeTo determine whether utilization of emergency medical service (EMS) can increase use and expedite delivery of the thrombolytic therapy in acute ischemic stroke patients.
methodsWe analyzed consecutive patients presenting to the emergency department (ED) with an ischemic stroke within 72 hours of symptom onset from a prospective stroke registry. Variables associated with early ED arrival (within 3 hours of stroke onset) and administration of intravenous thrombolytic therapy were analyzed.
resultsFrom January 1, 2010 to July 31, 2011, there were 1081 patients (62.3% men, age 69.6 ± 13 years) included in this study. Among them, 289 (26.7%) arrived in the ED within 3 hours, and 88 (8.1%) received thrombolytic therapy. Patients who arrived at the ED by EMS (n = 279, 25.8%) were independently associated with earlier ED arrival (adjusted odds ratio = 3.68, 95% confidence interval = 2.54-5.33), and higher chance of receiving thrombolytic therapy (adjusted odds ratio = 3.89, 95% confidence interval = 1.86-8.17). Furthermore, utilization of EMS significantly decreased onset-to-needle time by 26 minutes in patients receiving thrombolytic therapy.
conclusionUtilization of EMS can not only help acute ischemic stroke patients in early presentation to ED, but also effectively facilitate thrombolytic therapy and shorten the onset-to-needle time.
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