ArticleActa anaesthesiologica Scandinavica2015
Assessment of acute stroke cerebral CT examinations by anaesthesiologists.
Article in Acta anaesthesiologica Scandinavica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 24 citations in OpenAlex.
- Diagnostic value of prehospital arterial blood gas measurements - a randomised controlled trial.Scandinavian journal of trauma, resuscitation and emergency medicine · 2019Trial
- Rural Computed Tomography - a model for access to rapid stroke care in sparsely populated areas?BMC health services research · 2026Article
- Impact of mobile stroke units.Journal of neurology, neurosurgery, and psychiatry · 2021Review
- Stroke severity quantification by critical care physicians in a mobile stroke unit.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2019Article
- Pre-hospital thrombolysis of ischemic stroke in the emergency service system-A case report from the Treat-NASPP trial.Acta anaesthesiologica Scandinavica · 2019Article
- Improving Prehospital Stroke Services in Rural and Underserved Settings With Mobile Stroke Units.Frontiers in neurology · 2019Review
- Mobile stroke unit use for prehospital stroke treatment-an update.Der Radiologe · 2018Article
- Mobile Stroke Units - Cost-Effective or Just an Expensive Hype?Current atherosclerosis reports · 2018Review
- Prehospital Advanced Diagnostics and Treatment of Acute Stroke: Protocol for a Controlled Intervention Study.JMIR research protocols · 2018Article
- Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2018Article
- Pre-hospital ct diagnosis of subarachnoid hemorrhage.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
- [Mobile stroke unit for prehospital stroke treatment].Der Radiologe · 2016Review
- Assessment of acute stroke cerebral CT examinations by anaesthesiologists.Acta anaesthesiologica Scandinavica · 2015Article
- Implementation of the ABL-90 blood gas analyzer in a ground-based mobile emergency care unit.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeIt is essential to diagnose ischaemic stroke as soon as possible after symptom onset, so that thrombolytic treatment can be initiated as quickly as possible. This might be greatly facilitated if cerebral CT could be carried out in a pre-hospital setting. The aim of this study was to evaluate if anaesthesiologists, who in Norway provide pre-hospital medical care, could be trained to assess cerebral CT scans to exclude radiological contraindications for thrombolytic stroke treatment.
methodsThirteen anaesthesiologists attended an 8-h course in acute stroke assessment, including a 2-h introduction to the neuroradiology of acute stroke. Each participant then assessed 12 non-contrast cerebral CT examinations of acute stroke patients with specific regard to radiological contraindications for thrombolytic therapy. Test results were compared with those of three experienced neuroradiologists. Inter-rater agreement between anaesthesiologists and neuroradiologists was calculated using Cohen's Kappa statistics. Robustness of the results was assessed using the non-parametric bootstrap.
resultsAmong the neuroradiologists, Kappa was 1 for detecting radiological contraindications for thrombolytic therapy. Twelve of the 13 anaesthesiologists showed good or excellent agreement (Kappa > 0.60) with the neuroradiologists. The anaesthesiologists spent a median time of 2 min and 18 s on each CT scan.
conclusionsThis study suggests that anaesthesiologists who are experienced in pre-hospital care may be quickly trained to assess cerebral CT examinations in acute stroke patients with regard to radiological contraindications for thrombolytic therapy.
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