Evidence map›Paper›PMID 28245880›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2017

Pre-hospital ct diagnosis of subarachnoid hemorrhage.

Maren Ranhoff Hov, Annette Ryen, Katrine Finsnes, Janne Storflor, Thomas Lindner, Jostein Gleditsch, Christian Georg Lund, on behalf of the NASPP Group

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03036020 (The Norwegian Acute Stroke Prehospital Project), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03036020 nacompletednot on this map

The Norwegian Acute Stroke Prehospital Project

TypeinterventionalSponsorKristi G. Bache, PhDRan2014 to 2016Enrolled100ConditionsAcute Stroke, Traumatic Brain InjuryArmsCereTom Neurologica Samsung
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Mobile Stroke Units: Current Evidence and Impact.Current neurology and neuroscience reports · 2022
    Review
  3. Impact of mobile stroke units.Journal of neurology, neurosurgery, and psychiatry · 2021
    Review
  4. Neuroimaging of Acute Intracerebral Hemorrhage.Journal of clinical medicine · 2021
    Review
  5. Article
  6. Polish Helicopter Emergency Medical Service (HEMS) Response to Stroke: A Five-Year Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
  7. Observational
  8. Article
  9. Review
  10. 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 · 2018
    Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Maren Ranhoff HovThe Norwegian Air Ambulance Foundation, Holterveien 24, 1448, Drøbak, Norway. maren.ranhoff.hov@norskluftambulanse.no.
Annette RyenDepartment of Anaesthesiology, Østfold Hospital, Sarpsborg, Norway.
Katrine FinsnesThe Norwegian Air Ambulance Foundation, Holterveien 24, 1448, Drøbak, Norway.
Janne StorflorDepartment of Neurology, Østfold Hospital, Sarpsborg, Norway.
Thomas LindnerThe Norwegian Air Ambulance Foundation, Holterveien 24, 1448, Drøbak, Norway.
Jostein GleditschDepartment of Radiology, Østfold Hospital, Sarpsborg, Norway.
Christian Georg LundThe Norwegian Air Ambulance Foundation, Holterveien 24, 1448, Drøbak, Norway.
on behalf of the NASPP Group
Stiftelsen Norsk Luftambulanse · NOOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom onset to diagnosis the better. CASE PRESENTATION: The Norwegian Acute Stroke Pre-hospital Project (NASPP) has developed a Mobile Stroke Unit (MSU) model, which is staffed with anesthesiologists also trained in pre-hospital clinical assessment of acute stroke patients and interpretation of computerized tomography (CT). The MSU was operated on-call from the local dispatch center in a rural area 45-160 km away from a neurosurgical department. Two patients presented with clinical symptoms and signs compatible with SAH. In both cases, the CT examination confirmed the diagnosis of SAH. Both were transported directly from patient location to the regional neurosurgical department, saving at least 2-2.5 h of pre-neurosurgical time.

conclusionThe Norwegian MSU model staffed with anesthesiologists can rapidly establish an exact diagnosis of SAH, which in a rural area significantly reduces time to neurosurgical care.

trial registrationStudy data are retrospectively registered in ClinicalTrail.gov. NCT03036020 Unique Protocol ID: NASPP-2 Brief Title: The Norwegian Acute Stroke Prehospital Project Overall Status: Completed Primary Completion Date: January 2016 [Actual] Verification Date: January 2017.

Indexed as

Mobile Health UnitsTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedNorwayRetrospective StudiesSubarachnoid HemorrhageTeleradiologyCerebral CTMSUNeurosurgeryPre-hospitalStroke diagnosticsSubarachnoid hemorrhage

Identifiers

PMID28245880
PMCPMC5331704
OpenAlexW2594616490

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.