ArticleNeurology2017
Standard operating procedures improve acute neurologic care in a sub-Saharan African setting.
Open access · hybridAbstract readEvaluation Study
In one paragraph
Article in Neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 9 citations in OpenAlex.
- Comparison of Palliative Knowledge and Self-Efficacy Expectation of German Paramedics Between a Rural and an Urban Structured Emergency Medical Service Area.Journal of palliative care · 2025Article
- Prehospital stroke care in low- and middle-income countries: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025Review
- Improving Prehospital Stroke Services in Rural and Underserved Settings With Mobile Stroke Units.Frontiers in neurology · 2019Review
Corrections and comments
- Commented on by
- Commented on by
Authors and funding
21 authors at 1 institution in 1 country.
Lamin E S JaitehFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Stefan A HelwigFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Abubacarr JagneFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Andreas Ragoschke-SchummFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Catherine SarrFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Silke WalterFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Martin LesmeisterFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Matthias ManitzFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Sebastian BlaßFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Sarah WeisFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Verena SchlundFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Neneh BahFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Jil KauffmannFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Mathias FousseFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Sabina KangankanFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Asmell Ramos CabreraFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Kai KronfeldFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Christian RuckesFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Yang LiuFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Ousman NyanFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
Klaus FassbenderFrom the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany. Klaus.Fassbender@uks.eu.
University Medical Center · US
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveQuality of neurologic emergency management in an under-resourced country may be improved by standard operating procedures (SOPs).
methodsNeurologic SOPs were implemented in a large urban (Banjul) and a small rural (Brikama) hospital in the Gambia. As quality indicators of neurologic emergency management, performance of key procedures was assessed at baseline and in the first and second implementation years.
resultsAt Banjul, 100 patients of the first-year intervention group exhibited higher rates of general procedures of emergency management than 105 control patients, such as neurologic examination (99.0% vs 91.4%;
conclusionsImplementing SOPs is a realistic, low-cost option for improving process quality of neurologic emergency management in under-resourced settings. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that, for patients with suspected neurologic emergencies in sub-Saharan Africa, neurologic SOPs increase the rate of performance of guideline-recommended procedures.
Indexed as
Acute DiseaseAdultAgedEmergency Service, HospitalFemaleGambiaHospitals, RuralHospitals, UrbanHumansMaleMiddle AgedNervous System DiseasesQuality Assurance, Health CareQuality Indicators, Health CareStroke
Identifiers
What OpenQuestion holds
Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390
Registered trials
None linked
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.