ArticleActa anaesthesiologica Scandinavica2018
Stroke identification by criteria based dispatch - a register based study.
Article in Acta anaesthesiologica Scandinavica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency Medical Services dispatcher recognition of stroke: A systematic review.European stroke journal · 2024Pooled it
- Stroke recognition and early care pathways following telephone triage in out-of-hours primary care: a register-based study from the Central Denmark Region.Scandinavian journal of primary health care · 2026Article
- Stroke detection in medical emergency calls: a retrospective analysis and exploratory evaluation of an AI decision support model.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Article
- Criteria codes for unrecognized stroke/TIA patients by Emergency Medical Services dispatchers in Copenhagen, Denmark.BMC emergency medicine · 2025Article
- Reducing time delays and enhancing reperfusion eligibility related to stroke suspicion by the Emergency Medical Dispatch Centre: a registry-based observational study.Emergency medicine journal : EMJ · 2025Observational
- Factors affecting emergency medical dispatchers decision making in stroke calls - a qualitative study.BMC emergency medicine · 2024Article
- Telephone triage and dispatch of ambulances to patients with suspected and verified acute stroke - a descriptive study.BMC emergency medicine · 2024Article
- Differences between the dispatch priority assessments of emergency medical dispatchers and emergency medical services: a prospective register-based study in Finland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Validity and risk factor analysis for helicopter emergency medical services in Japan: a pilot study.BMC emergency medicine · 2021Article
- Which symptoms pose the highest risk in patients calling for an ambulance? A population-based cohort study from Denmark.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Acute care pathways for patients calling the out-of-hours services.BMC health services research · 2020Observational
- Stroke identification by criteria based dispatch - a register based study.Acta anaesthesiologica Scandinavica · 2018Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRapid and precise dispatch of resources is a key element in pre-hospital emergency medicine. Emergency medical communication centres (EMCCs) dispatch resources based on protocols and guidelines, balancing the acute need of the individual and the resource allocation of the pre-hospital emergency medical system. The aim of this study was to determine the validity of stroke identification by the Norwegian dispatch guidelines. METHOD AND MATERIAL: This was a register-based study where patients suspected for stroke were compared to those with the final diagnosis of stroke as an indicator group for the guideline validation. One EMCC and its three associated hospitals participated with 13 months of data. Four subcodes of the stroke dispatch code were defined as suspicious of stroke and further analysed. Factors associated with stroke identification were explored.
resultsThe sensitivity for identifying a stroke patient at initial EMCC contact was 57.9% (51.5, 64.1), specificity was 99.1% (98.9, 99.2), positive predictive value was 45.7% (40.1, 51.4) and negative predictive value was 99.4% (99.3, 99.5). The emergency medical access telephone (113) was initial EMCC contact line in only 48% of the cases. Paralyses and admittance to a smaller hospital were associated with increased probability for stroke (OR 2.6, P = 0.001 and OR 2.7, P = 0.01), respectively.
conclusionThe sensitivity for identification of stroke patients by the dispatch guidelines is modest, while the specificity is high. The 113 telephone line was initial EMCC access point for less than half of the stroke patients.
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