ReviewEuropean journal of neurology2018
European Academy of Neurology and European Stroke Organization consensus statement and practical guidance for pre-hospital management of stroke.
Review in European journal of neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06672757 (Use of App for Stroke Assessment VS Standard Level of Care During Prehospital Stroke Assessment), which is not on this map. Cited by 59 papers, 4 of them syntheses that pooled 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.
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.
Use of App for Stroke Assessment VS Standard Level of Care During Prehospital Stroke Assessment
Who cites it
59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 130 citations in OpenAlex.
- A systematic review and synthesis of global stroke guidelines on behalf of the World Stroke Organization.International journal of stroke : official journal of the International Stroke Society · 2023Pooled it
- Effect of implementing care protocols on acute ischemic stroke outcomes: a systematic review.Arquivos de neuro-psiquiatria · 2023Pooled it
- Outcome After Decompressive Craniectomy for Middle Cerebral Artery Infarction: Timing of the Intervention.Neurosurgery · 2020Pooled it
- Prehospital stroke scales as screening tools for early identification of stroke and transient ischemic attack.The Cochrane database of systematic reviews · 2019Pooled it
- Review
- EDEN - Enhanced Dispatch for Efficient Neurointervention: mathematical model from national data.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- From validation to impact: the unfinished agenda of prehospital stroke care.Arquivos de neuro-psiquiatria · 2026Article
- Realistic simulation: construction and validation of scenarios for stroke recognition in prehospital care.Arquivos de neuro-psiquiatria · 2026Article
- Decision to initiate transport to either Stroke Unit or local emergency department for patients with suspected stroke - a cohort study.BMC emergency medicine · 2026Article
- Emergency medical services providers' perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden.BMC emergency medicine · 2025Article
- A Transfer Strategy Utilizing a Helicopter and a Ground Ambulance Together Does Not Prolong Door-In-Door-Out Times in Thrombectomy Patients: A Retrospective Analysis.European journal of neurology · 2025Article
- Prehospital stroke detection scales: A head-to-head comparison of 7 scales in patients with suspected stroke.International journal of stroke : official journal of the International Stroke Society · 2025Review
- [Recent clinical studies and the S3 guidelines on stroke].Radiologie (Heidelberg, Germany) · 2025Review
- Characteristics of Dutch ED patients and their journey through the acute care chain: A province-wide flash-mob study.PloS one · 2025Observational
- Utility of AActa neurologica Belgica · 2024Article
- Evaluating the Usability of a Remote Ischemic Conditioning Device for Pre-Hospital Stroke Management: Insights from Paramedic Simulations.Neurology international · 2024Article
- Time-Sensitive Quality Metrics of Acute Stroke Care: A Comprehensive Stroke Center Experience.The Eurasian journal of medicine · 2024Article
- Experiences from a cluster-randomized trial (ParaNASPP) exploring triage and diagnostic accuracy in paramedic-suspected stroke: a qualitative interview study.European journal of neurology · 2024Article
- Nuclear Factor Erythroid 2-Related Factor 2 is Essential for Low-Normobaric Oxygen Treatment-Mediated Blood-Brain Barrier Protection Following Ischemic Stroke.Molecular neurobiology · 2024Article
- Review
Corrections and comments
- Erratum issuedErratum.2018
Authors and funding
12 authors at 11 institutions in 10 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe reduction of delay between onset and hospital arrival and adequate pre-hospital care of persons with acute stroke are important for improving the chances of a favourable outcome. The objective is to recommend evidence-based practices for the management of patients with suspected stroke in the pre-hospital setting.
methodsThe GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology was used to define the key clinical questions. An expert panel then reviewed the literature, established the quality of the evidence, and made recommendations.
resultsDespite very low quality of evidence educational campaigns to increase the awareness of immediately calling emergency medical services are strongly recommended. Moderate quality evidence was found to support strong recommendations for the training of emergency medical personnel in recognizing the symptoms of a stroke and in implementation of a pre-hospital 'code stroke' including highest priority dispatch, pre-hospital notification and rapid transfer to the closest 'stroke-ready' centre. Insufficient evidence was found to recommend a pre-hospital stroke scale to predict large vessel occlusion. Despite the very low quality of evidence, restoring normoxia in patients with hypoxia is recommended, and blood pressure lowering drugs and treating hyperglycaemia with insulin should be avoided. There is insufficient evidence to recommend the routine use of mobile stroke units delivering intravenous thrombolysis at the scene. Because only feasibility studies have been reported, no recommendations can be provided for pre-hospital telemedicine during ambulance transport.
conclusionsThese guidelines inform on the contemporary approach to patients with suspected stroke in the pre-hospital setting. Further studies, preferably randomized controlled trials, are required to examine the impact of particular interventions on quality parameters and outcome.
Indexed as
Identifiers
What OpenQuestion holds
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.