ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019
Socioeconomic disparities in prehospital stroke care.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Time Lost Is Brain Lost: Insights into Acute Ischaemic Stroke Delays in a Tertiary Care Super-speciality Centre in Jharkhand.Annals of neurosciences · 2026Article
- Association of Socioeconomic Deprivation with 1-Year Functional Outcomes in Mechanically Ventilated Patients with Stroke.Neurocritical care · 2026Article
- Age and gender patterns in emergency alarms and missions: a cross-sectional observational study.BMC emergency medicine · 2026Observational
- Educational inequalities in stroke knowledge and symptom recognition following a national Danish stroke campaign: a cross-sectional study.BMC public health · 2025Article
- Precipitation, EMS use, and time to presentation of Acute Ischemic stroke in the get with the guidelines-stroke registry.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025Article
- Emergency medical services utilization in acute stroke in Qatar - an observational cohort study.International journal of emergency medicine · 2025Article
- Social Vulnerability Index and All-Cause Mortality After Acute Ischemic Stroke, Medicare Cohort 2020-2023.JACC. Advances · 2024Article
- Association of Neighborhood Socioeconomic Status With Withdrawal of Life-Sustaining Therapies After Intracerebral Hemorrhage.Neurology · 2024Article
- Social Determinants of Health Framework to Identify and Reduce Barriers to Imaging in Marginalized Communities.Radiology · 2024Review
- Stroke but no hospital admission: Lost opportunity for whom?PloS one · 2024Article
- Mediation Analyses of the Mechanisms by Which Socioeconomic Status, Comorbidity, Stroke Severity, and Acute Care Influence Stroke Outcome.Neurology · 2023Article
- Fast track to stroke unit for patients not eligible for acute intervention, a case-control register study on 1066 patients.Scientific reports · 2023Article
- On Scene Injury Severity Prediction (OSISP) model for trauma developed using the Swedish Trauma Registry.BMC medical informatics and decision making · 2023Article
- Bridging Inequity Gaps in Healthcare Systems While Educating Future Healthcare Professionals-The Social Health Bridge-Building Programme.International journal of environmental research and public health · 2023Article
- Integrative Approaches in Acute Ischemic Stroke: From Symptom Recognition to Future Innovations.Biomedicines · 2023Review
- A Spatial Variation Analysis of In-Hospital Stroke Mortality Based on Integrated Pre-Hospital and Hospital Data in Mashhad, Iran.Archives of Iranian medicine · 2023Article
- Decision-Making in Seeking Emergency Care for Stroke Symptoms.Stroke (Hoboken, N.J.) · 2022Article
- Acute Ischemic Stroke Interventions in the United States and Racial, Socioeconomic, and Geographic Disparities.Neurology · 2021Article
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
background and purposeRecent studies have revealed socioeconomic disparities in stroke outcomes. Here, we investigated whether prehospital stroke care differs with respect to socioeconomic status (SES).
methodsConsecutive stroke and TIA patients (n = 3006) admitted to stroke units at Sahlgrenska University Hospital, Gothenburg, Sweden, from 1 November 2014 to 31 July 2016, were included. Data on prehospital care were obtained from a local stroke register. Socioeconomic status was classified according to the average level of income and education within each patient's neighbourhood (postcode area).
resultsThe median system delay from calling the emergency medical communication centre (EMCC) to start of brain computed tomography on hospital arrival was 3 h 47 min (95% confidence interval (CI) 3 h 30 min to 4 h 05 min) for patients within the lowest SES tertile and 3 h 17 min (95% CI 3 h 00 min to 3 h 37 min) for the highest tertile (p < 0.05). Patients with a lower SES were less likely to receive the highest priority in the ambulance (p < 0.05) and had lower rates of prehospital recognition of stroke/TIA (p < 0.05) than those with a high SES. No inequities were found concerning EMCC prioritisation or the probability of ambulance transport.
conclusionsWe found socioeconomic inequities in prehospital stroke care which could affect the efficacy of acute stroke treatment. The ambulance nurses' ability to recognise stroke/TIA may partly explain the observed inequities.
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