ArticleInternational journal of stroke : official journal of the International Stroke Society2020
Utstein recommendation for emergency stroke care.
Article in International journal of stroke : official journal of the International Stroke Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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 25 papers, 3 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
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Singapore First Aid Guidelines 2026.Singapore medical journal · 2026Guideline
- A systematic review of ambulance service-based randomised controlled trials in stroke.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023Pooled it
- Effect of Optimized Emergency Care on Treatment Rate and Prognosis of Elderly Patients with Acute Stroke in Emergency Department: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- 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
- Regional inequities in acute stroke care in Norway: a national benchmark for the "stroke action plan for Europe" implementation.European stroke journal · 2026Article
- LiVE-STROKE: live video from bystander to the medical dispatcher in potential stroke cases.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Stroke care in the air: a new horizon for helicopter emergency medical services.Scandinavian journal of trauma, resuscitation and 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
- Navigating Acute Stroke: Perspectives from Survivors, Caregivers, and Healthcare Professionals in Ireland During COVID-19: A Qualitative Study.Journal of multidisciplinary healthcare · 2025Article
- Rural Emergency Medical Services Perspectives on Improving Acute Stroke Care: A Qualitative Study.Prehospital emergency care · 2025Article
- Hyper-Acute Stroke Systems of Care and Workflow.Current neurology and neuroscience reports · 2024Review
- International facets of the 'chain of survival' for out-of-hospital and in-hospital cardiac arrest - A scoping review.Resuscitation plus · 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
- Article
- A qualitative exploration of ambulance clinician behaviour and decision making to identify factors influencing on-scene times for suspected stroke patients in North East England.British paramedic journal · 2024Article
- Results of an international survey on the status of prehospital care.International journal of stroke : official journal of the International Stroke Society · 2023Article
- Community Socioeconomic and Urban-Rural Disparities in Prehospital Notification of Stroke by Emergency Medical Services in North Carolina.Southern medical journal · 2023Article
- Impact of the first response unit on prehospital on-scene time among paramedic-suspected stroke patients: a retrospective before-after cohort study in Finland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Assessment of stroke knowledge and awareness among primary healthcare providers: A cross-sectional survey from the Kezhou quality improvement in acute stroke care project.Frontiers in public health · 2023Article
- Artificial intelligence in Emergency Medical Services dispatching: assessing the potential impact of an automatic speech recognition software on stroke detection taking the Capital Region of Denmark as case in point.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 13 institutions in 8 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecent advances in treatment for stroke give new possibilities for optimizing outcomes. To deliver these prehospital care needs to become more efficient.
aimTo develop a framework to support improved delivery of prehospital care. The recommendations are aimed at clinicians involved in prehospital and emergency health systems who will often not be stroke specialists but need clear guidance as to how to develop and deliver safe and effective care for acute stroke patients.
methodsBuilding on the successful implementation program from the Global Resuscitation Alliance and the Resuscitation Academy, the Utstein methodology was used to define a generic chain of survival for Emergency Stroke Care by assembling international expertise in Stroke and Emergency Medical Services (EMS). Ten programs were identified for Acute Stroke Care to improve survival and outcomes, with recommendations for implementation of best practice.
conclusionsEfficient prehospital systems for acute stroke will be improved through public awareness, optimized prehospital triage and timely diagnostics, and quick and equitable access to acute treatments. Documentation, use of metrics and transparency will help to build a culture of excellence and accountability.
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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.