Evidence map›Paper›PMID 32893720›Full record

ArticleJournal of the American Heart Association2020

A Community-Engaged Stroke Preparedness Intervention in Chicago.

Shyam Prabhakaran, Christopher T Richards, Soyang Kwon, Erin Wymore, Sarah Song, Amy Eisenstein, Jen Brown, Namratha R Kandula, Maryann Mason, Heather Beckstrom and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02301299 (Community Engagement for Early Recognition and Immediate Action in Stroke), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02301299 completednot on this map

Community Engagement for Early Recognition and Immediate Action in Stroke

Typeobservational_patient_registrySponsorNorthwestern UniversityRan2014 to 2019Enrolled1,322ConditionsIschemic StrokeArmsCommunity-based Stroke Awareness Program
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. A Community-Engaged Stroke Preparedness Intervention in Chicago.Journal of the American Heart Association · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

Shyam PrabhakaranDepartment of Neurology University of Chicago IL.
Christopher T RichardsUniversity of Cincinnati, College of Medicine Cincinnati OH.
Soyang KwonNorthwestern University, Feinberg School of Medicine Chicago IL.
Erin WymoreNorthwestern University, Feinberg School of Medicine Chicago IL.
Sarah SongRush University Medical Center Chicago IL.
Amy EisensteinThe Retirement Research Foundation Chicago IL.
Jen BrownNorthwestern University, Feinberg School of Medicine Chicago IL.
Namratha R KandulaNorthwestern University, Feinberg School of Medicine Chicago IL.
Maryann MasonNorthwestern University, Feinberg School of Medicine Chicago IL.
Heather BeckstromMetroSouth Hospital Blue Island IL.
Knitasha V WashingtonGovernor's State University University Park IL.
Neelum T AggarwalThe Retirement Research Foundation Chicago IL.
Northwestern University · USGovernors State University · USMetro Health Hospital · USRush University · USRush University Medical Center · USUniversity of Chicago · USUniversity of Cincinnati Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background We evaluated a community-engaged stroke preparedness intervention that aimed to increase early hospital arrival and emergency medical services (EMS) utilization among patients with stroke in the South Side of Chicago, Illinois. Methods and Results We compared change in early hospital arrival (<3 hours from symptom onset) and EMS utilization before and after our intervention among patients with confirmed ischemic stroke at an intervention hospital on the South Side of Chicago with concurrent data from 6 hospitals in nonintervention communities on the North Side of Chicago and 17 hospitals in St Louis, Missouri. We assessed EMS utilization for suspected stroke secondarily, using geospatial information systems analysis of Chicago ambulance transports before and after our intervention. Among 21 497 patients with confirmed ischemic stroke across all sites, early arrival rates at the intervention hospital increased by 0.5% per month (95% CI, -0.2% to 1.2%) after intervention compared with the preintervention period but were not different from North Side Chicago hospitals (difference of -0.3% per month [95% CI, -0.12% to 0.06%]) or St Louis hospitals (difference of 0.7% per month [95% CI, -0.1% to 1.4%]). EMS utilization at the intervention hospital decreased by 0.8% per month (95% CI, -1.7% to 0.2%) but was not different from North Side Chicago hospitals (difference of 0.004% per month [95% CI, -1.1% to 1.1%]) or St Louis hospitals (difference of -0.7% per month [95% CI, -1.7% to 0.3%]). EMS utilization for suspected stroke increased in the areas surrounding the intervention hospital (odds ratio [OR], 1.4; 95% CI, 1.2-1.6) and in the South Side (OR, 1.2; 95% CI, 1.1-1.3), but not in the North Side (OR, 1.0; 95% CI, 0.9-1.1). Conclusions Following a community stroke preparedness intervention, early hospital arrival and EMS utilization for confirmed ischemic stroke did not increase. However, ambulance transports for suspected stroke increased in the intervention community compared with other regions. Registration URL: https://www.clini​caltr​ials.gov; Unique identifier: NCT02301299.

Indexed as

Community ParticipationAgedChicagoEarly DiagnosisEmergency Medical ServicesFemaleHumansMaleMiddle AgedProgram DevelopmentStrokeTime Factorsacute strokeeducation campaignsemergency medical services

Identifiers

PMID32893720
PMCPMC7726971
OpenAlexW3083727053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.