ArticleBritish paramedic journal2019
Call to hospital times for suspected stroke patients in the North East of England: a service evaluation.
Article in British paramedic journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- How do interventions to improve the efficiency of acute stroke care affect prehospital times? A systematic review and narrative synthesis.BMC emergency medicine · 2022Pooled it
- Evaluation of pre- and in-hospital workflows and time intervals with acute ischemic stroke patients.PloS one · 2025Article
- How do emergency departments respond to ambulance pre-alert calls? A qualitative exploration of the management of pre-alerts in UK emergency departments.Emergency medicine journal : EMJ · 2024Article
- 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
- What factors contribute towards ambulance on-scene times for suspected stroke patients? An observational study.European stroke journal · 2023Observational
- Article
- Hyperacute stroke thrombolysis via telemedicine: a multicentre study of performance, safety and clinical efficacy.BMJ open · 2022Observational
- Effects of the COVID-19 pandemic on prehospital emergency care for adults with stroke and transient ischaemic attack: A protocol for a systematic review and meta-analysis.HRB open research · 2022Article
- Do methods of hospital pre-alerts influence the on-scene times for acute pre-hospital stroke patients? A retrospective observational study.British paramedic journal · 2021Article
- Ambulance service call handler and clinician identification of stroke in North East Ambulance Service.British paramedic journal · 2021Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionStroke is a leading cause of mortality and morbidity. The role of the ambulance service in acute stroke care focuses on recognition followed by rapid transport to specialist care. The treatment options for acute ischaemic strokes are time dependent, so minimising the pre-hospital phase of care is important. The aim of this service evaluation was to report historical pre-hospital times for suspected stroke patients transported by the North East Ambulance Service NHS Foundation Trust (NEAS) and identify areas for improvement.
methodsThis was a retrospective service evaluation using routinely collected data. Data on overall call to hospital times, call to arrival times, on scene times and leave scene to hospital are reported.
resultsData on 24,070 patients with an impression of stroke transported by NEAS between 1 April 2011 and 31 May 2018 are reported. The median call to hospital time increased from 41 to 68 minutes, call to arrival from 7 to 17 minutes, on scene from 20 to 30 minutes and leave to hospital from 12 to 15 minutes.
conclusionThe pre-hospital call to hospital time for stroke patients increased between 2011 and 2018. The call to arrival phase saw a sharp increase between 2015 and 2017, whereas on scene and leave scene to hospital saw steadier increases. Increasing demand on the ambulance service, reorganisation of regional stroke services and other factors may have contributed to the increase in times. Reducing the on scene phase of pre-hospital stroke care would lead to patient benefits and is the area where ambulance clinicians have the most influence.
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