Evidence map›Paper›PMID 33654223›Full record

ArticleScientific reports2021

Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta.

Mahesh P Kate, Thomas Jeerakathil, Brian H Buck, Khurshid Khan, Ali Zohair Nomani, Asif Butt, Sibi Thirunavukkarasu, Tomasz Nowacki, Hayrapet Kalashyan, Mar Irida Lloret-Villas and 7 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Mobile stroke unit treatment times and transport frequency in a suburban setting.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Mobile Stroke Units: Current Evidence and Impact.Current neurology and neuroscience reports · 2022
    Review
  11. Article
  12. 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

17 authors at 2 institutions in 1 country.

Mahesh P KateClinical Neurosciences, Edmonton Zone, Alberta Health Services, Edmonton, Canada.
Thomas JeerakathilDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Brian H BuckDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Khurshid KhanDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Ali Zohair NomaniDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Asif ButtDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Sibi ThirunavukkarasuClinical Neurosciences, Edmonton Zone, Alberta Health Services, Edmonton, Canada.
Tomasz NowackiDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Hayrapet KalashyanClinical Neurosciences, Central Zone, Alberta Health Services, Red Deer, Canada.
Mar Irida Lloret-VillasDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Atlantic D'SouzaDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Sachin MishraClinical Neurosciences, Edmonton Zone, Alberta Health Services, Edmonton, Canada.
Jennifer McCombeDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Kenneth ButcherDepartment of Clinical Neurosciences, Prince of Wales Clinical School, Randwick, Australia.
Glen JicklingDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Maher SaqqurDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada.
Ashfaq ShuaibDivision of Neurology, Department of Medicine, University of Alberta, Edmonton, Canada. Ashfaq.shuaib@ualberta.ca.
University of Alberta · CAAlberta Health Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mobile Stroke Unit (MSU) expedites the delivery of intravenous thrombolysis in acute stroke patients. We further evaluated the functional outcome of patients shipped to a tertiary care centre or repatriated to local hospitals after triage by MSU in acute stroke syndrome in rural northern Alberta. Consecutive patients with suspected acute stroke syndrome were included. On the basis of neurology consultation and, Computed Tomography findings, patients, who were thrombolysed or needed advanced care were transported to the Comprehensive stroke center (CSC) (Triage to CSC group). Other patients were repatriated to local hospital care (Triage to LHC group). A total of 156 patients were assessed in MSU, 73 (46.8%) were female and the mean age was 66.6 ± 15 years. One hundred and eight (69.2%) patients, including 41 (26.3%) treated with thrombolysis were transported to the CSC (Triage to CSC group) and 48 (30.8%) were repatriated to local hospital care. The diagnosis made in MSU and final diagnosis were matching in 88% (95) and 91.7% (44, p = 0.39) in Triage to CSC and Triage to LHC groups respectively. Prehospital triage by MSU of acute stroke syndrome can reliably repatriate patients to the home hospital. The proposed model has the potential to triage patients according to their medical needs by enabling treatment in home hospitals whenever reasonable.

Indexed as

Emergency Medical ServicesMobile Health UnitsTomography, X-Ray ComputedTriageAgedAged, 80 and overAlbertaFemaleHumansMaleMiddle AgedStrokeThrombolytic TherapyTime-to-Treatment

Identifiers

PMID33654223
PMCPMC7925585
OpenAlexW3134890267

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.