Evidence map›Paper›PMID 35186333›Full record

ArticleEmergency medicine international2022

Improving the Prehospital Identification and Acute Care of Acute Stroke Patients: A Quality Improvement Project.

Huan Bao, Sumian Zhang, Junjie Hao, Lian Zuo, Xiahong Xu, Yumei Yang, Hua Jiang, Gang Li

Open access · goldAbstract read
In one paragraph

Article in Emergency medicine international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

8 authors at 2 institutions in 1 country.

Huan BaoDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Sumian ZhangDepartment of ICU, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Junjie HaoDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Lian ZuoDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Xiahong XuDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Yumei YangDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.
Hua JiangDepartment of Medical Education, Shanghai Pudong Medical Emergency Center, Shanghai 201206, China.ORCID https://orcid.org/0000-0002-5771-2100
Gang LiDepartment of Neurology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.ORCID https://orcid.org/0000-0003-2642-8323
Shanghai East Hospital · CNPudong Medical Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are a large number of stroke patients in China, and there is currently a lack of prehospital acute stroke care training programs.

aimTo develop a prehospital emergency medical service (PEMS) training program to improve the prehospital identification and acute care of acute stroke.

methodsForty prehospital emergency doctors whose service stations are located within a 10 km radius from Shanghai Pudong New Area Medical Emergency Service Center took this course on November 13, 2014. A questionnaire was designed to evaluate the PEMS personnel's knowledge in stroke and acute stroke care and was conducted before and after training as an assessment of the effectiveness of training. The patient population in this study included a baseline cohort before training and a prospective cohort after training, each composed of patients who were sent to Shanghai East Hospital South Stoke Center within one year. The transit time, final diagnosis, administration of thrombolysis, and door-to-needle time (DNT) were collected and analyzed.

resultsAfter the training, 100% of the PEMS personnel were competent to identify stroke cases using the Cincinnati prehospital stroke scale (CPSS). All participants realized that intravenous thrombolysis therapy in a time-sensitive manner is the most effective way to treat acute ischemic stroke. Although there was no difference in first-aid transit time before and after training, the stroke diagnosis rate improved by 6.5% after training (

conclusionThe training program effectively improved the PEMS personnel's knowledge in stroke and stroke acute care.

Identifiers

PMID35186333
PMCPMC8850070
OpenAlexW4211178910

What OpenQuestion holds

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LicenceCC BY
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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.