ArticleActa neurologica Scandinavica2022
Prehospital recognition of stroke is associated with a lower risk of death.
Article in Acta neurologica Scandinavica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 23 citations in OpenAlex.
- European Stroke Organisation survey on reperfusion therapy practices.European stroke journal · 2026Article
- Behavioral Determinants Potentially Relevant to First-Witness Responses in Prehospital Stroke Care: A COM-B-Based Scoping Review.Healthcare (Basel, Switzerland) · 2026Review
- Video consultation in the prehospital stroke chain of care for suspected large vessel occlusion: a mixed-methods feasibility study.BMC emergency medicine · 2026Article
- 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
- Health and economic benefits of improving pre-hospital identification of stroke in Australian women: a modelling study.The Medical journal of Australia · 2025Article
- The Absence of Typical Stroke Symptoms and Risk Factors Represents the Greatest Risk of an Incorrect Diagnosis in Stroke Patients.Journal of personalized medicine · 2024Article
- Prehospital neurological emergencies- a survey on the state of prehospital neurological assessment by emergency medical professionals.BMC emergency medicine · 2024Article
- The potential of virtual triage AI to improve early detection, care acuity alignment, and emergent care referral of life-threatening conditions.Frontiers in public health · 2024Article
- Identification of Specific Recommendations for Prehospital Stroke Care Associated with Shorter Door-to-CT Times - an analysis of Get with the Guidelines-Stroke registry and prehospital data.Frontiers in stroke · 2024Article
- Fast track to stroke unit for patients not eligible for acute intervention, a case-control register study on 1066 patients.Scientific reports · 2023Article
- Results of an international survey on the status of prehospital care.International journal of stroke : official journal of the International Stroke Society · 2023Article
- Article
- Prehospital recognition of stroke is associated with a lower risk of death.Acta neurologica Scandinavica · 2022Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveAmong patients assessed by the emergency medical service (EMS) and hospitalized with a final diagnosis of stroke, to describe delays, patient characteristics, actions taken and outcome in relation to the early recognition of stroke by the EMS clinician.
methodsPatients admitted to any of six stroke units in Region Västra Götaland, Sweden, with a final diagnosis of stroke from 1 January 2013 to 31 December 2015 were included. Data on follow-up were retrieved from the Swedish Stroke Register.
resultsIn all, 5467 patients were included. Stroke was recognized by the EMS clinician in 4396 cases (80.4%). The mean difference in the time from dialling 112 until arrival at the stroke unit was 556 min shorter when stroke was recognized, while the mean difference in the time from dialling 112 until a preliminary report from a computed tomography (CT) scan was 219 min shorter as compared with the patients in whom stroke was not recognized. After adjustment for age, sex, neurological deficits and coma, a lack of suspicion of stroke on EMS arrival was associated with an increased risk of death during three months of follow-up (odds ratio 1.66; 95% confidence interval 1.19-2.32; p = .003).
conclusionAmong patients with a stroke, more than 80% were recognized by the EMS clinician. Early recognition of stroke was associated with a markedly shorter time until arrival at the stroke unit and until the preliminary report of a CT scan. A lack of early stroke recognition was associated with an increased risk of death.
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