ArticleBMC emergency medicine2023
Recognition of visual symptoms in stroke: a challenge to patients, bystanders, and Emergency Medical Services.
Article in BMC emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Early Recognition and Referral of Acute Stroke in Primary and Emergency Care: A Systematic Review.The western journal of emergency medicine · 2026Pooled it
- Stroke recognition and early care pathways following telephone triage in out-of-hours primary care: a register-based study from the Central Denmark Region.Scandinavian journal of primary health care · 2026Article
- Eye-related emergency calls and prehospital management in region Zealand, Danmark: a register-based cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- The competency requirements for emergency medical services call takers and dispatchers - a scoping review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Decision to initiate transport to either Stroke Unit or local emergency department for patients with suspected stroke - a cohort study.BMC emergency medicine · 2026Article
- Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- Factors associated with missed stroke diagnosis in prehospital triage: a single-center cohort study.BMC neurology · 2026Article
- Effects of an online stroke education program on enhancing knowledge, awareness of stroke warning signs, and emergency medical services seeking among high-risk residents in Huanggang City, China.Journal of education and health promotion · 2026Article
- Criteria codes for unrecognized stroke/TIA patients by Emergency Medical Services dispatchers in Copenhagen, Denmark.BMC emergency medicine · 2025Article
- Barriers to Early Hospital Presentation in Acute Stroke: Findings from a Cohort Study.Annals of Indian Academy of Neurology · 2025Article
- Observational
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentification of visual symptoms as a sign of acute stroke can be challenging for both first line healthcare professionals and lay persons. Failed recognition of visual symptoms by medical dispatchers at the Emergency Medical Dispatch Center (EMDC-112) or personnel at the Out-of-Hours Health Service (OOHS) may delay stroke revascularization. We aimed to identify correct system response to visual symptoms in emergency calls.
methodsPhone calls from patient or bystander to the EMDC-112 or OOHS, which included visual symptoms on patients later verified with stroke/Transient ischemic attack (TIA) diagnosis, were analyzed. Data were stratified according to hospitalization within and after 4.5 h from symptom onset. Descriptive and multiple logistic regression analysis were performed.
resultsOf 517 calls identified, 290 calls fulfilled inclusion criteria. Only 30% of the patients received correct visitation by the medical dispatchers and referral to the hospital by a high-priority ambulance. Correct visitation was associated with early contact (adjusted OR: 2.37, 95% CI: 1.11, 5.03), contact to the EMDC-112 (adjusted OR: 3.18, 95% CI: 1.80, 5.62), and when the medical dispatcher asked additional questions on typical stroke symptoms (adjusted OR: 6.36, 95% CI: 3.01, 13.43). No specific visual symptom was associated with stroke recognition and fast hospitalization.
conclusionsFirst line healthcare professionals had significant problems in identifying visual symptoms as a sign of acute stroke and eliciting correct response. This highlights an urgent need to improve knowledge of visual symptoms in acute stroke and emphasize correct response to stroke symptoms in general.
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