SynthesisEuropean stroke journal2024
Emergency Medical Services dispatcher recognition of stroke: A systematic review.
Synthesis in European stroke journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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.
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Who cites it
9 citing papers in PubMed.
- Review
- Stroke detection in medical emergency calls: a retrospective analysis and exploratory evaluation of an AI decision support model.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Multi-method approach to the development of contextual telephone triage systems.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
- Recognition of stroke symptoms indicative of anterior circulation large-vessel occlusion via telephone and video calls: a simulation study.BMC emergency medicine · 2025Article
- Modelling the potential clinical benefit of mobile stroke units in England.BMC emergency medicine · 2025Article
- Practitioner, patient and public views on the acceptability of mobile stroke units in England and Wales: A mixed methods study.PloS one · 2025Article
- Factors affecting emergency medical dispatchers decision making in stroke calls - a qualitative study.BMC emergency medicine · 2024Article
- Potential effects of a mobile stroke unit on time to treatment and outcome in patients treated with thrombectomy or thrombolysis: A Danish-German cross-border analysis.European journal of neurology · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeStroke treatments are time-sensitive, and thus early and correct recognition of stroke by Emergency Medical Services is essential for outcomes. This is particularly important with the adaption of mobile stroke units. In this systematic review, we therefore aimed to provide a comprehensive overview of Emergency Medical Services dispatcher recognition of stroke.
methodsThe review was registered on PROSPERO and the PRISMA guidelines were applied. We searched PubMed, Embase, and Cochrane Review Library. Screening and data extraction were performed by two observers. Risk of bias was assessed using the QUADAS-2 instrument.
findingsOf 1200 papers screened, 24 fulfilled the inclusion criteria. Data on sensitivity was reported in 22 papers and varied from 17.9% to 83.0%. Positive predictive values were reported in 12 papers and ranged from 24.0% to 87.7%. Seven papers reported specificity, which ranged from 20.0% to 99.1%. Six papers reported negative predictive value, ranging from 28.0% to 99.4%. In general, the risk of bias was low. DISCUSSION: Stroke recognition by dispatchers varied greatly, but overall many patients with stroke are not recognised, despite the initiatives taken to improve stroke literacy. The available data are of high quality, however Asian, African, and South American populations are underrepresented.
conclusionWhile the data are heterogenous, this review can serve as a reference for future research in emergency medical dispatcher stroke recognition and initiatives to improve prehospital stroke recognition.
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