ArticleProceedings (Baylor University. Medical Center)2025
Prehospital notification in acute stroke: a retrospective cohort study.
Article in Proceedings (Baylor University. Medical Center), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Greasing the cogs in acute stroke care.Proceedings (Baylor University. Medical Center) · 2025Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Emergency medical services (EMS) play a key role in identifying stroke patients and transporting them to specialty care centers. We aimed to quantify the time saved in stroke care by EMS prehospital notification. Methods: We performed a retrospective cohort study at a large comprehensive stroke center in a major metropolitan system including patients treated between 2021 and 2022. Inclusion criteria were adult patients transported to the hospital by EMS with a discharge diagnosis of stroke or transient ischemic attack (TIA). Results: A total of 1053 patients were included, of whom 637 (60.5%) received prehospital notification. Prehospital notification was associated with a median 3-minute adjusted decrease in the door-to-computed-tomography (CT) time (median 18 min, 95% confidence interval [CI] 17-19 vs 21 min, 95% CI 20-22). Among patients who received intravenous thrombolysis (IVT), notification was associated with a faster adjusted time-to-IVT (median 52 min, 95% CI 50-56 vs 63 min, 95% CI 56-69). Of those who underwent endovascular thrombectomy (EVT), notification was associated with faster unadjusted time-to-EVT (median 97 min, 95% CI 93-105 vs 107 min, 95% CI 97-126), but this difference was no longer significant after adjustment. Conclusions: Prehospital notification is associated with reduced door-to-CT and door-to-IVT times. Prehospital notification in nationwide quality improvement efforts may improve stroke care.
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