Evidence map›Paper›PMID 40834904›Full record

ArticleJournal of Korean Neurosurgical Society2026

Clinical Practice Guideline for the Prehospital Stage in Acute Stroke : I. Use of Emergency Medical Services Assessment Tools.

Jae Sang Oh, Dongwook Seo, Jinwoo Jeong, Kyoung-Chul Cha, Yong Soo Cho, Su Jin Kim, Jongkyu Park, Won-Sang Cho, Se Won Oh, Jang Hun Kim and 13 more

Abstract read
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In one paragraph

Article in Journal of Korean Neurosurgical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

23 authors.

Jae Sang OhDepartment of Neurosurgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Dongwook SeoDepartment of Neurosurgery, Soonchunhyang University Seoul Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea.
Jinwoo JeongDepartment of Emergency Medicine, Dong-A University College of Medicine, Busan, Korea.
Kyoung-Chul ChaDepartment of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
Yong Soo ChoDepartment of Emergency Medicine, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
Su Jin KimDepartment of Emergency Medicine, College of Medicine, Korea University, Seoul, Korea.
Jongkyu ParkDepartment of Neurology, Soonchunhyang University Cheonan Hospital, College of Medicine, Soonchunhyang University, Cheonan, Korea.
Won-Sang ChoDepartment of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Se Won OhDepartment of Radiology, The Catholic University of Korea Eunpyeong St. Mary's Hospital, Seoul, Korea.
Jang Hun KimDepartment of Neurosurgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Hyeong Jin LeeDepartment of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hong Suk AhnDepartment of Neurosurgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Yuna JoDepartment of Medicine, College of Medicine, Soonchunhyang University, Cheonan, Korea.
Jung-Jae KimDepartment of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Kyoung Min JangDepartment of Neurosurgery, Chung-Ang University Gwangmyeong Hospital, Chung-Ang University College of Medicine, Gwangmyeong, Korea.
Gi-Yong YunDepartment of Neurosurgery, Soonchunhyang University Choenan Hospital, College of Medicine, Soonchunhyang University, Choenan, Korea.
Jong Min LeeDepartment of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Hoon KimDepartment of Neurosurgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Young Woo KimDepartment of Neurosurgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Tae Gon KimDepartment of Neurosurgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Sung-Kon HaDepartment of Neurosurgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Sukh Que ParkDepartment of Neurosurgery, Soonchunhyang University Seoul Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea.
Soon Chan KwonDepartment of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Funding

Bio & Medical Technology Development Program of the National Research Foundation 2023R1A2C100531Catholic University of KoreaKorean Neuroendovascular SocietyMinistry of Health and Welfare RS-2024-00439915Patient-Centered Clinical Research Coordinating Center RS-2024-00399351Uijeongbu St. Mary's Hospital
6 · The paper itself

Abstract

Accurate and early identification of stroke and large vessel occlusion (LVO) in emergency settings is essential for improving patient outcomes and ensuring the efficient allocation of medical resources. This clinical practice guideline systematically reviews domestic and international literature and conducts meta-analyses to evaluate the utility and diagnostic accuracy of stroke assessment tools used in prehospital emergency medical services (EMS). We developed a guideline based on evidence from systematic reviews and meta-analyses via a de novo process. A systematic literature review was conducted to evaluate the usefulness of diagnostic EMS assessment tools for diagnosing stroke and LVO. Overall, 70 non-randomized control studies were selected for this study. A meta-analysis was conducted with a subgroup analysis to distinguish between patients with stroke and those with LVO. EMS tools demonstrated high sensitivity but low specificity for diagnosing stroke. In the prehospital setting, using validated EMS stroke assessment tools is recommended for the early identification of stroke and LVO. Upon hospital arrival, stroke specialists should conduct further evaluation and triage to confirm the diagnosis and guide appropriate management. Delays in diagnosing LVO are frequently unacceptable. While experts advocate for the use of EMS assessment tools to facilitate early identification of LVO, these tools alone lack adequate sensitivity. Therefore, further diagnostic evaluations and consultation with stroke specialists upon hospital arrival are recommended.

Indexed as

Cerebral infarctionDiagnostic toolEmergency medical servicesGuidelineStroke

Identifiers

PMID40834904
PMCPMC12790914

What OpenQuestion holds

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Registered trials

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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.