Evidence map›Paper›PMID 42254550›Full record

ArticleJournal of patient experience2026

Stroke Survivor and Caregiver Perspectives on Seeking Emergency Medical Care.

Emma N Johnson, Lindsay E Stewart, Edward C Jauch, Jane H Brice, Mehul D Patel

Abstract read
In one paragraph

Article in Journal of patient experience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Emma N JohnsonDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0009-0000-3372-9306
Lindsay E StewartDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0009-0000-9400-195X
Edward C JauchDepartment of Research, University of North Carolina Health Sciences at MAHEC, Asheville, NC, USA.
Jane H BriceDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Mehul D PatelDepartment of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0000-0002-1281-3207

Funding

North Carolina Translational and Clinical Science Institute (NC TraCS) KL2KL2TR002490 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERGER, MORRIS · 2018 to 2022
$11.0M
Regionalization of Acute Stroke Care for Rural Populations: A Systems Modeling ApproachR01MD018031 · NIMHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mehul D. Patel · 2023 to 2026
$2.3M
NCATS NIH HHS KL2 TR002490NIMHD NIH HHS R01 MD018031
6 · The paper itself

Abstract

Early recognition of acute stroke and activation of emergency medical services (EMS) are critical for timely treatment and improved patient outcomes. We aimed to identify facilitators and barriers to calling 9-1-1 for acute stroke from the perspectives of stroke survivors and caregivers. We conducted 42 semi-structured interviews of stroke survivors and caregivers in North Carolina, recruited from an online platform and stroke support groups. Interviews explored recognition of stroke signs and care-seeking decisions. Interviews were analyzed thematically. Facilitators of timely 9-1-1 calls included prior stroke experience, knowledge of stroke signs, severe/rapid-onset symptoms, and the presence of bystanders. Barriers included perceiving mild symptoms, believing EMS was unnecessary, fear of overreacting, financial concerns, and distrust of healthcare providers. Early recognition and EMS activation were sometimes facilitated by contacting a healthcare professional within the patient's social network. Public stroke education needs to address common misperceptions about symptom severity, appropriate use of EMS, and ambulance costs.

Indexed as

emergency medicinemedical decision makingpatient experiencepatient perspectives/narrativesqualitative methods

Identifiers

PMID42254550
PMCPMC13237252

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.