Prehospital care process and hospital outcomes in stroke-code cases: comparison of basic and advance life support ambulance attendance.

Autor:	Solà Muñoz S; Sistema d'Emergències Mèdiques, Barcelona, España., Escudero Campillo MDM; Sistema d'Emergències Mèdiques, Barcelona, España., Soro Borrega C; Sistema d'Emergències Mèdiques, Barcelona, España., Azeli Y; Sistema d'Emergències Mèdiques, Barcelona, España., Querol Gil S; Sistema d'Emergències Mèdiques, Barcelona, España., Ruiz A; Sistema d'Emergències Mèdiques, Barcelona, España., Albacete G; Sistema d'Emergències Mèdiques, Barcelona, España., Moreno Peral O; Sistema d'Emergències Mèdiques, Barcelona, España., Lluch S; Sistema d'Emergències Mèdiques, Barcelona, España., Amaro Delgado S; Hospital Clínic, Barcelona, España., Silva Blas Y; Hospital Doctor Josep Trueta, Girona, España., Urra X; Hospital Clínic, Barcelona, España., Cocho Calderón D; Hospital de Granollers, Barcelona, España., Martí Fàbregas J; Hospital de la Santa Creu i Sant Pau, Barcelona, España., Ribó Jacobi M; Hospital Vall d'Hebron, Barcelona, España., Cardona Portela P; Hospital Universitari de Bellvitge, Barcelona, España., Purroy García F; Hospital Arnau de Vilanova, Lleida, España., Duarte Oller E; Hospital Parc de Salut Mar, Barcelona, España., Hidalgo Benítez V; Hospital Parc de Salut Mar, Barcelona, España., Flores A; Hospital Joan XXIII, Tarragona, España., Rubiera M; Hospital Vall d'Hebron, Barcelona, España., Palomeras E; Hospital de Mataró, Barcelona, España., García-Tornel Á; Hospital Vall d'Hebron, Barcelona, España., Suñer Soler R; Universitat de Girona. Grup de Recerca Salut i Atenció Sanitària, Girona, España., Vilar Roquet D; Pla Nacional d'Urgències de Catalunya (PLANUC), Servei Català de la Salut, España., Salvat-Plana M; Pla Director de la Malaltia Vascular Cerebral. Departament de Salut, Barcelona, España., Ramos Pachón A; Hospital Germans Trias i Pujol, Badalona, Barcelona, España., Pérez de la Ossa Herrero N; Pla Director de la Malaltia Vascular Cerebral. Departament de Salut, Barcelona, España., Jiménez Fàbrega X; Sistema d'Emergències Mèdiques, Barcelona, España. Pla Director de la Malaltia Vascular Cerebral. Departament de Salut, Barcelona, España.
Jazyk:	English; Spanish; Castilian
Zdroj:	Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias [Emergencias] 2023 Jun; Vol. 35 (3), pp. 167-175.
DOI:	10.55633/s3me/E059.2023
Abstrakt:	Objectives: To study prehospital care process in relation to hospital outcomes in stroke-code cases first attended by 2 different levels of ambulance. To analyze factors associated with a satisfactory functional outcome at 3 months. Material and Methods: Prospective multicenter observational cohort study. All stroke-code cases attended by prehospital emergency services from January 2016 to April 2022 were included. Prehospital and hospital variables were collected. The classificatory variable was type of ambulance attending (basic vs advanced life support). The main outcome variables were mortality and functional status after ischemic strokes in patients who underwent reperfusion treatment 90 days after the ischemic episode. Results: Out of 22 968 stroke-code activations, ischemic stroke was diagnosed in 12 467 patients (54.3%) whose functional status was good before the episode. Basic ambulances attended 93.1%; an advanced ambulance was ordered in 1.6% of the patients. Even though there were differences in patient and clinical characteristics recorded during the prehospital process, type of ambulance was not independently associated with mortality (adjusted odds ratio [aOR], 1.1; 95% CI, 0.77-1.59) or functional status at 3 months (aOR, 1.05; 95% CI, 0,72-1,47). Conclusion: The percentage of patient complications in stroke-code cases attended by basic ambulance teams is low. Type of ambulance responding was not associated with either mortality or functional outcome at 3 months in this study.
Databáze:	MEDLINE
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