Pre-hospital stroke screening and notification of patients with reperfusion-eligible acute ischaemic stroke using modified Face Arm Speech Time test
| Autor: | Mona My Tse, Anderson Co Tsang, Lawrence Hc Lam, Olivia M.Y. Choi, Wai-Man Lui, Kay C Teo, William Cy Leung, Tat Chi Tsang, W M Kwok |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Diagnostic Screening Programs
Male medicine.medical_specialty Emergency Medical Services Face arm speech time Time-to-Treatment Reperfusion therapy Ischaemic stroke medicine Emergency medical services Humans Prospective Studies Suspected stroke Stroke Aged Ischemic Stroke Retrospective Studies Aged 80 and over business.industry Health Plan Implementation Middle Aged medicine.disease Test (assessment) Mechanical thrombectomy Emergency Medical Technicians Early Diagnosis Emergency medicine Reperfusion Female business |
| Zdroj: | Hong Kong medical journal = Xianggang yi xue za zhi. 26(6) |
| ISSN: | 1024-2708 |
| Popis: | OBJECTIVES To investigate the effects of pre-hospital stroke screening and notification on reperfusion therapy for patients with acute ischaemic stroke. METHODS Pre-hospital stroke screening criteria were established based on a modified version of the Face Arm Speech Time (FAST) test. Screening was performed during ambulance transport by emergency medical service (EMS) personnel who completed a 2-hour training session on stroke screening. Temporal trends affecting acute ischaemic stroke investigation and intervention were compared before and after implementation of the pre-hospital screening. RESULTS From July 2018 to October 2019, 298 patients with suspected stroke were screened by EMS personnel during ambulance transport prior to hospital arrival. Of these 298 patients, 213 fulfilled the screening criteria, 166 were diagnosed with acute stroke, and 32 received reperfusion therapy. The onset-to-door time was shortened by more than 1.5 hours (100.6 min vs 197.6 min, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|