Show simple item record

dc.contributor.authorEllensen, Eirin Nybøen_US
dc.contributor.authorNæss, Halvoren_US
dc.contributor.authorWisborg, Torbenen_US
dc.contributor.authorHunskaar, Steinaren_US
dc.contributor.authorZakariassen, Eriken_US
dc.date.accessioned2019-06-21T09:53:14Z
dc.date.available2019-06-21T09:53:14Z
dc.date.issued2018-01
dc.PublishedEllensen EN, Næss H, Wisborg TW, Hunskaar S, Zakariassen E. Stroke identification by criteria based dispatch - a register based study. Acta Anaesthesiologica Scandinavica. 2018;62(1):105-115eng
dc.identifier.issn1399-6576
dc.identifier.issn0001-5172
dc.identifier.urihttps://hdl.handle.net/1956/20334
dc.description.abstractBackground: Rapid and precise dispatch of resources is a key element in pre‐hospital emergency medicine. Emergency medical communication centres (EMCCs) dispatch resources based on protocols and guidelines, balancing the acute need of the individual and the resource allocation of the pre‐hospital emergency medical system. The aim of this study was to determine the validity of stroke identification by the Norwegian dispatch guidelines. Method and material: This was a register‐based study where patients suspected for stroke were compared to those with the final diagnosis of stroke as an indicator group for the guideline validation. One EMCC and its three associated hospitals participated with 13 months of data. Four subcodes of the stroke dispatch code were defined as suspicious of stroke and further analysed. Factors associated with stroke identification were explored. Results: The sensitivity for identifying a stroke patient at initial EMCC contact was 57.9% (51.5, 64.1), specificity was 99.1% (98.9, 99.2), positive predictive value was 45.7% (40.1, 51.4) and negative predictive value was 99.4% (99.3, 99.5). The emergency medical access telephone (113) was initial EMCC contact line in only 48% of the cases. Paralyses and admittance to a smaller hospital were associated with increased probability for stroke (OR 2.6, P = 0.001 and OR 2.7, P = 0.01), respectively. Conclusion: The sensitivity for identification of stroke patients by the dispatch guidelines is modest, while the specificity is high. The 113 telephone line was initial EMCC access point for less than half of the stroke patients.en_US
dc.language.isoengeng
dc.publisherWileyeng
dc.rightsAttribution CC BY-NC-NDeng
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/eng
dc.titleStroke identification by criteria based dispatch - a register based studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2019-01-24T14:23:08Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2017 The Author(s)
dc.identifier.doihttps://doi.org/10.1111/aas.13032
dc.identifier.cristin1587646
dc.source.journalActa Anaesthesiologica Scandinavica


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record

Attribution CC BY-NC-ND
Except where otherwise noted, this item's license is described as Attribution CC BY-NC-ND