Out-of-hospital stroke screen accuracy in a state with an emergency medical services protocol for routing patients to acute stroke centers

Annals of Emergency Medicine

Volumn 64, Issue 5, 2014, Pages 509-515

  Asimos, Andrew W ^a   Ward, Shana ^b   Brice, Jane H ^c   Rosamond, Wayne D ^d   Goldstein, Larry B ^e   Studnek, Jonathan ^f  

^a CAROLINAS MEDICAL CENTER   (United States)

^b Audit Services Department   (United States)

^c UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

^d IL   (United States)

^e DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^f Mecklenburg EMS Agency   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; BRAIN HEMORRHAGE; BRAIN ISCHEMIA; CEREBROVASCULAR ACCIDENT; CINCINNATI PREHOSPITAL STROKE SCALE; CLINICAL PROTOCOL; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; EMERGENCY HEALTH SERVICE; FEMALE; HUMAN; LOS ANGELES PREHOSPITAL STROKE SCREEN; MAJOR CLINICAL STUDY; MALE; NAMED INVENTORIES, QUESTIONNAIRES AND RATING SCALES; PATIENT TRANSPORT; RETROSPECTIVE STUDY; SCREENING; SENSITIVITY AND SPECIFICITY; STROKE PATIENT; TRANSIENT ISCHEMIC ATTACK; UNITED STATES; DECISION SUPPORT SYSTEM; EPIDEMIOLOGY; PROCEDURES; STANDARDS; STROKE; TREATMENT OUTCOME;

AGED; CLINICAL PROTOCOLS; DECISION SUPPORT TECHNIQUES; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; MALE; NORTH CAROLINA; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); SENSITIVITY AND SPECIFICITY; STROKE;

EID: 84908372883     PISSN: 01960644     EISSN: 10976760     Source Type: Journal    
DOI: 10.1016/j.annemergmed.2014.03.024     Document Type: Article

References (32)

1. E.C. Jauch, J.L. Saver, and H.P. Adams Jr. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association Stroke 44 2013 870 947
2. National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group Tissue plasminogen activator for acute ischemic stroke N Engl J Med 333 1995 1581 1587
3. W. Hacke, G. Donnan, and C. Fieschi Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials Lancet 363 2004 768 774
4. W. Hacke, M. Kaste, and E. Bluhmki Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke N Engl J Med 359 2008 1317 1329
5. J.N. Goldstein, S.H. Thomas, and V. Frontiero Timing of fresh frozen plasma administration and rapid correction of coagulopathy in warfarin-related intracerebral hemorrhage Stroke 37 2006 151 155
6. K.R. Lees, E. Bluhmki, and R. von Kummer Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials Lancet 375 2010 1695 1703
7. J.R. Marler, B.C. Tilley, and M. Lu Early stroke treatment associated with better outcome: the NINDS rt-PA stroke study Neurology 55 2000 1649 1655
8. J.L. Saver, G.C. Fonarow, and E.E. Smith Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke JAMA 309 2013 2480 2488
9. R. Higashida, M.J. Alberts, and D.N. Alexander Interactions within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Stroke 44 2013 2961 2984
10. J.E. Acker III, A.M. Pancioli, and T.J. Crocco Implementation strategies for emergency medical services within stroke systems of care: a policy statement from the American Heart Association/American Stroke Association Expert Panel on Emergency Medical Services Systems and the Stroke Council Stroke 38 2007 3097 3115
11. S. Song, and J. Saver Growth of regional acute stroke systems of care in the United States in the first decade of the 21st century Stroke 43 2012 1975 1978
12. R. El Khoury, R. Jung, and A. Nanda Overview of key factors in improving access to acute stroke care Neurology 79 13 suppl 1 2012 S26 S34
13. K. Fassbender, C. Balucani, and S. Walter Streamlining of prehospital stroke management: the golden hour Lancet Neurol 12 2013 585 596
14. C.S. Kidwell, S. Starkman, and M. Eckstein Identifying stroke in the field. Prospective validation of the Los Angeles Prehospital Stroke Screen (LAPSS) Stroke 31 2000 71 76
15. R.U. Kothari, A. Pancioli, and T. Liu Cincinnati Prehospital Stroke Scale: reproducibility and validity Ann Emerg Med 33 1999 373 378
16. H.J. Audebert, J.L. Saver, and S. Starkman Prehospital stroke care: new prospects for treatment and clinical research Neurology 81 2013 501 508
17. P. Ramanujam, K.Z. Guluma, and E.M. Castillo Accuracy of stroke recognition by emergency medical dispatchers and paramedics - San Diego experience Prehosp Emerg Care 12 2008 307 313
18. V. Ziegler, A. Rashid, and M. Muller-Gorchs Mobile computing systems in preclinical care of stroke. Results of the Stroke Angel initiative within the BMBF project PerCoMed Anaesthesist 57 2008 677 685
19. D.M. Frendl, D.G. Strauss, and B.K. Underhill Lack of impact of paramedic training and use of the Cincinnati Prehospital Stroke Scale on stroke patient identification and on-scene time Stroke 40 2009 754 756
20. J. Bergs, M. Sabbe, and P. Moons Prehospital stroke scales in a Belgian prehospital setting: a pilot study Eur J Emerg Med 17 2010 2 6
21. J.R. Studnek, A. Asimos, and J. Dodds Assessing the validity of the Cincinnati Prehospital Stroke Scale and the medic prehospital assessment for code stroke in an urban emergency medical services agency Prehosp Emerg Care 17 2013 348 353
22. G.D. Mears, D. Pratt, and S.W. Glickman The North Carolina EMS Data System: a comprehensive integrated emergency medical services quality improvement program Prehosp Emerg Care 14 2010 85 94
23. A.M. Hakenewerth, A.E. Waller, and A.I. Ising North Carolina Disease Event Tracking and Epidemiologic Collection Tool (NC DETECT) and the National Hospital Ambulatory Medical Care Survey (NHAMCS): comparison of emergency department data Acad Emerg Med 16 2009 261 269
24. G.D. Mears, W.D. Rosamond, and C. Lohmeier A link to improve stroke patient care: a successful linkage between a statewide emergency medical services data system and a stroke registry Acad Emerg Med 17 2010 1398 1404
25. Rhea S. EMSPIC Analysis of PreMIS-NC DETECT Data Linkage File Document. 6-18-2012.
26. J.E. Bray, J. Martin, and G. Cooper Paramedic identification of stroke: community validation of the Melbourne Ambulance Stroke Screen Cerebrovasc Dis 20 2005 28 33
27. J.E. Bray, K. Coughlan, and B. Barger Paramedic diagnosis of stroke: examining long-term use of the Melbourne Ambulance Stroke Screen (MASS) in the field Stroke 41 2010 1363 1366
28. C.S. Kidwell, J.L. Saver, and G.B. Schubert Design and retrospective analysis of the Los Angeles Prehospital Stroke Screen (LAPSS) Prehosp Emerg Care 2 1998 267 273
29. K.B. Yeatts, S.J. Lippmann, and A.E. Waller Population-based burden of COPD-related visits in the ED: return ED visits, hospital admissions, and comorbidity risks Chest 144 2013 784 793
30. K.H. Lich, D. Travers, and W. Psek Emergency department visits attributable to asthma in North Carolina, 2008 N C Med J 74 2013 9 17
31. Committee on Trauma Prehospital Trauma Care: Resources for Optimal Care of the Injured Patient 2006 American College of Surgeons Chicago, IL 21 25
32. S.W. Glickman, D.M. Kit, and J.M. Hirshon Defining and measuring successful emergency care networks: a research agenda Acad Emerg Med 17 2010 1297 1305