Prehospital Stroke Identification: Factors Associated with Diagnostic Accuracy

Journal of Stroke and Cerebrovascular Diseases

Volumn 24, Issue 9, 2015, Pages 2161-2166

  Brandler, Ethan S ^a,b   Sharma, Mohit ^b   McCullough, Flynn ^b   Ben Eli, David ^c   Kaufman, Bradley ^c   Khandelwal, Priyank ^d   Helzner, Elizabeth ^b   Sinert, Richard H ^b   Levine, Steven R ^b  

^a STONY BROOK UNIVERSITY   (United States)

^b SUNY DOWNSTATE MEDICAL CENTER   (United States)

^c Department of New York   (United States)

^d UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

Author keywords

acute stroke care; emergency medical services; paramedics; Prehospital; stroke; stroke scale

Indexed keywords

ADULT; ARTICLE; CEREBROVASCULAR ACCIDENT; CLINICAL FEATURE; CONTROLLED STUDY; DIABETES MELLITUS; DIAGNOSTIC ACCURACY; DIAGNOSTIC ERROR; DIZZINESS; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; FEMALE; HEADACHE; HUMAN; MAJOR CLINICAL STUDY; MALAISE; MALE; MEDICAL SOCIETY; MENTAL HEALTH; PATIENT TRANSPORT; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SEIZURE; AGED; CLINICAL TRIAL; MIDDLE AGED; MULTICENTER STUDY; NEW YORK; PATHOLOGY; PATHOPHYSIOLOGY; PROCEDURES; REFERENCE VALUE; SENSITIVITY AND SPECIFICITY; STANDARDS; STATISTICAL MODEL; STROKE;

ADULT; AGED; DIAGNOSTIC ERRORS; EMERGENCY MEDICAL SERVICES; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; NEW YORK CITY; REFERENCE VALUES; SENSITIVITY AND SPECIFICITY; STROKE;

EID: 84940459418     PISSN: 10523057     EISSN: 15328511     Source Type: Journal    
DOI: 10.1016/j.jstrokecerebrovasdis.2015.06.004     Document Type: Article

References (27)

1. V. Rajajee, and J. Saver Prehospital care of the acute stroke patient Tech VascIntervRadiol 8 2005 74 80
2. H.J. Bae, D.H. Kim, N.T. Yoo, and et al. Prehospital notification from the emergency medical service reduces the transfer and intra-hospital processing times for acute stroke patients J ClinNeurol 6 2010 138 142
3. J.S. McKinney, K. Mylavarapu, J. Lane, and et al. Hospital prenotification of stroke patients by emergency medical services improves stroke time targets J Stroke Cerebrovasc Dis 22 2013 113 118
4. M.D. Patel, K.M. Rose, E.C. O'Brien, and et al. Prehospital notification by emergency medical services reduces delays in stroke evaluation: findings from the North Carolina stroke care collaborative Stroke 42 2011 2263 2268
5. A.R. Abdullah, E.E. Smith, P.D. Biddinger, and et al. Advance hospital notification by EMS in acute stroke is associated with shorter door-to-computed tomography time and increased likelihood of administration of tissue-plasminogen activator PrehospEmerg Care 12 2008 426 431
6. S.Y. Kang, and J.S. Kim Anterior cerebral artery infarction: stroke mechanism and clinical-imaging study in 100 patients Neurology 70 2008 2386 2393
7. E. Kumral, G. Bayulkem, D. Evyapan, and et al. Spectrum of anterior cerebral artery territory infarction: clinical and MRI findings Eur J Neurol 9 2002 615 624
8. J.A. Edlow, D.E. Newman-Toker, and S.I. Savitz Diagnosis and initial management of cerebellar infarction Lancet Neurol 7 2008 951 964
9. N.M. Lever, K.V. Nyström, J.L. Schindler, and et al. Missed opportunities for recognition of ischemic stroke in the emergency department J EmergNurs 39 2013 434 439
10. P. Ramanujam, K.Z. Guluma, E.M. Castillo, and et al. Accuracy of stroke recognition by emergency medical dispatchers and paramedics-San Diego experience PrehospEmerg Care 12 2008 307 313
11. R.U. Kothari, A. Pancioli, T. Liu, and et al. Cincinnati Prehospital Stroke Scale: reproducibility and validity Ann Emerg Med 33 1999 373 378
12. C.S. Kidwell, S. Starkman, M. Eckstein, and et al. Identifying stroke in the field. Prospective validation of the Los Angeles prehospital stroke screen (LAPSS) Stroke 31 2000 71 76
13. J.E. Bray, J. Martin, G. Cooper, and et al. Paramedic identification of stroke: community validation of the Melbourne ambulance stroke screen Cerebrovasc Dis 20 2005 28 33
14. D.M. Frendl, D.G. Strauss, B.K. Underhill, and et al. 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
15. J. Chenkin, D.J. Gladstone, P.R. Verbeek, and et al. Predictive value of the Ontario prehospital stroke screening tool for the identification of patients with acute stroke Prehosp Emerg Care 13 2009 153 159
16. A.W. Wojner-Alexandrov, A.V. Alexandrov, D. Rodriguez, and et al. Houston paramedic and emergency stroke treatment and outcomes study (HoPSTO) Stroke 36 2005 1512 1518
17. R.T. Fothergill, J. Williams, M.J. Edwards, and et al. Does use of the recognition of stroke in the emergency room stroke assessment tool enhance stroke recognition by ambulance clinicians? Stroke 44 2013 3007 3012
18. J.E. Bray, K. Coughlan, B. Barger, and et al. Paramedic diagnosis of stroke: examining long-term use of the Melbourne Ambulance Stroke Screen (MASS) in the field Stroke 41 2010 1363 1366
19. Y. Xian, G.C. Fonarow, M.J. Reeves, and et al. Data quality in the American Heart Association Get With The Guidelines-Stroke (GWTG-Stroke): results from a national data validation audit Am Heart J 163 2012 392 398
20. State and County Quickfacts, Kings County. United States Census Bureau web site. Available at: http://quickfacts.census.gov/qfd/states/36/36047.html. Accessed April 5, 2013.
21. K.A. LaBresh, M.J. Reeves, M.R. Frankel, and et al. Hospital treatment of patients with ischemic stroke or transient ischemic attack using the "Get With The Guidelines" program Arch Intern Med 168 2008 411 417
22. L.H. Schwamm, G.C. Fonarow, M.J. Reeves, and et al. Get with the Guidelines-Stroke is associated with sustained improvement in care for patients hospitalized with acute stroke or transient ischemic attack Circulation 119 2009 107 115
23. J.L. Saver, G.C. Fonarow, E.E. Smith, and et al. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic stroke JAMA 309 2013 2480 2488
24. J.R. Studnek, A. Asimos, J. Dodds, and et al. 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
25. E.S. Brandler, M. Sharma, R.H. Sinert, and S.R. Levine Prehospital stroke scales in urban environments: a systematic review Neurology 82 2014 2241 2249
26. P. Govindarajan, N.T. Desouza, J. Pierog, and et al. Feasibility study to assess the use of the Cincinnati stroke scale by emergency medical dispatchers: a pilot study Emerg Med J 29 2012 848 850
27. B.M. Kissela, J. Khoury, D. Kleindorfer, and et al. Epidemiology of ischemic stroke in patients with diabetes: the greater Cincinnati/Northern Kentucky Stroke Study Diabetes Care 28 2005 355 359