Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10425
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dc.contributor.authorMosley, Ianen
dc.contributor.authorNicol, Marcusen
dc.contributor.authorDonnan, Geoffrey Aen
dc.contributor.authorPatrick, Ianen
dc.contributor.authorKerr, Fergusen
dc.contributor.authorDewey, Helen Men
dc.date.accessioned2015-05-15T23:52:14Z
dc.date.available2015-05-15T23:52:14Z
dc.date.issued2007-08-23en
dc.identifier.citationStroke; A Journal of Cerebral Circulation 2007; 38(10): 2765-70en
dc.identifier.govdoc17717317en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10425en
dc.description.abstractFew patients with acute stroke are treated with alteplase, often due to significant prehospital delays after symptom onset. The aims of this study were to: (1) identify factors associated with rapid first medical assessment in the emergency department after a call for ambulance assistance, and (2) determine the impact of ambulance practice on times from the ambulance call to first medical assessment in the emergency department.During a 6-month period in 2004, all ambulance-transported patients with stroke or transient ischemic attack arriving from a geographically defined region in Melbourne, Australia (population 383,000) to one of 3 hospital emergency departments were assessed prospectively. Ambulance records including the tape recording of the call for ambulance assistance and hospital medical records, were analyzed.One hundred ninety-eight patients were included in the study. One hundred eighty-seven ambulance patient care records were complete and available for analysis. Factors associated with first medical assessment in the emergency department <60 minutes from the ambulance call and <10 minutes from hospital arrival were: Glasgow Coma Scale <13 (P<0.001 and P=0.021) and hospital prenotification (P=0.04 and P<0.001). Paramedic stroke recognition and hospital prenotification were associated with shorter times from the ambulance call to first medical assessment (P=0.001 and P<0.001).Paramedic stroke recognition and hospital prenotification are associated with shorter prehospital times from the ambulance call to hospital arrival and in-hospital times from hospital arrival to first medical assessment. This highlights the importance of including ambulance practice in comprehensive care pathways that span the whole process of stroke care.en
dc.language.isoenen
dc.subject.otherAcute Diseaseen
dc.subject.otherAgeden
dc.subject.otherAllied Health Personnelen
dc.subject.otherAmbulancesen
dc.subject.otherAustraliaen
dc.subject.otherComprehensive Health Careen
dc.subject.otherEmergency Medical Service Communication Systemsen
dc.subject.otherFemaleen
dc.subject.otherHumansen
dc.subject.otherIschemic Attack, Transient.diagnosis.therapyen
dc.subject.otherLogistic Modelsen
dc.subject.otherMaleen
dc.subject.otherMultivariate Analysisen
dc.subject.otherProspective Studiesen
dc.subject.otherStroke.diagnosis.therapyen
dc.subject.otherTime Factorsen
dc.titleThe impact of ambulance practice on acute stroke care.en
dc.typeJournal Articleen
dc.identifier.journaltitleStrokeen
dc.identifier.affiliationNational Stroke Research Institute, Level 1 Neurosciences Building, Austin Health, 300 Waterdale Road, Heidelberg Heights Victoria 3181, Australiaen
dc.identifier.doi10.1161/STROKEAHA.107.483446en
dc.description.pages2765-70en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/17717317en
dc.type.austinJournal Articleen
local.name.researcherDonnan, Geoffrey A
item.languageiso639-1en-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
crisitem.author.deptThe Florey Institute of Neuroscience and Mental Health-
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