Impact on Prehospital Delay of a Stroke Preparedness Campaign

Denti, Licia; Caminiti, Caterina; Scoditti, Umberto; Zini, Andrea; Malferrari, Giovanni; Zedde, Marialuisa; Guidetti, Donata; Baratti, M; Vaghi, Luca; Montanari, E.; Marcomini, Barbara; Riva, Silvia; Iezzi, Elisa; Castellini, Paola; Olivato, Silvia; Barbi, Filippo; Perticaroli, Eva; Monaco, Daniela; Iafelice, Ilaria; Bigliardi, Guido; Vandelli, Laura; Guareschi, A; Artoni, Andrea; Zanferrari, Carla; Schulz, Peter

doi:10.1161/strokeaha.117.018135

Cited by 25 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The marginally longer stroke-to-call time depended on larger variability in the cohort-2020, suggesting that stroke awareness campaign might be implemented during the pandemic to reinforce a timely access to emergency services. Citizens' stroke awareness is paramount to guarantee access to treatment, and recent regional campaigns in 2014 [10] and in 2018 (https://salute.regione.emilia-romagna.it/campagne/ ictus-vedo-riconosco-chiamo) might have contributed to early recognition, and encouraged calling emergency services.…”

Section: Discussionmentioning

confidence: 99%

The stroke mothership model survived during COVID-19 era: an observational single-center study in Emilia-Romagna, Italy

et al. 2020

Self Cite

View full text Add to dashboard Cite

Introduction A reduction of the hospitalization and reperfusion treatments was reported during COVID-19 pandemic. However, high variability in results emerged, potentially due to logistic paradigms adopted. Here, we analyze stroke code admissions, hospitalizations, and stroke belt performance for ischemic stroke patients in the metropolitan Bologna region, comparing temporal trends between 2019 and 2020 to define the impact of COVID-19 on the stroke network. Methods This retrospective observational study included all people admitted at the Bologna Metropolitan Stroke Center in timeframes 1 March 2019–30 April 2019 (cohort-2019) and 1 March 2020–30 April 2020 (cohort-2020). Diagnosis, treatment strategy, and timing were compared between the two cohorts to define temporal trends. Results Overall, 283 patients were admitted to the Stroke Center, with no differences in demographic factors between cohort-2019 and cohort-2020. In cohort-2020, transient ischemic attack (TIA) was significantly less prevalent than 2019 (6.9% vs 14.4%, p = .04). Among 216 ischemic stroke patients, moderate-to-severe stroke was more represented in cohort-2020 (17.8% vs 6.2%, p = .027). Similar proportions of patients underwent reperfusion (45.9% in 2019 vs 53.4% in 2020), although a slight increase in combined treatment was detected (14.4% vs 25.4%, p = .05). Door-to-scan timing was significantly prolonged in 2020 compared with 2019 (28.4 ± 12.6 vs 36.7 ± 14.6, p = .03), although overall timing from stroke to treatment was preserved. Conclusion During COVID-19 pandemic, TIA and minor stroke consistently reduced compared to the same timeframe in 2019. Longer stroke-to-call and door-to-scan times, attributable to change in citizen behavior and screening at hospital arrival, did not impact on stroke-to-treatment time. Mothership model might have minimized the effects of the pandemic on the stroke care organization.

show abstract

Section: Discussionmentioning

confidence: 99%

The stroke mothership model survived during COVID-19 era: an observational single-center study in Emilia-Romagna, Italy

et al. 2020

Self Cite

View full text Add to dashboard Cite

show abstract

“…34 Although some smaller studies have demonstrated modest benefits, others have shown no or only transient benefits. 51–54 Knowledge of stroke warning signs varies by race, sex, ethnicity, age, education, and urbanicity, 33 which may contribute to disparities in outcomes. Public education campaigns should make every attempt to address underserved groups and those with the largest opportunities to improve awareness.…”

Section: Organization Of Prehospital and Initial Systems Of Carementioning

confidence: 99%

2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Greenberg¹,

Ziai²,

Cordonnier³

et al. 2022

Stroke

692

472

View full text Add to dashboard Cite

other entities (RWI) can be found at https://professional. heart.org/-/media/phd-files/guidelines-and-statements/ policies-devolopment/aha-asa-disclosure-rwi-policy-5118. pdf?la=en.Beginning in 2017, numerous modifications to AHA/ ASA guidelines have been implemented to make guidelines shorter and enhance user-friendliness. Guidelines are written and presented in a modular knowledge chunk format; each chunk includes a table of recommendations, a brief synopsis, recommendation-specific supportive text, and, when appropriate, flow diagrams or additional tables. Hyperlinked references are provided to facilitate quick access and review. Other modifications to the guidelines include the addition of Knowledge Gaps and Future Research segments in some sections and a web guideline supplement (Online Data Supplement) for useful but noncritical tables and figures.

show abstract

“…In this study, the time of service in the prehospital care was higher for the GTA occurring in the rural area (Soares et al, 2018), justifying such a significant association, since the base of the services that provide prehospital care of the analyzed region is located in the urban zone. In addition, the rural area has different characteristics in relation to the victim's exposure to the event, being conducive to risk behavior by the driver, such as not using protective equipment, driving without a national driver's license, use of alcoholic beverages, and insufficient traffic control in those localities (Denti et al, 2017;Tinoco et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Trajectory of the Victims of Overland Transport Accidents: From Prehospital to Hospital Care

et al. 2020

View full text Add to dashboard Cite

Objective The aim is to evaluate the trajectory of the victims of ground transportation accidents from the prehospital care to the hospital. Methods The sample consisted of 1,264 patients collected from the prehospital care, from June 2015 to June 2016. The trajectory was analyzed by the difference in the average time elapsed between the call and the hospital entrance. The Mann–Whitney and Kruskal–Wallis tests were used, adopting a significance level of 5% and 95% confidence. Results Patients had a mean age of 31.2 years, Glasgow Coma Scale of 14.8 points, and 24.8 days of hospitalization. It is characterized predominantly masculine, conductive of the vehicle, being the motorcycle prevalent; most of them wore a helmet/seat belt and no alcohol. The association between the average time of care and the characteristics related to the victim was significant: the use of the belt/helmet, alcoholism, and type of discharge and relative to the accident: area of occurrence, period of the week, shift of occurrence, type of prehospital care, and other party involved. Conclusion The characteristics related to ground transportation accident interfere in the time of prehospital care to the hospital, which can influence the prognosis.

show abstract

Impact on Prehospital Delay of a Stroke Preparedness Campaign

Abstract: URL: http://www.clinicaltrials.gov. Unique identifier: NCT01881152.

Cited by 25 publications

References 33 publications

The stroke mothership model survived during COVID-19 era: an observational single-center study in Emilia-Romagna, Italy

The stroke mothership model survived during COVID-19 era: an observational single-center study in Emilia-Romagna, Italy

2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Trajectory of the Victims of Overland Transport Accidents: From Prehospital to Hospital Care

Contact Info

Product

Resources

About