Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care

被引：17
作者：
Zachrison, Kori S. [1 ]
Nielsen, Victoria M. [2 ]
de la Ossa, Natalia Perez [3 ,4 ]
Madsen, Tracy E. [5 ]
Cash, Rebecca E. [1 ]
Crowe, Remle P. [6 ]
Odom, Erika C. [7 ]
Jauch, Edward C. [8 ]
Adeoye, Opeolu M. [9 ]
Richards, Christopher T. [10 ]
机构：
[1] Massachusetts Gen Hosp, Dept Emergency Med, Boston, MA USA
[2] Massachusetts Dept Publ Hlth, Boston, MA USA
[3] Hosp Badalona Germans Trias & Pujol, Dept Neurol, Stroke Unit, Badalona, Spain
[4] Agcy Hlth Qual & Assessment Catalonia, Catalan Hlth Dept, Stroke Programme, Barcelona, Spain
[5] Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI USA
[6] ESO Inc, Austin, TX USA
[7] Ctr Dis Control & Prevent, Div Heart Dis & Stroke Prevent, Atlanta, GA USA
[8] Univ North Carolina Hlth Sci, Dept Res, Mt Area Hlth Educ Ctr, Asheville, NC USA
[9] Washington Univ, Dept Emergency Med, Sch Med, St Louis, MO USA
[10] Univ Cincinnati, Dept Emergency Med, Div EMS, Coll Med, Cincinnati, OH USA
来源：
STROKE | 2023年 / 54卷 / 04期
关键词：
delivery of healthcare; emergency medical services; stroke; stroke center; ACUTE ISCHEMIC-STROKE; CONSENSUS STATEMENT; COST-EFFECTIVENESS; SUSPECTED STROKE; POLICY STATEMENT; EARLY MANAGEMENT; NETWORK ANALYSIS; 9-1-1; CALLS; ASSOCIATION; EMS;
D O I：
10.1161/STROKEAHA.122.039586
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Acute stroke care begins before hospital arrival, and several prehospital factors are critical in influencing overall patient care and poststroke outcomes. This topical review provides an overview of the state of the science on prehospital components of stroke systems of care and how emergency medical services systems may interact in the system to support acute stroke care. Topics include layperson recognition of stroke, prehospital transport strategies, networked stroke care, systems for data integration and real-time feedback, and inequities that exist within and among systems.
引用
收藏
页码：1138 / 1147
页数：10
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