Emergency Department Companions of Stroke Patients Implications on Quality of Care

被引:8
作者
Ashkenazi, Liat [1 ,3 ]
Toledano, Ronen [2 ,3 ]
Novack, Victor [2 ,3 ]
Elluz, Esther [1 ,3 ]
Abu-Salamae, Ibrahim [1 ,3 ]
Ifergane, Gal [1 ,3 ]
机构
[1] Soroka Univ Med Ctr, Dept Neurol, IL-84101 Beer Sheva, Israel
[2] Soroka Univ Med Ctr, Clin Res Ctr, IL-84101 Beer Sheva, Israel
[3] Ben Gurion Univ Negev, Fac Hlth Sci, Beer Sheva, Israel
关键词
FAMILY PRESENCE;
D O I
10.1097/MD.0000000000000520
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute care of stroke victims largely relies on the rapid identification and timely clinical and radiological assessment. We evaluated the effect of the number of patient companions on the efficiency of the diagnostic process in the emergency department (ED). Consecutive stroke patients admitted to the ED between August 2011 and October 2012 were evaluated. Clinical, epidemiological, and timeline data (symptoms onset, ED arrival, computed tomography [CT] scanning, and recombinant tissue plasminogen activator infusion), as well as the number of accompanying persons in the ED were prospectively recorded. We used multivariate Poisson log linear models to analyze the association of number of companions adjusted and door-to-CT times and logistic regression for the analysis of the successful identification of stroke patient by ED triage nurse. Out of a total of 724 stroke patients admitted, data regarding number of ED companions were available for 610 (84.3%) patients. Number of companions was associated with higher National Institute of Health Stroke Scale and speech disturbances. It was found to be independently associated with shorter time to CT scanning adjusted for the stroke severity, sex, and speech disturbances (no companions as a reference group, relative risks 0.82, 0.73, and 0.70 for 1, 2, and >= 3 companions, respectively, all P < 0.001). Similarly, number of companions was associated with higher rates of stroke recognition by the triage nurse adjusted for covariates (odds ratios 2.11, 2.62, and 4.11, respectively, all P < 0.05). Our findings suggest that the family members and other companions could serve as facilitators of faster and more effective ED management of stroke patients, possibly improving their outcome.
引用
收藏
页数:6
相关论文
共 11 条
  • [1] The Effect of Family Presence on the Efficiency of Pediatric Trauma Resuscitations
    Dudley, Nanette C.
    Hansen, Kristine W.
    Furnival, Ronald A.
    Donaldson, Amy E.
    Van Wagenen, Kaye Lynn
    Scaife, Eric R.
    [J]. ANNALS OF EMERGENCY MEDICINE, 2009, 53 (06) : 777 - 784
  • [2] The presence of a family witness impacts physician performance during simulated medical codes
    Fernandez, Rosemarie
    Compton, Scoff
    Jones, Kerin A.
    Velilla, Marc Anthony
    [J]. CRITICAL CARE MEDICINE, 2009, 37 (06) : 1956 - 1960
  • [3] Family Presence during Cardiopulmonary Resuscitation
    Jabre, Patricia
    Belpomme, Vanessa
    Azoulay, Elie
    Jacob, Line
    Bertrand, Lionel
    Lapostolle, Frederic
    Tazarourte, Karim
    Bouilleau, Guillem
    Pinaud, Virginie
    Broche, Claire
    Normand, Domitille
    Baubet, Thierry
    Ricard-Hibon, Agnes
    Istria, Jacques
    Beltramini, Alexandra
    Alheritiere, Armelle
    Assez, Nathalie
    Nace, Lionel
    Vivien, Benoit
    Turi, Laurent
    Launay, Stephane
    Desmaizieres, Michel
    Borron, Stephen W.
    Vicaut, Eric
    Adnet, Frederic
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (11) : 1008 - 1018
  • [4] Weighing the Benefits and Burdens of Witnessed Resuscitation
    Kramer, Daniel B.
    Mitchell, Susan L.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (11) : 1058 - 1059
  • [5] Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials
    Lees, Kennedy R.
    Bluhmki, Erich
    von Kummer, Ruediger
    Brott, Thomas G.
    Toni, Danilo
    Grotta, James C.
    Albers, Gregory W.
    Kaste, Markku
    Marler, John R.
    Hamilton, Scott A.
    Tilley, Barbara C.
    Davis, Stephen M.
    Donnan, Geoffrey A.
    Hacke, Werner
    Ninds, Ecass Atlantis
    [J]. LANCET, 2010, 375 (9727) : 1695 - 1703
  • [6] Reducing in-hospital delay to 20 minutes in stroke thrombolysis
    Meretoja, Atte
    Strbian, Daniel
    Mustanoja, Satu
    Tatlisumak, Turgut
    Lindsberg, Perttu J.
    Kaste, Markku
    [J]. NEUROLOGY, 2012, 79 (04) : 306 - 313
  • [7] Lumbar puncture success rate is not influenced by family-member presence
    Nigrovic, Lise E.
    McQueen, Alisa A.
    Neuman, Mark I.
    [J]. PEDIATRICS, 2007, 120 (04) : e777 - E782
  • [8] Family presence during pediatric trauma team activation: An assessment of a structured program
    O'Connell, Karen J.
    Farah, Mirna M.
    Spandorfer, Philip
    Zorc, Joseph J.
    [J]. PEDIATRICS, 2007, 120 (03) : E565 - E574
  • [9] Ethnic disparities in emergency department utilization patterns in southern Israel: a population-based study
    Plakht, Ygal
    Abu Tailakh, Muhammad
    Barabi, Tal
    Shiyovich, Arthur
    [J]. INTERNAL AND EMERGENCY MEDICINE, 2012, 7 (06) : 547 - 555
  • [10] Family members do not disrupt care when present during invasive procedures
    Sacchetti, A
    Paston, C
    Carraccio, C
    [J]. ACADEMIC EMERGENCY MEDICINE, 2005, 12 (05) : 477 - 479