Percepción de los síntomas del accidente cerebrovascular y utilización de los servicios de emergencias médicos

Translated title of the contribution: Perception of stroke symptoms and utilization of emergency medical services

Maximiliano A. Hawkes, Mauricio F. Farez, Ismael L. Calandri, Sebastián F. Ameriso

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Lack of stroke awareness and slow activation of emergency medical services (EMS) are frequently reported reasons for delayed arrival to the hospital. We evaluated these variables in our population. Methods: Review of hospital records and structured telephone interviews of 100 consecutive stroke patients. Forward stepwise logistic regression was used for the statistical analysis. Results: Seventy patients (75%) arrived at the hospital 4.5 hours after stroke symptoms onset. The use of EMS did not improve arrival times. Most patients who recognized their symptoms did not use EMS (p < 0.02). Nineteen patients (20%) were initially misdiagnosed. Eighteen of them were first assessed by non-neurologist physicians (p < 0.001). Conclusions: Our population showed a low level of stroke awareness. The use of EMS did not improve arrival times at the hospital and the non-utilization of the EMS was associated with the recognition of stroke symptoms. There was a concerning rate of misdiagnosis, mostly by non-neurologist medical providers.

Translated title of the contributionPerception of stroke symptoms and utilization of emergency medical services
Original languagePortuguese
Pages (from-to)869-874
Number of pages6
JournalArquivos de Neuro-Psiquiatria
Volume74
Issue number11
DOIs
StatePublished - Nov 2016
Externally publishedYes

Keywords

  • Emergency medical system
  • Stroke

ASJC Scopus subject areas

  • Clinical Neurology
  • Biological Psychiatry

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