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@article{1791737,
author = {Machová, Linda and Lin, Katie and Volný, Ondřej and Cabal, Martin and Holes, David and Hill, Michael D. and Bar, Michal and Mikulík, Robert},
article_location = {Lausanne},
article_number = {September 2021},
doi = {http://dx.doi.org/10.3389/fneur.2021.664918},
keywords = {ischemic stroke; prehospital care; emergency medical service; prenotification; teleconsultation},
language = {eng},
issn = {1664-2295},
journal = {Frontiers in Neurology},
title = {Content Analysis of Stroke Teleconsultation Recordings in the Moravian-Silesian Region, Czech Republic},
url = {https://www.frontiersin.org/articles/10.3389/fneur.2021.664918/full},
volume = {12},
year = {2021}
}
TY - JOUR
ID - 1791737
AU - Machová, Linda - Lin, Katie - Volný, Ondřej - Cabal, Martin - Holes, David - Hill, Michael D. - Bar, Michal - Mikulík, Robert
PY - 2021
TI - Content Analysis of Stroke Teleconsultation Recordings in the Moravian-Silesian Region, Czech Republic
JF - Frontiers in Neurology
VL - 12
IS - September 2021
SP - 1-5
EP - 1-5
PB - Frontiers
SN - 16642295
KW - ischemic stroke
KW - prehospital care
KW - emergency medical service
KW - prenotification
KW - teleconsultation
UR - https://www.frontiersin.org/articles/10.3389/fneur.2021.664918/full
N2 - Background: Direct teleconsultations between emergency medical services (EMS) crews and hospital-based stroke neurologists are mandated in the Czech Republic as triage and prenotification tool in acute stroke patients. The main aim of this study was to analyze the efficacy as well as quality of such teleconsultations in daily clinical practice. Methods: This is a descriptive analysis of teleconsultations between EMS paramedic crews and hospital-based neurologists in a geographically defined region of the Czech Republic (Moravian-Silesian region) between October 2018 to December 2018. All teleconsultations were analyzed for length and content. Content analysis included the following information: date, age, sex, prehospital neurological deficit(s), known/unknown time of symptom onset, anticoagulation status, vital signs, premorbid disability, and patient ID/insurance company number. Results: Within the study period, paramedics conducted 522 calls across 6 stroke centers. Of these, 334 (64%) calls were conducted because patients met pre-established prehospital criteria for suspected acute stroke. Median call duration was 1 min 44 s ± 56 s (minimum 50 s, maximum 5 min 5 s). Amongst the analyzed prehospital teleconsultations, stroke onset time was reported in 95% of cases, neurological deficit in 96%, significant co-morbidities in 53%, premorbid disability in 37%, and anticoagulation status in 53%. Conclusion: Teleconsultations between paramedics and hospital-based neurologists are not time-consuming. Stroke onset time and severity of neurological deficit are consistently communicated, however other important information such as comorbidities, premorbid disability, and anticoagulation status are reported inconsistently. Introduction
ER -
MACHOVÁ, Linda, Katie LIN, Ondřej VOLNÝ, Martin CABAL, David HOLES, Michael D. HILL, Michal BAR and Robert MIKULÍK. Content Analysis of Stroke Teleconsultation Recordings in the Moravian-Silesian Region, Czech Republic. \textit{Frontiers in Neurology}. Lausanne: Frontiers, 2021, vol.~12, September 2021, p.~1-5. ISSN~1664-2295. Available from: https://dx.doi.org/10.3389/fneur.2021.664918.
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