Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients
Abstract Stroke patients not eligible for acute intervention often have low priority and may spend long time at the emergency department (ED) waiting for admission. The aim of this retrospective case–control register study was to evaluate outcomes for such “low priority” stroke patients who were tra...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2023-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-48007-6 |
| _version_ | 1827603591377977344 |
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| author | Ingela Wennman Helle Wijk Katarina Jood Eric Carlström Bengt Fridlund Linda Alsholm Johan Herlitz Per-Olof Hansson |
| author_facet | Ingela Wennman Helle Wijk Katarina Jood Eric Carlström Bengt Fridlund Linda Alsholm Johan Herlitz Per-Olof Hansson |
| author_sort | Ingela Wennman |
| collection | DOAJ |
| description | Abstract Stroke patients not eligible for acute intervention often have low priority and may spend long time at the emergency department (ED) waiting for admission. The aim of this retrospective case–control register study was to evaluate outcomes for such “low priority” stroke patients who were transported via Fast Track directly to the stroke unit, according to pre-specified criteria by emergency medical service (EMS). The outcomes of Fast Track patients, transported directly to stroke unit (cases) were compared with the outcomes of patients who fulfilled these critera for Fast Track, but instead were transported to the ED (controls). In all, 557 cases and 509 controls were identified. The latter spent a mean time of 237 min in the ED before admission. The 90-day mortality rate was 12.9% for cases and 14.7% for controls (n.s.). None of the secondary outcome events differed significantly between the groups: 28-day mortality rate; death rate during hospitalisation; proportion of pneumonias, falls or pressure ulcers; or health-related outcomes according to the EQ-5D-5L questionnaire. These findings indicates that the Fast Track to the stroke unit by an EMS is safe for selected stroke patients and could avoid non-valuable time in the ED. |
| first_indexed | 2024-03-09T05:42:51Z |
| format | Article |
| id | doaj.art-147dd3bbd73b4918b855a7d94fef4416 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-09T05:42:51Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-147dd3bbd73b4918b855a7d94fef44162023-12-03T12:23:21ZengNature PortfolioScientific Reports2045-23222023-11-0113111110.1038/s41598-023-48007-6Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patientsIngela Wennman0Helle Wijk1Katarina Jood2Eric Carlström3Bengt Fridlund4Linda Alsholm5Johan Herlitz6Per-Olof Hansson7Institute of Health and Care Sciences, Sahlgrenska Academy, University of GothenburgInstitute of Health and Care Sciences, Sahlgrenska Academy, University of GothenburgDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, at the University of GothenburgInstitute of Health and Care Sciences, Sahlgrenska Academy, University of GothenburgCentre for Interprofessional Collaboration Within Emergency Care (CICE), Linnaeus UniversityDepartment of Clinical Neuroscience, Institute of Neuroscience and Physiology, The Sahlgrenska Academy, at the University of GothenburgPreHospen – Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, University of BoråsDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of GothenburgAbstract Stroke patients not eligible for acute intervention often have low priority and may spend long time at the emergency department (ED) waiting for admission. The aim of this retrospective case–control register study was to evaluate outcomes for such “low priority” stroke patients who were transported via Fast Track directly to the stroke unit, according to pre-specified criteria by emergency medical service (EMS). The outcomes of Fast Track patients, transported directly to stroke unit (cases) were compared with the outcomes of patients who fulfilled these critera for Fast Track, but instead were transported to the ED (controls). In all, 557 cases and 509 controls were identified. The latter spent a mean time of 237 min in the ED before admission. The 90-day mortality rate was 12.9% for cases and 14.7% for controls (n.s.). None of the secondary outcome events differed significantly between the groups: 28-day mortality rate; death rate during hospitalisation; proportion of pneumonias, falls or pressure ulcers; or health-related outcomes according to the EQ-5D-5L questionnaire. These findings indicates that the Fast Track to the stroke unit by an EMS is safe for selected stroke patients and could avoid non-valuable time in the ED.https://doi.org/10.1038/s41598-023-48007-6 |
| spellingShingle | Ingela Wennman Helle Wijk Katarina Jood Eric Carlström Bengt Fridlund Linda Alsholm Johan Herlitz Per-Olof Hansson Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients Scientific Reports |
| title | Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients |
| title_full | Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients |
| title_fullStr | Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients |
| title_full_unstemmed | Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients |
| title_short | Fast track to stroke unit for patients not eligible for acute intervention, a case–control register study on 1066 patients |
| title_sort | fast track to stroke unit for patients not eligible for acute intervention a case control register study on 1066 patients |
| url | https://doi.org/10.1038/s41598-023-48007-6 |
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