Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time

Background: A pre-hospital notification (PN) system is required to optimize government-initiated comprehensive stroke center (CSC) programs in South Korea. We accordingly conducted a feasibility study in the Busan region. Methods: We determined the stroke detection accuracy and the door-to-imaging (...

Full description

Bibliographic Details
Main Authors: Jin-Heon Jeong, Jin Young Yang, Jae-Kwan Cha, Dae-Hyun Kim, Hyun-Wook Nah, Myong-Jin Kang, Jae-Hyung Choi, Jae-Taeck Huh
Format: Article
Language:English
Published: The Korean Neurocritical Care Society 2015-12-01
Series:Journal of Neurocritical Care
Subjects:
Online Access:http://www.e-jnc.org/upload/pdf/jnc-8-2-98.pdf
_version_ 1819072497181523968
author Jin-Heon Jeong
Jin Young Yang
Jae-Kwan Cha
Dae-Hyun Kim
Hyun-Wook Nah
Myong-Jin Kang
Jae-Hyung Choi
Jae-Taeck Huh
author_facet Jin-Heon Jeong
Jin Young Yang
Jae-Kwan Cha
Dae-Hyun Kim
Hyun-Wook Nah
Myong-Jin Kang
Jae-Hyung Choi
Jae-Taeck Huh
author_sort Jin-Heon Jeong
collection DOAJ
description Background: A pre-hospital notification (PN) system is required to optimize government-initiated comprehensive stroke center (CSC) programs in South Korea. We accordingly conducted a feasibility study in the Busan region. Methods: We determined the stroke detection accuracy and the door-to-imaging (DTI) time as a result of using PN in the Busan region among acute stroke (AS) patients who were diagnosed by paramedics of the Busan 119 Emergency medical service (EMS). All paramedics of 119 EMS were trained using the Cincinnati Pre-hospital Stroke Screen. Beginning in 2011, stroke team members received direct calls from paramedics notifying them of suspected AS patients. Stroke identification results from paramedics were compared with emergency department and final hospital discharge diagnoses. Finally, we compared the DTI time between patients with and without PN by paramedics of the Busan 119 EMS. Results: During the observation period, 91 suspected AS patients were referred to our CSC from paramedics of the Busan 119 EMS. Among them, 57 patients (62.6%) were diagnosed with AS. Their mean DTI time was 13.4 ± 8.1 min. The accuracy rate was similar and imaging time was significantly shorter (32.7 ± 252.8 min, p<0.01), as compared to patients diagnosed by ER doctors during the same period. Conclusion: In this study, we confirmed the feasibility of successful implementation of a PN system for AS patients in the Busan region.
first_indexed 2024-12-21T17:38:40Z
format Article
id doaj.art-a460d616d02a432cb307b802db1d0002
institution Directory Open Access Journal
issn 2005-0348
language English
last_indexed 2024-12-21T17:38:40Z
publishDate 2015-12-01
publisher The Korean Neurocritical Care Society
record_format Article
series Journal of Neurocritical Care
spelling doaj.art-a460d616d02a432cb307b802db1d00022022-12-21T18:55:41ZengThe Korean Neurocritical Care SocietyJournal of Neurocritical Care2005-03482015-12-01829810210.18700/jnc.2015.8.2.98205Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging TimeJin-Heon Jeong0Jin Young Yang1Jae-Kwan Cha2Dae-Hyun Kim3Hyun-Wook Nah4Myong-Jin Kang5Jae-Hyung Choi6Jae-Taeck Huh7 Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, Korea Busan-Ulsan Regional Cardio-Cerebral Vascular Center, Dong-A University Hospital, Busan, KoreaBackground: A pre-hospital notification (PN) system is required to optimize government-initiated comprehensive stroke center (CSC) programs in South Korea. We accordingly conducted a feasibility study in the Busan region. Methods: We determined the stroke detection accuracy and the door-to-imaging (DTI) time as a result of using PN in the Busan region among acute stroke (AS) patients who were diagnosed by paramedics of the Busan 119 Emergency medical service (EMS). All paramedics of 119 EMS were trained using the Cincinnati Pre-hospital Stroke Screen. Beginning in 2011, stroke team members received direct calls from paramedics notifying them of suspected AS patients. Stroke identification results from paramedics were compared with emergency department and final hospital discharge diagnoses. Finally, we compared the DTI time between patients with and without PN by paramedics of the Busan 119 EMS. Results: During the observation period, 91 suspected AS patients were referred to our CSC from paramedics of the Busan 119 EMS. Among them, 57 patients (62.6%) were diagnosed with AS. Their mean DTI time was 13.4 ± 8.1 min. The accuracy rate was similar and imaging time was significantly shorter (32.7 ± 252.8 min, p<0.01), as compared to patients diagnosed by ER doctors during the same period. Conclusion: In this study, we confirmed the feasibility of successful implementation of a PN system for AS patients in the Busan region.http://www.e-jnc.org/upload/pdf/jnc-8-2-98.pdfAcute strokeEmergency medical serviceParamedics
spellingShingle Jin-Heon Jeong
Jin Young Yang
Jae-Kwan Cha
Dae-Hyun Kim
Hyun-Wook Nah
Myong-Jin Kang
Jae-Hyung Choi
Jae-Taeck Huh
Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
Journal of Neurocritical Care
Acute stroke
Emergency medical service
Paramedics
title Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
title_full Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
title_fullStr Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
title_full_unstemmed Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
title_short Feasibility of a Pre-Hospital Notification System Using Direct Calls from Paramedics of 119 EMS Ambulances for Acute Stroke Patients: Accuracy of Diagnosis and Efficacy of Shortening of Door-to-Imaging Time
title_sort feasibility of a pre hospital notification system using direct calls from paramedics of 119 ems ambulances for acute stroke patients accuracy of diagnosis and efficacy of shortening of door to imaging time
topic Acute stroke
Emergency medical service
Paramedics
url http://www.e-jnc.org/upload/pdf/jnc-8-2-98.pdf
work_keys_str_mv AT jinheonjeong feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT jinyoungyang feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT jaekwancha feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT daehyunkim feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT hyunwooknah feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT myongjinkang feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT jaehyungchoi feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime
AT jaetaeckhuh feasibilityofaprehospitalnotificationsystemusingdirectcallsfromparamedicsof119emsambulancesforacutestrokepatientsaccuracyofdiagnosisandefficacyofshorteningofdoortoimagingtime