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Solà Muñoz S, Escudero Campillo MDM, Soro Borrega C, Azeli Y, Querol Gil S, Ruiz A, Albacete G, Moreno Peral O, Lluch S, Amaro Delgado S, Silva Blas Y, Urra X, Cocho Calderón D, Martí Fàbregas J, Ribó Jacobi M, Cardona Portela P, Purroy García F, Duarte Oller E, Hidalgo Benítez V, Flores A, Rubiera M, Palomeras E, García-Tornel Á, Suñer Soler R, Vilar Roquet D, Salvat-Plana M, Ramos Pachón A, Pérez de la Ossa Herrero N, Jiménez Fàbrega X. Prehospital care process and hospital outcomes in stroke-code cases: comparison of basic and advance life support ambulance attendance. Emergencias 2023; 35:167-175. [PMID: 37350599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/24/2023]
Abstract
OBJECTIVES To study prehospital care process in relation to hospital outcomes in stroke-code cases first attended by 2 different levels of ambulance. To analyze factors associated with a satisfactory functional outcome at 3 months. MATERIAL AND METHODS Prospective multicenter observational cohort study. All stroke-code cases attended by prehospital emergency services from January 2016 to April 2022 were included. Prehospital and hospital variables were collected. The classificatory variable was type of ambulance attending (basic vs advanced life support). The main outcome variables were mortality and functional status after ischemic strokes in patients who underwent reperfusion treatment 90 days after the ischemic episode. RESULTS Out of 22 968 stroke-code activations, ischemic stroke was diagnosed in 12 467 patients (54.3%) whose functional status was good before the episode. Basic ambulances attended 93.1%; an advanced ambulance was ordered in 1.6% of the patients. Even though there were differences in patient and clinical characteristics recorded during the prehospital process, type of ambulance was not independently associated with mortality (adjusted odds ratio [aOR], 1.1; 95% CI, 0.77-1.59) or functional status at 3 months (aOR, 1.05; 95% CI, 0,72-1,47). CONCLUSION The percentage of patient complications in stroke-code cases attended by basic ambulance teams is low. Type of ambulance responding was not associated with either mortality or functional outcome at 3 months in this study.
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Affiliation(s)
| | | | | | - Youcef Azeli
- Sistema d'Emergències Mèdiques, Barcelona, España
| | | | - Antoni Ruiz
- Sistema d'Emergències Mèdiques, Barcelona, España
| | | | | | - Sergi Lluch
- Sistema d'Emergències Mèdiques, Barcelona, España
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Rosa Suñer Soler
- Universitat de Girona. Grup de Recerca Salut i Atenció Sanitària, Girona, España
| | - Daniel Vilar Roquet
- Pla Nacional d'Urgències de Catalunya (PLANUC), Servei Català de la Salut, España
| | - Mercè Salvat-Plana
- Pla Director de la Malaltia Vascular Cerebral. Departament de Salut, Barcelona, España
| | | | | | - Xavier Jiménez Fàbrega
- Sistema d'Emergències Mèdiques, Barcelona, España. Pla Director de la Malaltia Vascular Cerebral. Departament de Salut, Barcelona, España
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