Content Analysis of Stroke Teleconsultation Recordings in the Moravian-Silesian Region, Czech Republic

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F21%3AA2202DCD" target="_blank" >RIV/61988987:17110/21:A2202DCD - isvavai.cz</a>

Alternative codes found

RIV/00159816:_____/21:00075049 RIV/00843989:_____/21:E0109168 RIV/00216208:11110/21:10433320 RIV/00216224:14110/21:00122325

Result on the web

<a href="https://www.webofscience.com/wos/woscc/full-record/WOS:000698168000001" target="_blank" >https://www.webofscience.com/wos/woscc/full-record/WOS:000698168000001</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fneur.2021.664918" target="_blank" >10.3389/fneur.2021.664918</a>

Result language

angličtina

Original language name

Content Analysis of Stroke Teleconsultation Recordings in the Moravian-Silesian Region, Czech Republic

Original language description

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.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30103 - Neurosciences (including psychophysiology)

Project

Result was created during the realization of more than one project. More information in the Projects tab.

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2021

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Frontiers in Neurology

ISSN

1664-2295

e-ISSN

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Volume of the periodical

12

Issue of the periodical within the volume

září 2021

Country of publishing house

CH - SWITZERLAND

Number of pages

5

Pages from-to

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UT code for WoS article

000698168000001

EID of the result in the Scopus database

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