Emergency department companions of stroke patients: implications on quality of care

Medicine
Liat AshkenaziGal Ifergane

Abstract

Acute care of stroke victims largely relies on the rapid identification and timely clinical and radiological assessment. We evaluated the effect of the number of patient companions on the efficiency of the diagnostic process in the emergency department (ED).Consecutive stroke patients admitted to the ED between August 2011 and October 2012 were evaluated. Clinical, epidemiological, and timeline data (symptoms onset, ED arrival, computed tomography [CT] scanning, and recombinant tissue plasminogen activator infusion), as well as the number of accompanying persons in the ED were prospectively recorded. We used multivariate Poisson log linear models to analyze the association of number of companions adjusted and door-to-CT times and logistic regression for the analysis of the successful identification of stroke patient by ED triage nurse.Out of a total of 724 stroke patients admitted, data regarding number of ED companions were available for 610 (84.3%) patients. Number of companions was associated with higher National Institute of Health Stroke Scale and speech disturbances. It was found to be independently associated with shorter time to CT scanning adjusted for the stroke severity, sex, and speech disturbances (no companions as...Continue Reading

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Citations

Feb 24, 2017·Lancet Neurology·Klaus FassbenderJeffrey L Saver
Mar 19, 2019·Frontiers in Neurology·Shrey MathurKlaus Fassbender
Jun 21, 2020·Lancet Neurology·Klaus FassbenderJames C Grotta
Sep 16, 2021·Acta Neurologica Scandinavica·Ane Bull IversenGrethe Andersen

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