Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

One in three stroke emergencies don’t use EMS

30.04.2013
Study Highlights:
- More than a third of stroke patients don’t get to the hospital by ambulance — the fastest way to get there.
- Ethnic minorities and rural residents were less likely to call 9-1-1 at the onset of a stroke.
- The American Heart Association/American Stroke Association wants you to know the signs of a stroke and call 9-1-1 immediately for help.

More than a third of stroke patients don’t get to the hospital by ambulance, even though that’s the fastest way to get there, according to new research in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal.

Researchers studied records on more than 204,000 stroke patients arriving at emergency rooms at 1,563 hospitals participating in the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke quality improvement program in 2003-10.

Emergency medical services (EMS) transported 63.7 percent of the patients, with the rest arriving in various other ways, researchers said.

During a stoke emergency, quick treatment is critical. EMS transported 79 percent of those who got to the hospital within two hours of the start of their symptoms. That resulted in earlier arrival, quicker evaluation and faster treatment, said the researchers who found:
Almost 61 percent of people transported by EMS got to the hospital within three hours of the first symptoms, compared to 40 percent who didn’t use EMS;
Almost 55 percent using EMS had a brain scan within 25 minutes of hospital arrival, compared to 35.6 percent who didn’t use EMS;
Of patients eligible for a clot-busting drug, 67.3 percent using EMS received it within three hours of symptom onset, compared to 44.1 percent who didn’t use EMS.

“EMS are able to give the hospital a heads up, and that grabs the attention of the emergency room staff to be ready to act as soon as the patient arrives,” said Jeffrey L. Saver, M.D., senior author of the study and director of the UCLA Comprehensive Stroke Center in Los Angeles, Calif. “The ambulance crew also knows which hospitals in the area have qualified stroke centers. Patients don't lose time going to one hospital only to be referred to another that can provide more advanced care if needed, whether that’s drugs to bust up the clot or device procedures to remove it.”

Minorities and rural residents were less likely to call for EMS at the signs of a stroke, researchers found.

“A number of factors can fuel the reluctance to call 9-1-1,” said James Ekundayo, M.D., Dr.P.H., lead author of the study and assistant professor in the Department of Family and Community Medicine at Meharry Medical College in Nashville, Tenn. “People may not recognize symptoms and may delay seeking medical care or call their doctor instead.

We hear people say they just didn’t want to be a bother, but many times there could have been a better outcome if EMS had been called.”

About 795,000 Americans experience a new or recurrent stroke each year — a stroke every 40 seconds or a related death every four minutes.

Boosting public awareness efforts and education is critical to improving stroke outcomes in the short- and long-term, researchers said.

The American Heart Association/American Stroke Association’s Together to End Stroke, sponsored nationally by healthcare products leader Covidien, raises stroke awareness and educates Americans that stroke is largely preventable, treatable and beatable. The campaign now includes a free mobile app that highlights the acronym F.A.S.T. to help people recognize a stroke:
Face Drooping – Does one side of the face droop or is it numb? Ask the person to smile.
Arm Weakness – Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward?
Speech Difficulty – Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence, like “The sky is blue.” Is the sentence repeated correctly?
Time to call 9-1-1 – If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately.

“Your life, your brain, depends on calling 9-1-1,” Saver said. “Know the signs and act fast if you or someone you’re with is having stroke symptoms.”

The American Stroke Association has more information about stroke.

Other co-authors are: Gregg C. Fonarow, M.D.; Lee H. Schwamm, M.D.; Ying Xian, M.D., Ph.D.; Xin Zhao, M.S.; Adrian F. Hernandez, M.D.; Eric D. Peterson, M.D.; and Eric M. Cheng, M.D. Author disclosures and funding are noted on the manuscript.

Statements and conclusions of study authors published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association’s policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at www.heart.org/corporatefunding.

Additional resources, including multimedia, are available in the right column of this link: http://newsroom.heart.org/news/one-in-three-stroke-emergencies-dont-use-ems?preview=52f0688d6172869c7e6611c9726bf912

For media inquiries: (214) 706-1173

Cathy Lewis: (214) 706-1324; Cathy.Lewis@heart.org

Toiya Honoré: (214) 706-1456; Toiya.Honore@heart.org

Julie Del Barto (broadcast): (214) 706-1330; Julie.DelBarto@heart.org

For public inquiries: (800) AHA-USA1 (242-8721)

heart.org and strokeassociation.org

Cathy Lewis | EurekAlert!
Further information:
http://www.heart.org

Further reports about: EMS emergency room stroke emergencies stroke patients

More articles from Studies and Analyses:

nachricht Smart Data Transformation – Surfing the Big Wave
02.12.2016 | Fraunhofer-Institut für Angewandte Informationstechnik FIT

nachricht Climate change could outpace EPA Lake Champlain protections
18.11.2016 | University of Vermont

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Novel silicon etching technique crafts 3-D gradient refractive index micro-optics

A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.

Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...

Im Focus: Quantum Particles Form Droplets

In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.

“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...

Im Focus: MADMAX: Max Planck Institute for Physics takes up axion research

The Max Planck Institute for Physics (MPP) is opening up a new research field. A workshop from November 21 - 22, 2016 will mark the start of activities for an innovative axion experiment. Axions are still only purely hypothetical particles. Their detection could solve two fundamental problems in particle physics: What dark matter consists of and why it has not yet been possible to directly observe a CP violation for the strong interaction.

The “MADMAX” project is the MPP’s commitment to axion research. Axions are so far only a theoretical prediction and are difficult to detect: on the one hand,...

Im Focus: Molecules change shape when wet

Broadband rotational spectroscopy unravels structural reshaping of isolated molecules in the gas phase to accommodate water

In two recent publications in the Journal of Chemical Physics and in the Journal of Physical Chemistry Letters, researchers around Melanie Schnell from the Max...

Im Focus: Fraunhofer ISE Develops Highly Compact, High Frequency DC/DC Converter for Aviation

The efficiency of power electronic systems is not solely dependent on electrical efficiency but also on weight, for example, in mobile systems. When the weight of relevant components and devices in airplanes, for instance, is reduced, fuel savings can be achieved and correspondingly greenhouse gas emissions decreased. New materials and components based on gallium nitride (GaN) can help to reduce weight and increase the efficiency. With these new materials, power electronic switches can be operated at higher switching frequency, resulting in higher power density and lower material costs.

Researchers at the Fraunhofer Institute for Solar Energy Systems ISE together with partners have investigated how these materials can be used to make power...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

ICTM Conference 2017: Production technology for turbomachine manufacturing of the future

16.11.2016 | Event News

Innovation Day Laser Technology – Laser Additive Manufacturing

01.11.2016 | Event News

#IC2S2: When Social Science meets Computer Science - GESIS will host the IC2S2 conference 2017

14.10.2016 | Event News

 
Latest News

UTSA study describes new minimally invasive device to treat cancer and other illnesses

02.12.2016 | Medical Engineering

Plasma-zapping process could yield trans fat-free soybean oil product

02.12.2016 | Agricultural and Forestry Science

What do Netflix, Google and planetary systems have in common?

02.12.2016 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>