Pre-hospital Care for Suspected Stroke Patients, Cared for by Mobile Emergency Care Units in Northern Minas Gerais
Int. j. cardiovasc. sci. (Impr.)
; 34(3): 245-252, May-June 2021. tab
Artigo
em Inglês
| LILACS
| ID: biblio-1250102
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract Background Stroke management require rapid identification, assessment, and transport of patients to qualified health care centers. However, there is little description in the literature on the multiple challenges associated with the pre-hospital transport of suspected stroke patients. Objective To characterize the pre-hospital care provided to suspected stroke patients by the Brazilian Emergency Medical Service (SAMU in Portuguese), by means of a descriptive case study. Methods This is a descriptive study of a series of cases. Data from the SAMU regarding the responses to emergency calls from suspected stroke patients were collected. Independent reviewers confirmed the diagnostic hypothesis and all discordances were assessed using kappa statistics. Clinical data and transport times were described as frequency and proportion or central tendency and dispersion measures. Normality of continuous variable distribution was assessed using the Kolmogorov-Smirnov test. The Mann-Whitney U test was used for comparison of medians, with a 5% significance level. Results During the studied period, 556 suspected stroke patients were treated. The kappa index was 0.82 (95% CI 0.737 to 0.919) CI. In 74.7% of the cases, the symptom onset time was not recorded. The median time elapsed between the call for emergency services and the ambulance arrival was 18 minutes, and the median transport time was 38 minutes. A total of 34% of the patients were taken to referral hospitals for stroke. Conclusion This study revealed a low level of knowledge regarding the need to determine the exact time of symptom onset of suspected stroke patients. Also, the study showed the low rate of patients taken to referral hospitals. (Int J Cardiovasc Sci. 2021; [online].ahead print, PP.0-0)
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.6 Reduzir as mortes e traumatismos por acidentes de transito
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
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Meta 3.6: Reduzir as mortes e traumatismos por acidentes de transito
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Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
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Resposta Pós-Acidente
Base de dados:
LILACS
Assunto principal:
Acidente Vascular Cerebral
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Serviços Médicos de Emergência
Tipo de estudo:
Estudo diagnóstico
/
Estudo prognóstico
Limite:
Idoso
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Idoso, 80 anos ou mais
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Feminino
/
Humanos
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Masculino
Idioma:
Inglês
Revista:
Int. j. cardiovasc. sci. (Impr.)
Assunto da revista:
Cardiologia
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital Risoleta Tolentino Neves/BR
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Núcleo de Educação Permanente/BR
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Universidade Federal de Minas Gerais/BR