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[Prehospital stroke treatment in German-speaking countries]. / Praxis der präklinischen Schlaganfallversorgung im deutschsprachigen Raum: Eine Umfrage unter den ärztlichen Leitungen Rettungsdienst in Deutschland, Österreich und der Schweiz.
Lier, Martin; Euler, Maximilian; Roessler, Markus; Liman, Jan; Goericke, Meike Bettina; Baubin, Michael; Mueller, Stefan Matthias; Kunze-Szikszay, Nils.
Afiliação
  • Lier M; Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Deutschland.
  • Euler M; Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Deutschland.
  • Roessler M; Klinik für Anästhesiologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Deutschland.
  • Liman J; Klinik für Neurologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Deutschland.
  • Goericke MB; Klinik für Neurologie, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Breslauer Straße 201, Nürnberg, 90471 Deutschland.
  • Baubin M; Klinik für Neurologie, Universitätsmedizin Göttingen, Robert-Koch-Straße 40, 37075 Göttingen, Deutschland.
  • Mueller SM; Universitätsklinik für Anästhesie und Intensivmedizin, Medizinische Universität Innsbruck, Anichstraße 35, 6020 Innsbruck, Österreich.
  • Kunze-Szikszay N; Schutz & Rettung, Stadt Zürich, Neumühlequai 40, 8021 Zürich, Schweiz.
Notf Rett Med ; : 1-9, 2023 Jan 20.
Article em De | MEDLINE | ID: mdl-36711435
Background: The prognosis of stroke patients can be improved by adherence to clinical guidelines. Objective: To analyse the current state of organisation of prehospital stroke treatment in Germany, Austria and Switzerland with a focus on guideline adherence. Materials and methods: All medical directors of emergency medical services (MDEMS) in Germany (n = 178), Austria (n = 9) and Switzerland (n = 32) were invited to complete an anonymous online survey (unipark.com, Tivian XI GmbH, Cologne, Germany) which was available for 10 weeks from April-June 2020. Participants were asked for information regarding structural organisation, clinical treatment and strategic/tactical aspects. Results: The survey was completed 69 times and 65 datasets were analysed (4 participants without MDEMS status): 73.8% (n = 48) were MDEMS from Germany, 15.4% (n = 10) from Switzerland and 10.8% from Austria (n = 7). The survey results show relevant differences in the infrastructure of and the approach to prehospital stroke treatment. Standard operating procedures for stroke treatment were in place in 93.3% (n = 61) of the EMS areas. Furthermore, 37% (n = 24) of the EMS areas differentiated between stroke with mild and severe symptoms and 15.4% (n = 10) used specific scores for the prehospital prediction of large vessel occlusion strokes (LVOS). Conclusions: Our data highlight the heterogeneity of prehospital stroke treatment in Germany, Austria and Switzerland. Consistent use of appropriate scores for LVOS prediction and a higher adherence to recent clinical guideline in general are measures that should be taken to optimise the prehospital treatment of stroke patients.
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Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Idioma: De Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Idioma: De Ano de publicação: 2023 Tipo de documento: Article