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The effect of emergency medical service use and inter-hospital transfer on prehospital delay among ischemic stroke patients : A multicenter observational study

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  • The effect of emergency medical service use and inter-hospital transfer on prehospital delay among ischemic stroke patients
  • Park, Hang A; Ahn, Ki Ok; Shin, Sang Do et al.
  • The Korean Academy of Medical Sciences


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Title The effect of emergency medical service use and inter-hospital transfer on prehospital delay among ischemic stroke patients
Similar Titles
Sub Title

A multicenter observational study

Material Type Articles
Author(English)

Park, Hang A; Ahn, Ki Ok; Shin, Sang Do et al.

Publisher

[Seoul]:The Korean Academy of Medical Sciences

Date 2016-06
Journal Title; Vol./Issue Jornal of Korean Medical Science:vol. 31(no. 1)
Pages 8
Subject Country South Korea(Asia and Pacific)
Language English
File Type Link
Subject Territorial Development < Transport/Logistics
Social Development < Health
Holding The Korean Academy of Medical Sciences

Abstract

The time between symptom onset and arrival at an emergency department (ED) (S2D) is a crucial time for optimal intravenous reperfusion care for ischemic stroke. We aimed to analyze the effect of emergency medical services (EMS) utilization and inter-hospital transfer on S2D in Korea. Ischemic stroke patients were prospectively enrolled from November 2007 to December 2012 in 23 tertiary and teaching hospital EDs in Korea. Of 31,443 adult ischemic stroke patients, 20,780 were categorized into 4 groups based on modes of EMS utilization and inter-hospital transfer: direct transport to destination ED by EMS (EMS direct; n = 6,257, 30.1%), transfer after transport to another ED by EMS (EMS indirect; n = 754, 3.6%), direct transport to the ED without using EMS (non-EMS direct; n = 8,928, 43.0%), and transfer after visiting another hospital without using EMS (nonEMS indirect; n = 4,841, 23.3%). (The rest omitted)