Perception of stroke symptoms and utilization of emergency medical services.

Abstract:

Methods:Review of hospital records and structured telephone interviews of 100 consecutive stroke patients. Forward stepwise logistic regression was used for the statistical analysis. Results:Seventy patients (75%) arrived at the hospital 4.5 hours after stroke symptoms onset. The use of EMS did not improve arrival times. Most patients who recognized their symptoms did not use EMS (p < 0.02). Nineteen patients (20%) were initially misdiagnosed. Eighteen of them were first assessed by non-neurologist physicians (p < 0.001). Conclusions:Our population showed a low level of stroke awareness. The use of EMS did not improve arrival times at the hospital and the non-utilization of the EMS was associated with the recognition of stroke symptoms. There was a concerning rate of misdiagnosis, mostly by non-neurologist medical providers.

journal_name

Arq Neuropsiquiatr

authors

Hawkes MA,Farez MF,Calandri IL,Ameriso SF

doi

10.1590/0004-282X20160142

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

869-874

issue

11

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2016001100869

journal_volume

74

pub_type

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