The Effect of Emergency Medical Service Use and Inter-hospital Transfer on Prehospital Delay among Ischemic Stroke Patients: A Multicenter Observational Study

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...

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Published inJournal of Korean medical science Vol. 31; no. 1; pp. 139 - 146
Main Authors Park, Hang A, Ahn, Ki Ok, Shin, Sang Do, Cha, Won Chul, Ro, Young Sun
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Academy of Medical Sciences 01.01.2016
대한의학회
Subjects
Aged
Emergency Medical Services - statistics & numerical data
Female
Humans
Logistic Models
Male
Middle Aged
Odds Ratio
Original
Republic of Korea
Stroke - diagnosis
Tertiary Care Centers
Time Factors
의학일반
Republic of Korea
Stroke
Time Interval
Emergency Medical Services
Acute
Patient Transfer
Online AccessGet full text
ISSN1011-8934
1598-6357
1598-6357
DOI10.3346/jkms.2016.31.1.139

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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 (non-EMS indirect; n=4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤ 2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤ 2 hr. Adjusted odds ratio for S2D ≤ 2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke.
AbstractList 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 (non-EMS indirect; n=4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤2 hr. Adjusted odds ratio for S2D ≤2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke.
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 (non-EMS indirect; n=4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤ 2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤ 2 hr. Adjusted odds ratio for S2D ≤ 2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke.
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 (non- EMS indirect; n = 4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤ 2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤ 2 hr. Adjusted odds ratio for S2D ≤ 2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke. KCI Citation Count: 1
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 (non-EMS indirect; n=4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤ 2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤ 2 hr. Adjusted odds ratio for S2D ≤ 2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke.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 (non-EMS indirect; n=4,841, 23.3%). Our primary outcome variable was of S2D within 2 hr (S2D ≤ 2 hr) and found that 30.8% of all patients and 52.3%, 16.4%, 25.9%, and 13.9% of EMS direct, EMS indirect, non-EMS direct, and non-EMS indirect, respectively, achieved S2D ≤ 2 hr. Adjusted odds ratio for S2D ≤ 2 hr were 6.56 (95% confidence interval [CI], 5.94-7.24), 2.27 (95% CI, 2.06-2.50), and 1.07 (95% CI, 0.87-1.33) for EMS direct, non-EMS direct, and EMS indirect, respectively. Patients directly transported to destination hospitals by the EMS show the highest proportion of therapeutic time window for optimal care in ischemic stroke.
Author Ahn, Ki Ok
Ro, Young Sun
Cha, Won Chul
Shin, Sang Do
Park, Hang A
AuthorAffiliation 2 Laboratory of Emergency Medical Service, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea
4 Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
1 Genome Epidemiology, Department of Epidemiology, Graduate School of Public Health, Seoul National University, Seoul, Korea
3 Department of Emergency Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea
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Cites_doi 10.1161/CIRCULATIONAHA.112.000506
10.1056/NEJM199512143332401
10.1161/STROKEAHA.110.609750
10.1161/STROKEAHA.110.583815
10.1186/1471-2377-11-2
10.1161/STROKEAHA.111.638460
10.3109/10903127.2013.773113
10.1212/WNL.47.2.383
10.1136/jnnp.2009.203174
10.1016/j.resuscitation.2010.02.029
10.1093/ageing/afh064
10.1161/01.STR.32.1.63
10.1111/j.1553-2712.1998.tb02574.x
10.1161/STROKEAHA.107.500678
10.1161/01.STR.31.11.2585
10.1161/01.STR.32.8.1832
10.1161/01.STR.31.8.1925
10.1161/STR.0b013e318284056a
10.1212/WNL.0000000000000523
10.1161/STROKEAHA.112.652644
10.1161/01.STR.31.11.2591
10.1136/bmj.325.7354.17
10.1161/01.STR.0000069164.91268.99
10.1161/01.STR.28.11.2139
10.1212/WNL.56.8.1015
10.1161/01.STR.32.5.1061
10.1212/WNL.55.11.1649
10.1161/STROKEAHA.111.623512
10.1016/j.jemermed.2010.04.001
10.1161/01.STR.31.1.71
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Issue 1
Keywords Stroke
Time Interval
Emergency Medical Services
Acute
Patient Transfer
Language English
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References Reed (10.3346/jkms.2016.31.1.139_ref9) 2001; 32
Kim (10.3346/jkms.2016.31.1.139_ref25) 2012; 43
Jauch (10.3346/jkms.2016.31.1.139_ref19) 2013; 44
Lacy (10.3346/jkms.2016.31.1.139_ref23) 2001; 32
Harraf (10.3346/jkms.2016.31.1.139_ref22) 2002; 325
Lee (10.3346/jkms.2016.31.1.139_ref33) 2014; 25
Nedeltchev (10.3346/jkms.2016.31.1.139_ref31) 2003; 34
Go (10.3346/jkms.2016.31.1.139_ref2) 2013; 127
Brandler (10.3346/jkms.2016.31.1.139_ref28) 2014; 82
Ahn (10.3346/jkms.2016.31.1.139_ref30) 2013; 24
Johnston (10.3346/jkms.2016.31.1.139_ref8) 2001; 32
Rudd (10.3346/jkms.2016.31.1.139_ref10) 2011; 82
George (10.3346/jkms.2016.31.1.139_ref20) 2009; 58
Saver (10.3346/jkms.2016.31.1.139_ref11) 2010; 41
(10.3346/jkms.2016.31.1.139_ref3) 1995; 333
Marler (10.3346/jkms.2016.31.1.139_ref5) 2000; 55
Berglund (10.3346/jkms.2016.31.1.139_ref12) 2012; 43
Ahn (10.3346/jkms.2016.31.1.139_ref16) 2010; 81
Lim (10.3346/jkms.2016.31.1.139_ref32) 2013; 24
Rosamond (10.3346/jkms.2016.31.1.139_ref35) 1998; 5
Studnek (10.3346/jkms.2016.31.1.139_ref29) 2013; 17
Jorgensen (10.3346/jkms.2016.31.1.139_ref37) 1996; 47
(10.3346/jkms.2016.31.1.139_ref4) 1997; 28
Kidwell (10.3346/jkms.2016.31.1.139_ref27) 2000; 31
Kim (10.3346/jkms.2016.31.1.139_ref14) 2011; 11
Jin (10.3346/jkms.2016.31.1.139_ref36) 2012; 43
Sun (10.3346/jkms.2016.31.1.139_ref15) 2013; 127
10.3346/jkms.2016.31.1.139_ref17
Wein (10.3346/jkms.2016.31.1.139_ref24) 2000; 31
(10.3346/jkms.2016.31.1.139_ref1) 2004; 58
Demaerschalk (10.3346/jkms.2016.31.1.139_ref7) 2008; 39
Prabhakaran (10.3346/jkms.2016.31.1.139_ref26) 2011; 42
Kwan (10.3346/jkms.2016.31.1.139_ref21) 2004; 33
Barber (10.3346/jkms.2016.31.1.139_ref6) 2001; 56
Kim (10.3346/jkms.2016.31.1.139_ref13) 2011; 41
Morris (10.3346/jkms.2016.31.1.139_ref18) 2000; 31
Schroeder (10.3346/jkms.2016.31.1.139_ref34) 2000; 31
References_xml – volume: 24
  start-page: 664
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref32
  publication-title: J Korean Soc Emerg Med
– volume: 127
  start-page: 1139
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref15
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.112.000506
– volume: 58
  start-page: 405
  year: 2004
  ident: 10.3346/jkms.2016.31.1.139_ref1
  publication-title: Indian J Med Sci
– volume: 333
  start-page: 1581
  year: 1995
  ident: 10.3346/jkms.2016.31.1.139_ref3
  publication-title: N Engl J Med
  doi: 10.1056/NEJM199512143332401
– volume: 42
  start-page: 1626
  year: 2011
  ident: 10.3346/jkms.2016.31.1.139_ref26
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.110.609750
– volume: 25
  start-page: 392
  year: 2014
  ident: 10.3346/jkms.2016.31.1.139_ref33
  publication-title: J Korean Soc Emerg Med
– volume: 41
  start-page: 1431
  year: 2010
  ident: 10.3346/jkms.2016.31.1.139_ref11
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.110.583815
– volume: 11
  start-page: 2
  year: 2011
  ident: 10.3346/jkms.2016.31.1.139_ref14
  publication-title: BMC Neurol
  doi: 10.1186/1471-2377-11-2
– volume: 43
  start-page: 1146
  year: 2012
  ident: 10.3346/jkms.2016.31.1.139_ref25
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.111.638460
– volume: 17
  start-page: 348
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref29
  publication-title: Prehosp Emerg Care
  doi: 10.3109/10903127.2013.773113
– volume: 47
  start-page: 383
  year: 1996
  ident: 10.3346/jkms.2016.31.1.139_ref37
  publication-title: Neurology
  doi: 10.1212/WNL.47.2.383
– volume: 82
  start-page: 14
  year: 2011
  ident: 10.3346/jkms.2016.31.1.139_ref10
  publication-title: J Neurol Neurosurg Psychiatry
  doi: 10.1136/jnnp.2009.203174
– volume: 81
  start-page: 974
  year: 2010
  ident: 10.3346/jkms.2016.31.1.139_ref16
  publication-title: Resuscitation
  doi: 10.1016/j.resuscitation.2010.02.029
– volume: 33
  start-page: 116
  year: 2004
  ident: 10.3346/jkms.2016.31.1.139_ref21
  publication-title: Age Ageing
  doi: 10.1093/ageing/afh064
– volume: 32
  start-page: 63
  year: 2001
  ident: 10.3346/jkms.2016.31.1.139_ref23
  publication-title: Stroke
  doi: 10.1161/01.STR.32.1.63
– volume: 5
  start-page: 45
  year: 1998
  ident: 10.3346/jkms.2016.31.1.139_ref35
  publication-title: Acad Emerg Med
  doi: 10.1111/j.1553-2712.1998.tb02574.x
– volume: 39
  start-page: 1246
  year: 2008
  ident: 10.3346/jkms.2016.31.1.139_ref7
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.107.500678
– volume: 31
  start-page: 2585
  year: 2000
  ident: 10.3346/jkms.2016.31.1.139_ref18
  publication-title: Stroke
  doi: 10.1161/01.STR.31.11.2585
– volume: 32
  start-page: 1832
  year: 2001
  ident: 10.3346/jkms.2016.31.1.139_ref9
  publication-title: Stroke
  doi: 10.1161/01.STR.32.8.1832
– volume: 31
  start-page: 1925
  year: 2000
  ident: 10.3346/jkms.2016.31.1.139_ref24
  publication-title: Stroke
  doi: 10.1161/01.STR.31.8.1925
– volume: 44
  start-page: 870
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref19
  publication-title: Stroke
  doi: 10.1161/STR.0b013e318284056a
– volume: 82
  start-page: 2241
  year: 2014
  ident: 10.3346/jkms.2016.31.1.139_ref28
  publication-title: Neurology
  doi: 10.1212/WNL.0000000000000523
– volume: 58
  start-page: 1
  year: 2009
  ident: 10.3346/jkms.2016.31.1.139_ref20
  publication-title: MMWR Surveill Summ
– volume: 127
  start-page: e6
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref2
  publication-title: Circulation
– volume: 43
  start-page: 2666
  year: 2012
  ident: 10.3346/jkms.2016.31.1.139_ref12
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.112.652644
– volume: 24
  start-page: 272
  year: 2013
  ident: 10.3346/jkms.2016.31.1.139_ref30
  publication-title: J Korean Soc Emerg Med
– volume: 31
  start-page: 2591
  year: 2000
  ident: 10.3346/jkms.2016.31.1.139_ref34
  publication-title: Stroke
  doi: 10.1161/01.STR.31.11.2591
– volume: 325
  start-page: 17
  year: 2002
  ident: 10.3346/jkms.2016.31.1.139_ref22
  publication-title: BMJ
  doi: 10.1136/bmj.325.7354.17
– volume: 34
  start-page: 1230
  year: 2003
  ident: 10.3346/jkms.2016.31.1.139_ref31
  publication-title: Stroke
  doi: 10.1161/01.STR.0000069164.91268.99
– volume: 28
  start-page: 2139
  year: 1997
  ident: 10.3346/jkms.2016.31.1.139_ref4
  publication-title: Stroke
  doi: 10.1161/01.STR.28.11.2139
– volume: 56
  start-page: 1015
  year: 2001
  ident: 10.3346/jkms.2016.31.1.139_ref6
  publication-title: Neurology
  doi: 10.1212/WNL.56.8.1015
– volume: 32
  start-page: 1061
  year: 2001
  ident: 10.3346/jkms.2016.31.1.139_ref8
  publication-title: Stroke
  doi: 10.1161/01.STR.32.5.1061
– volume: 55
  start-page: 1649
  year: 2000
  ident: 10.3346/jkms.2016.31.1.139_ref5
  publication-title: Neurology
  doi: 10.1212/WNL.55.11.1649
– volume: 43
  start-page: 362
  year: 2012
  ident: 10.3346/jkms.2016.31.1.139_ref36
  publication-title: Stroke
  doi: 10.1161/STROKEAHA.111.623512
– volume: 41
  start-page: 59
  year: 2011
  ident: 10.3346/jkms.2016.31.1.139_ref13
  publication-title: J Emerg Med
  doi: 10.1016/j.jemermed.2010.04.001
– ident: 10.3346/jkms.2016.31.1.139_ref17
– volume: 31
  start-page: 71
  year: 2000
  ident: 10.3346/jkms.2016.31.1.139_ref27
  publication-title: Stroke
  doi: 10.1161/01.STR.31.1.71
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Snippet The time between symptom onset and arrival at an emergency department (ED) (S2D) is a crucial time for optimal intravenous reperfusion care for ischemic...
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SubjectTerms Aged
Emergency Medical Services - statistics & numerical data
Female
Humans
Logistic Models
Male
Middle Aged
Odds Ratio
Original
Republic of Korea
Stroke - diagnosis
Tertiary Care Centers
Time Factors
의학일반
Title The Effect of Emergency Medical Service Use and Inter-hospital Transfer on Prehospital Delay among Ischemic Stroke Patients: A Multicenter Observational Study
URI https://www.ncbi.nlm.nih.gov/pubmed/26770050
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Volume 31
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