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Related Concept Videos

Disturbances in Heart Rhythm01:29

Disturbances in Heart Rhythm

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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Recurrent stroke arrival time.

Braydon L Dymm1, Madeline Kwicklis2, William J Meurer3

  • 1Michigan Medicine, Department of Neurology, US.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|April 10, 2023
PubMed
Summary
This summary is machine-generated.

Recurrent stroke patients, especially those experiencing a late recurrence, showed higher emergency medical services (EMS) usage. However, the study found insufficient evidence linking stroke recurrence to faster hospital arrival times after accounting for EMS use.

Keywords:
Acute strokeEMSRecurrent StrokeStroke EducationSystems of Care

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Stroke patient education on symptom recognition and emergency medical services (EMS) activation is crucial.
  • The effectiveness of stroke education, particularly its impact on EMS use and hospital arrival times, requires further investigation.

Purpose of the Study:

  • To assess the association between stroke recurrence and emergency medical services (EMS) utilization and prompt hospital arrival.
  • To use EMS use and arrival timing as a proxy for evaluating the impact of stroke education.

Main Methods:

  • Analysis of 5,617 first-ever strokes and 710 recurrent strokes (early and late) from the Brain Attack Surveillance in Corpus Christi (BASIC) project (2000-2020).
  • Logistic regression models with generalized estimating equations were used to evaluate associations between EMS arrival and early arrival (< 3 hours) with stroke types.
  • Covariates included stroke type, severity, demographics, insurance, education, and EMS use.

Main Results:

  • Late stroke recurrence was significantly associated with higher unadjusted and adjusted odds of EMS arrival compared to first-ever strokes.
  • Early hospital arrival (< 3 hours) showed a significant association with late recurrence after 2010, but this finding was not significant after full adjustment.
  • Higher stroke severity, being married, and EMS use were linked to higher odds of early arrival; African Americans had lower odds of early arrival but higher EMS use compared to non-Hispanic Whites.

Conclusions:

  • Stroke recurrence, particularly occurring at least one year after the first event, correlates with increased EMS usage.
  • The study did not find sufficient evidence to link stroke recurrence with significantly earlier hospital arrival times when controlling for EMS usage and other factors.
  • Identifying specific patient subgroups, such as younger non-African American patients with smaller strokes or African American patients, can guide targeted stroke education initiatives.