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Related Experiment Video

Updated: Jun 28, 2025

Universal Screening for Prevention of Reading, Writing, and Math Disabilities in Spanish
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Stroke Screening Process for Spanish-Speaking Patients.

Lauren Diercks, Theresa Sonka, Daiwai Olson

    Journal of Emergency Nursing
    |April 10, 2024
    PubMed
    Summary

    The Balance Eyes Face Arms Speech Time stroke screening tool may miss acute ischemic stroke events in Spanish-speaking patients. These patients were less likely to advance to full evaluation, yet stroke rates remained similar.

    Keywords:
    LanguageSpanishStroke screeningTriage

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    Area of Science:

    • Neurology
    • Emergency Medicine
    • Health Equity

    Background:

    • The Balance Eyes Face Arms Speech Time (BEFAST) stroke screening tool may have limitations for Spanish-speaking populations.
    • Identifying disparities in stroke evaluation is crucial for equitable care.

    Purpose of the Study:

    • To identify potential screen failures in the BEFAST tool for Spanish-speaking patients.
    • To evaluate the progression to stroke evaluation for intervenable acute ischemic stroke events.

    Main Methods:

    • Retrospective, observational, single-center study of 796 patients in 2020.
    • Stratified patients by Spanish-speaking status after a positive BEFAST screen.
    • Analyzed provider escalation to full stroke evaluation, comparing outcomes between groups.

    Main Results:

    • Overall, 13% of positive screens resulted in acute ischemic stroke.
    • Spanish-speaking patients were less likely to progress to full stroke evaluation (25.8% vs. 32.8%).
    • No significant difference in acute ischemic stroke rates was observed between Spanish-speaking and non-Spanish-speaking patients.

    Conclusions:

    • The BEFAST tool may under-identify stroke risk in Spanish-speaking patients, leading to fewer full evaluations.
    • Despite lower progression rates, acute ischemic stroke incidence did not differ by language.
    • Further research is needed to optimize stroke screening for diverse linguistic populations.