+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Lack of impact of paramedic training and use of the cincinnati prehospital stroke scale on stroke patient identification and on-scene time



Lack of impact of paramedic training and use of the cincinnati prehospital stroke scale on stroke patient identification and on-scene time



Stroke 40(3): 754-756



The Cincinnati Prehospital Stroke Scale (CPSS) is recommended for emergency medical services use in identifying patients with stroke. Data evaluating its performance in the field are limited. We assessed the impact of training and use of the CPSS on the accuracy of paramedics' stroke patient identification and on-scene time. A 1-hour interactive educational presentation on the use of the CPSS was conducted for paramedics transporting patients to an academic medical center. Patients with stroke/transient ischemic attack (TIA) were identified retrospectively from paramedic records and were compared with the hospital's prospective stroke registry for the year before and after the training. There were 154 patients with suspected stroke/transient ischemic attack identified (56% women, 53% white, 44% black, mean age 67+/-16 years). There was no difference in paramedics' use of the CPSS (37.5% versus 23.8%, P=0.123) or accuracy of stroke/TIA patient identification (40.5% versus 38.9%, P=0.859) before and after training. Of responsive patients identified by paramedics as having a stroke/TIA, 57% had an abnormality in at least one CPSS item with no effect on on-scene time (17+/-6 minutes with a normal versus 18+/-6 minutes with an abnormal CPSS, P=0.492). Those with a final diagnosis of stroke/TIA (n=61, 40%) more frequently had at least one abnormal CPSS item (70% versus 30%, P=0.008, sensitivity 0.71, specificity 0.52) with 49% of patients with an abnormality having a discharge diagnosis of stroke/TIA. Paramedic training in the CPSS, or its use, had no impact on the accuracy of their identification of patients with stroke/TIA or on-scene time.

(PDF emailed within 0-6 h: $19.90)

Accession: 054063560

Download citation: RISBibTeXText

PMID: 19118240

DOI: 10.1161/STROKEAHA.108.531285


Related references

Los Angeles Paramedic Stroke Screen Prehospital acute stroke identification and potential time savings of administering neuroprotective agents in the field. Stroke 28(1): 236, 1997

Rethinking Prehospital Stroke Notification: Assessing Utility of Emergency Medical Services Impression and Cincinnati Prehospital Stroke Scale. Journal of Stroke and Cerebrovascular Diseases 27(4): 919-925, 2017

Assessing the validity of the Cincinnati prehospital stroke scale and the medic prehospital assessment for code stroke in an urban emergency medical services agency. Prehospital Emergency Care 17(3): 348-353, 2014

Improving paramedic recognition of stroke in the field A Los Angeles prehospital stroke screen training program. Neurology 50(4 SUPPL 4): A157-A158, 1998

Cincinnati Prehospital Stroke Scale Can Identify Large Vessel Occlusion Stroke. Prehospital Emergency Care 22(3): 312-318, 2018

Predictive value of the Cincinnati Prehospital Stroke Scale for identifying thrombolytic candidates in acute ischemic stroke. American Journal of Emergency Medicine 31(12): 1699-1702, 2014

Design and validation of a prehospital scale to predict stroke severity: Cincinnati Prehospital Stroke Severity Scale. Stroke 46(6): 1508-1512, 2015

The effect of Cincinnati Prehospital Stroke Scale on telephone triage of stroke patients: evidence-based practice in emergency medical services. International Journal of Evidence-Based Healthcare 13(2): 87-92, 2016

The use of Cincinnati Prehospital Stroke Scale during telephone dispatch interview increases the accuracy in identifying stroke and transient ischemic attack symptoms. Bmc Health Services Research 13: 513, 2014

Validation of the Cincinnati Prehospital Stroke Scale. Journal of Emergencies, Trauma, and Shock 11(2): 111-114, 2018

Directed use of the Cincinnati Prehospital Stroke Scale by laypersons. Prehospital Emergency Care 9(3): 292-296, 2005

Cincinnati Prehospital Stroke Scale: Reproducibility and validity. Annals of Emergency Medicine 33(4): 373-378, 1999

Ability of laypersons to use the Cincinnati Prehospital Stroke Scale. Prehospital Emergency Care 8(4): 384-387, 2005

Cincinnati prehospital stroke scale Validity and reproducibility. Stroke 29(1): 313, 1998

External Validation of the Cincinnati Prehospital Stroke Severity Scale. Journal of Stroke and Cerebrovascular Diseases 25(5): 1270-1274, 2017