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Epidemiology and policy
SP3-23 Recognition of the occurrence of stroke from ambulance calls
  1. K Ohshige
  1. Yokohama National University, Yokohama, Kanagawa, Japan

Abstract

Introduction Intravenous administration of tissue plasminogen activator (tPA) is effective for acute ischaemic stroke. Since there is a critical time of only a few hours to start such therapy, it is important to identify patients with stroke as soon as possible. This study aimed to establish a recognition algorithm for stroke occurrence at the time of emergency calls.

Methods The data used in the study was collected from the Yokohama emergency triage system from 1 January to 30 June 2010. In the system, emergency call workers asked ambulance callers for the patient's age, chief complaint, speaking ability and previous history of illness. We analysed the relation between this information and the disease classification (ICD-10) coded by physicians in the emergency department at each patient's destination. A logistic model was used to estimate the probability of stroke occurrence at the time of emergency calls.

Results There were 66 744 patients who were transported by ambulance during the study period. Among the 66 744 cases, this study targeted 60 791 patients whose triage data were complete. Out of these 60 791 cases, 2496 were coded as suffering a stroke (ICD-10: I60–I69) by emergency department physicians. The probability of stroke occurrence from the information given at the time of the emergency call was estimated quantitatively.

Conclusion Stroke occurrence can be expressed as a probability (%) at the time of the emergency call. The probability can be used to establish a quick and smooth transport of patients to appropriate medical facilities.

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