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ANALYSIS OF STROKE DETECTION IN EMERGENCY COORDINATION CENTERS IN ANDALUCIA

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ESOC-2019

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Abstract

Introduction Early care has been shown to reduce the mortality rate from stroke. The call to call-Centers is the first step in the acute stroke care. This call is managed by the call center agent, who determines the reason of the call and asks specific questions to recognise stroke. We propose to compare the results from 2014 and 2018 since the training for call center agents and the triage guide have been updated. Aims: To evaluate the agreement between the reason of the call and the clinical judgment of the emergency teams. To analyse the stroke pre-warning from the emerhency teams Comparative study 2015 and 2018 Methods: Retrospective, descriptive, observational study that includes the stroke cases treated by emergency teams (ICD-9 Diagnosis code 436) from 1-01-2018 until 31- 10-18 in Andalucia. Studied variables were: reason of call, gender, age, pre-warnings and differences among provinces in Andalucia. Results:  2018 Study  N 1537 36,24% men average age 67,9 63´7% women average age 72´9 Identification of the reason of the call as stroke: 50,5% Activated Code Stroke 59´66%  2015 Study N 2462 39´9% men 60´1% wome Identification of the reason of the call as stroke: 34´6 % Activated Code Stroke 47´39  Conclusions: There has been an increase in Code Stroke activation by emergency teams which has reduced care time until hospital treatment.  Call center agents have improved specificity in the use of the triage guide following training.  To emphasise on call centers to reduce time stroke detection time

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© Copyright 2019 Morressier GmbH.
All rights reserved.