Journal article

Improving access to acute stroke therapies: a controlled trial of organised pre-hospital and emergency care

Debbie A Quain, Mark W Parsons, Allan R Loudfoot, Neil J Spratt, Malcolm K Evans, Michelle L Russell, Angela T Royan, Andrea G Moore, Ferdinand Miteff, Carolyn J Hullick, John Attia, Patrick McElcluff, Christopher R Levi

MEDICAL JOURNAL OF AUSTRALIA | AUSTRALASIAN MED PUBL CO LTD | Published : 2008

Abstract

OBJECTIVE: To assess the effectiveness of the PAST (Pre-hospital Acute Stroke Triage) protocol in reducing pre-hospital and emergency department (ED) delays to patients receiving organised acute stroke care, thereby increasing access to thrombolytic therapy. DESIGN: Prospective cohort study using historical controls. SETTING: Hunter Region of New South Wales, September 2005 to March 2006 (pre-intervention) and September 2006 to March 2007 (post-intervention). PARTICIPANTS: Consecutive patients presenting with acute stroke to a regional, tertiary referral hospital. INTERVENTION: PAST protocol, comprising a pre-hospital stroke assessment tool for ambulance officers, an ambulance protocol for h..

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