Close menu

SURE

Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Comparison of pre-hospital stroke care between private residences and care home settings: retrospective analysis of an ambulance clinical record dataset

Finney, Owen, McClelland, Graham, Price, Christopher I and Shaw, Lisa (2023) Comparison of pre-hospital stroke care between private residences and care home settings: retrospective analysis of an ambulance clinical record dataset. Journal of Paramedic Practice, 15 (9). ISSN 1759-1376

Item Type: Article

Abstract

Background:
Suspected stroke is a common scenario amongst care home residents, who are typically older and have more complex health needs than the general population.

Aims:
The aim of this study was to describe the care of suspected stroke patients according to their residential status.

Methods:
Retrospective secondary analysis of an existing ambulance clinical record dataset from a UK ambulance service, describing the care of patients labelled as suspected stroke between December 2021 and April 2022.

Findings:
Care home patients were older (median 86 (IQR 79-91) years versus 75 (IQR 63-83) years; p= <0.001), with more comorbidities (median 5 (IQR 3-6) versus median 3 (IQR 2-5); p= <0.001) and medications (median 6 (IQR 4-9) versus median 4 (IQR 1-7); p= <0.001). They were more likely to have difficulties completing the Face Arms Speech Test (17/170 (10%) versus 39/1305 (3%); p=<0.001) and present with facial droop (85/153 (55.6%) versus 506/1266 (40%); p=<0.001). Ambulance on-scene time was longer at care homes (median 41 (IQR 32-49.5) minutes versus median 35 (IQR 27-45) minutes; p =<0.001).

Conclusion:
Clinician awareness of characteristics associated with residential settings may be important for delivering emergency stroke care. Research is needed to optimise ambulance assessment for care home patients.

[img]
Preview
PDF
Pre-hospital stroke care comparison study - Finney et al 2023.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial.

Download (308kB) | Preview

More Information

Uncontrolled Keywords: Stroke paramedic ambulance pre-hospital care United Kingdom
Depositing User: Owen Finney

Identifiers

Item ID: 16842
Identification Number: https://doi.org/10.12968/jpar.2023.15.9.368
ISSN: 1759-1376
URI: http://sure.sunderland.ac.uk/id/eprint/16842
Official URL: https://www.magonlinelibrary.com/doi/abs/10.12968/...

Users with ORCIDS

ORCID for Owen Finney: ORCID iD orcid.org/0000-0003-3744-2710

Catalogue record

Date Deposited: 30 Oct 2023 10:25
Last Modified: 02 Mar 2024 03:38

Contributors

Author: Owen Finney ORCID iD
Author: Graham McClelland
Author: Christopher I Price
Author: Lisa Shaw
Author: [error in script] [error in script]
Author: [error in script] [error in script]
Author: [error in script] [error in script]
Author: [error in script] [error in script]

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences

Subjects

Sciences > Health Sciences

Actions (login required)

View Item (Repository Staff Only) View Item (Repository Staff Only)