Houston Paramedic and Emergency Stroke Treatment and Outcomes Study (HoPSTO)

摘要: Background and Purpose— Establishment of stroke centers, combined with accurate paramedic diagnosis rapid transport, is essential to deliver acute therapy. We wanted measure improve hospital performance through implementation the Brain Attack Coalition American Stroke Association guidelines. Methods— Pre-intervention active-intervention phases parallel data measurement points were used. The study involved six hospitals comprising majority acute-stroke admissions in Houston, Tex. Hospital, paramedic, patient collected prospectively pre-intervention during phase on all suspected patients admitted by Houston Fire Department-Emergency Medical Services. A multilevel educational intervention included hospital, community education. Paramedic diagnostic accuracy, hospital-performance efficiency, thrombolytic treatment rates main outcome measures study. Results— Four hund...