Family physician decisions following stroke symptom onset and delay times to ambulance call
2011

Family Physician Decisions and Stroke Response Times

Sample size: 198 publication Evidence: moderate

Author Information

Author(s): Ian Mosley, Marcus Nicol, Geoffrey Donnan, Helen Dewey

Primary Institution: National Stroke Research Institute, Melbourne, Australia

Hypothesis

Factors associated with first calling a family physician could be identified, and time to ambulance call will be longer when a family physician is first contacted.

Conclusion

Time delays to ambulance call were significantly longer for stroke patients when a family physician was first contacted.

Supporting Evidence

  • In 32% of cases, an ambulance was first called.
  • Patients with a history of stroke or TIA were less likely to call a doctor following symptom onset.
  • Time to ambulance call was significantly longer when a family physician was contacted first.

Takeaway

If you think someone is having a stroke, it's best to call an ambulance right away instead of contacting a family doctor first.

Methodology

A prospective observational study of ambulance-transported stroke patients in Melbourne, Australia, over 6 months.

Limitations

The time of the original call to the family physician was not reported, and data collection was undertaken in 2005.

Participant Demographics

198 patients, 45% male, mean age 79 years.

Statistical Information

P-Value

p = 0.0018

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-12-82

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication