skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

EMS Provider Preference Comparison Between the Pre-hospital ELVO Detection During Initial Care Transport (PREDICT) Scale and the Rapid Arterial Occlusion Evaluation (RACE) Scale: A Subanalysis of the PREDICT Study

Neurosurgery, 2020-12, Vol.67 (Supplement_1) [Peer Reviewed Journal]

Copyright © 2020 by the Congress of Neurological Surgeons ;ISSN: 0148-396X ;EISSN: 1524-4040 ;DOI: 10.1093/neuros/nyaa447_356

Full text available

Citations Cited by
  • Title:
    EMS Provider Preference Comparison Between the Pre-hospital ELVO Detection During Initial Care Transport (PREDICT) Scale and the Rapid Arterial Occlusion Evaluation (RACE) Scale: A Subanalysis of the PREDICT Study
  • Author: Viacava, Enzo F ; Cruz, Aurora S ; Ugiliweneza, Beatrice ; Dengzhi, Wang ; White, Andrew ; Khattar, Nicolas K ; Gallimore, Bryan ; Ding, Dale ; Wolfe, Stacey Q ; Heck, Donald ; James, Robert F
  • Subjects: Cost control ; Hemorrhage ; Neurosurgery ; Reimbursement ; Surgical techniques
  • Is Part Of: Neurosurgery, 2020-12, Vol.67 (Supplement_1)
  • Description: INTRODUCTION Pre-hospital identification of patients with large vessel occlusion (LVO) is critical in the timely triage of thrombectomy-eligible patients to comprehensive stroke centers. Emergency Medical Services (EMS) training is critical to the success of prehospital screening scales. METHODS 86 EMS providers were trained on a secure, online application to perform and record the PREDICT-4 and RACE scales and complete a one-question survey on their preference. A chi-square and one-sample test of proportion was conducted. RESULTS 86 EMS providers enrolled 250 subjects. 38 providers enrolled one subject and 48 enrolled ≥2. For all EMS providers with and without previous exposure to the RACE scale, 37.2% preferred the PREDICT 4-item scale and 62.8% preferred the RACE scale, P = .018, 95%CI [27.7, 47.8 and 52.2, 72.2, respectively]. 49 providers (34.7%) without prior mere-exposure to the RACE scale preferred PREDICT-4 [95%CI 22.9, 48.6%] and 65.3% preferred RACE (P = .03, 95%CI [51.3, 77.0]). For providers who enrolled ≥2, on their first screening 41.6%, (P = .248, 95%CI [28.8, 55.7]) preferred PREDICT-4 and 58.3%, RACE. On their last screening, only 37.5%, (P = .08, 95%CI [25.2, 51.6]) preferred PREDICT-4. CONCLUSION The PREDICT scale was found to be less preferable with EMS provider all-comers, which may be partially explained by mere-exposure cognitive bias, though this difference persisted in providers without prior exposure to either scale. In providers who enrolled multiple patients, there was a trend towards preference for RACE between their first and last screening.
  • Publisher: Oxford: Oxford University Press
  • Language: English
  • Identifier: ISSN: 0148-396X
    EISSN: 1524-4040
    DOI: 10.1093/neuros/nyaa447_356
  • Source: ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait