Comparison of prehospital stroke care at private homes and residential care settings

Owen Finney*, Graham McClelland, Lisa Shaw, Christopher I. M. Price

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background:
Suspected stroke is a common scenario among 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 was carried out using a clinical record dataset from a UK ambulance service that described the care of patients labelled as having a suspected stroke between December 2021 and April 2022.

Findings:
Care home patients were older (median age 86 (interquartile range (IQR) 79–91) years) than those in their own homes (median age 75 (IQR 63–83) years; P≤0.001), with more comorbidities (median of five (IQR 3–6) versus median of three (IQR 2–5); P≤0.001) and taking more medications (median of six (IQR 4–9) versus median of four (IQR 1–7); P≤0.001). They were more likely to have difficulties completing the face, arms, speech, time 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.
Original languageEnglish
Pages (from-to)368-374
Number of pages7
JournalJournal of Paramedic Practice
Volume15
Issue number9
DOIs
Publication statusPublished - 2 Sept 2023
Externally publishedYes

Cite this