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dc.contributor.authorBakke, Ida
dc.contributor.authorLund, Christian
dc.contributor.authorCarlsson, Maria Kristin
dc.contributor.authorSalvesen, Rolf
dc.contributor.authorNormann, Britt
dc.date.accessioned2022-12-01T14:35:23Z
dc.date.available2022-12-01T14:35:23Z
dc.date.issued2022-08-26
dc.description.abstractBackground and objectives - Early access to hospital for diagnosis and treatment is strongly recommended for patients with acute stroke. Unfortunately, prehospital delay frequently occurs. The aim of the current study was to gain in-depth insight into patient experience and behavior in the prehospital phase of a stroke.<p> <p>Methods - We conducted qualitative interviews with a purposive sample of 11 patients and six witnesses within four weeks post stroke. The interviews were audio recorded, transcribed, and analyzed utilizing Systematic Text Condensation.<p> <p>Results - The material was classified according to two main categories each containing three subgroups. The first category contained the diversity of sudden changes that all participants noticed. The subgroups were confusing functional changes, distinct bodily changes and witnesses’ observations of abnormal behavior or signs. The second category was delaying and facilitating factors. To trivialize or deny stroke symptoms, or having a high threshold for contacting emergency services, led to time delay. Factors facilitating early contact were severe stroke symptoms, awareness of the consequences of stroke or a witness standing by when the stroke occurred.<p> <p>Conclusions - Prehospital delays involved interrelated elements: (1) Difficulties in recognition of a stroke when symptoms were mild, odd and/or puzzling; (2) Recognition of a stroke or need for medical assistance were facilitated by interaction/communication; (3) High threshold for calling emergency medical services, except when symptoms were severe. The findings may be helpful in planning future public stroke campaigns and in education and training programs for health personnel.en_US
dc.identifier.citationBakke, Lund, Carlsson, Salvesen, Normann. Barriers to and facilitators for making emergency calls – a qualitative interview study of stroke patients and witnesses. Journal of Stroke & Cerebrovascular Diseases. 2022;31(10)en_US
dc.identifier.cristinIDFRIDAID 2058392
dc.identifier.doi10.1016/j.jstrokecerebrovasdis.2022.106734
dc.identifier.issn1052-3057
dc.identifier.issn1532-8511
dc.identifier.urihttps://hdl.handle.net/10037/27659
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalJournal of Stroke & Cerebrovascular Diseases
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleBarriers to and facilitators for making emergency calls – a qualitative interview study of stroke patients and witnessesen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)