Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit

While most patients were consulted with a neurologist, a notable proportion were not despite instructions. Reasons for rejection was documented in 34% of patients and included being outside the thrombolysis time window, contraindications, or atypical symptoms. These findings highlight the need to review triage instructions.

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Publication Details

Journal
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine
Published
2026-02-13
DOI
https://doi.org/10.1186/s13049-026-01579-4
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
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article

Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit

Jonathan Wenstrup, Troels Wienecke, Heidi Shil Eddelien, Magnus Glerup et al.
Scandinavian Journal of Trauma Resuscitation and Emergency Medicine
Acute Ischemic Stroke Management
article

Prehospital stroke triage in Denmark: a retrospective observational study of emergency medical services handling confirmed stroke cases not admitted directly to a stroke unit

Jonathan Wenstrup, Troels Wienecke, Heidi Shil Eddelien, Magnus Glerup, Astrid Merete Blomberg Drejøe, Felix Nicolai Raben-Levetzau, Stig Nikolaj Fasmer Blomberg, Helle Collatz Christensen
article en

Abstract

While most patients were consulted with a neurologist, a notable proportion were not despite instructions. Reasons for rejection was documented in 34% of patients and included being outside the thrombolysis time window, contraindications, or atypical symptoms. These findings highlight the need to review triage instructions.

Scandinavian Journal of Trauma Resuscitation and Emergency MedicineVol. 34(1)
University of Copenhagen (DK), Region Zealand (DK), Glostrup Hospital (DK), Copenhagen University Hospital (DK), Gentofte Hospital (DK), Zealand University Hospital (DK), Psychiatry Region Zealand (DK), Aalborg University (DK)
Peace, Justice and strong institutions
Openalex Percentile: Top 57%
Acute Ischemic Stroke Management
DOIOpen Access PDFOpenAlex
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