{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T13:17:56Z","timestamp":1790255876642,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T00:00:00Z","timestamp":1526428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007212","name":"V\u00e4stra G\u00f6talandsregionen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007212","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>In acute stroke, the risk of death and neurological sequelae are obvious threats. The aim of the study was to evaluate the association between various clinical factors identified by the emergency medical service (<jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content>) system before arriving at hospital and the risk of death during the subsequent year among patients with a confirmed stroke.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>All patients with a diagnosis of stroke as the primary diagnosis admitted to a hospital in western Sweden (1.6 million inhabitants) during a four\u2010month period were included. There were no exclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 1,028 patients with a confirmed diagnosis of stroke who used the <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content> were included in the analyses. Among these patients, 360 (35%) died during the following year. Factors that were independently associated with an increased risk of death were as follows: (1) high age, per year <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.07; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.05\u20101.09; (2) a history of heart failure, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.08; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.26\u20103.42; (3) an oxygen saturation of &lt;90%, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 8.05; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.33\u201022.64; and (4) a decreased level of consciousness, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 2.19; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.61\u20103.03.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Among patients with a stroke, four factors identified before arrival at hospital were associated with a risk of death during the following year. They were reflected in the patients\u2019 age, previous clinical history, respiratory function, and the function of the central nervous system.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.987","type":"journal-article","created":{"date-parts":[[2018,5,17]],"date-time":"2018-05-17T04:09:34Z","timestamp":1526530174000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Prehospital identification of factors associated with death during one\u2010year follow\u2010up after acute stroke"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-0506","authenticated-orcid":false,"given":"Per\u2010Olof","family":"Hansson","sequence":"first","affiliation":[{"name":"Department of Molecular and Clinical Medicine Institute of Medicine Sahlgrenska Academy University of Gothenburg  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6888-9323","authenticated-orcid":false,"given":"Magnus","family":"Andersson Hagiwara","sequence":"additional","affiliation":[{"name":"Faculty of Caring Science, Work Life and Social Welfare Centre for Prehospital Research University of Bor\u00e5s  Bor\u00e5s Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Brink","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Section for nursing \u2013 undergraduate level University West  Trollh\u00e4ttan Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Herlitz","sequence":"additional","affiliation":[{"name":"Faculty of Caring Science, Work Life and Social Welfare Centre for Prehospital Research University of Bor\u00e5s  Bor\u00e5s Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitta","family":"Wireklint Sundstr\u00f6m","sequence":"additional","affiliation":[{"name":"Faculty of Caring Science, Work Life and Social Welfare Centre for Prehospital Research University of Bor\u00e5s  Bor\u00e5s Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.53.1.126"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.619049"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ane.12895"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2016.04.001"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000435947"},{"key":"e_1_2_9_7_1","first-page":"474","article-title":"Prehospital and hospital delays after stroke onset\u2013United States, 2005\u20102006","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR Morbidity and Mortality Weekly Report"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2009.00276.x"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.28.2.307"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2009.193136"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1706222"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2005.01443.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156933"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-784"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60491-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.09-1584"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68770-9"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ejhf.32"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000068743"},{"key":"e_1_2_9_20_1","unstructured":"STROBE(2007)STROBE checklists Version 4 as published in Oct\/Nov 2007. 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