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May 8, 2026European Stroke JournalOpen Access

Abstract Number: Esoc2026lb136 Lb136 - Personalized Prehospital Triage for Suspected Acute Stroke (Presto-2): Implementation and Evaluation of a Real-Time Decision Support Tool

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Authors

NRNaomi de RuijterFKFemke KremersRWRuben van de Wijdeven

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Overview

Randomized trial evaluates personalized triage in suspected stroke patients, suggesting improved treatment efficiency.

Key Points

  • To evaluate the effectiveness of a real-time decision support tool for personalized prehospital triage in suspected stroke patients.
  • Developed the Stroke Triage App used by paramedics for personalized triage advice.
  • Evaluated in two Dutch ambulance regions covering 1.8 million inhabitants.
  • Conducted a prospective before-and-after evaluation with a concurrent control region using difference-in-differences linear regression analysis.
  • A total of 2,687 patients were triaged using the Stroke Triage App during the evaluation period.
  • Final results on the effects of the app on onset-to-groin time will be presented at ESOC 2026.

Cite This Study

Ruijter et al. (2026) studied this question.

synapsesocial.com/papers/69fd7e5cbfa21ec5bbf0690dhttps://doi.org/10.1093/esj/aakag023.1875
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ABSTRACT NUMBER: ESOC2026A379 IMPLEMENTATION AND EVALUATION OF THE STROKE TRIAGE APP: A SEQUENTIAL MIXED-METHOD STUDY AMONG PARAMEDICS ON PREHOSPITAL DIGITAL HEALTH DEPLOYMENT2026
  2. 2Smartphone-based Prehospital Stroke Triage Optimizes Workflow and Bridges the Off-hour Delays in Endovascular Thrombectomy2026
  3. 3ABSTRACT NUMBER: ESOC2026A207 PRE-HOSPITAL TRIAGE SYSTEMS FOR LARGE VESSEL OCCLUSION STROKE: A SYSTEMATIC REVIEW AND META-ANALYSIS OF DIAGNOSTIC ACCURACY AND CLINICAL IMPACT2026
  4. 4ABSTRACT NUMBER: ESOC2026OT17 PREHOSPITAL BIOMARKER AND PHONE CALL-BASED DETECTION FOR ISCHAEMIC STROKE THROMBECTOMY (PRONTO): WORK IN PROGRESS2026
  5. 5ABSTRACT NUMBER: ESOC2026A1581 TELESTROKE TRIAGE IMPROVES WORKFLOW EFFICIENCY IN PATIENTS UNDERGOING ENDOVASCULAR TREATMENT FOR LARGE VESSEL OCCLUSION: A SINGLE-CENTER COHORT STUDY2026