Examinando por Materia "Emergency Medical Services"

Mostrando 1 - 20 de 116

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Anxiety level in nursing professionals who care for patients with COVID-19 in the emergency service of an ESSALUD hospital - 2020
(Universidad Privada Norbert Wiener, 2020-09-27) Luna Lazo, Jacqueline; Avila Vargas Machuca, Jeannette Giselle
The present study titled Anxiety level in nursing professionals who care for patients with covid-19 in the emergency service in an Essalud hospital - 2020. Its objective was to: Determine the level of anxiety in nursing professionals who care for patients with covid-19. 19 in the emergency service in an ESSALUD Hospital in Lima – 2020. The type of study was a quantitative descriptive design approach. The population will be 150 Nursing Graduates. The sample is made up of 108 Nursing graduates, according to the results of simple random probabilistic sampling; that meets the inclusion and exclusion criteria. Data collection will be carried out through the application of the instrument, a survey that will measure the level of anxiety of nursing staff caring for COVID 19 patients; The data obtained will be coded, entered and analyzed in frequency tables and graphs.
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Burnout syndrome and job satisfaction in nursing professionals from the emergency service of a clinic in Lima - 2023
(Universidad Privada Norbert Wiener, 2024-01-21) Sosa Vargas, Alexis Anthony; Fernández Rengifo, Werther Fernando
Introduction: Good satisfaction among nursing professionals in the emergency area improves their work performance and increases the probability of not making mistakes; however, these internal users are under a constant flow of stressors that could develop burnout syndrome. Objective: “To determine how burnout syndrome can be related to job satisfaction in nursing professionals in the emergency service of a clinic in Lima, 2023.” Methods: Continuing with the hypothetical - deductive method, under the quantitative approach and with a cross-section with a census population of 70 nursing professionals who will be administered the Maslach Questionnaire for Burnout and the SL-SPC job satisfaction scale, both with an approved validity and a reliability of .92 and .902 respectively. The results will be analyzed under the SPSS 26 statistical program. The results will be presented and discussed in tables and figures.
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Burnout syndrome in the nursing professional who works in the emergency service of the Hipólito Unanue National Hospital - 2021
(Universidad Privada Norbert Wiener, 2021-08-22) Marcelo Mallqui, Danny Daniel; Mori Castro, Jaime Alberto
The present study is carried out within the framework of research into nursing care in emergencies and disasters. Objective: to analyze the level of Burnout Syndrome in the nursing professional who works in the emergency service of the Hipólito Unanue national hospital -2021. Materials and methods: The approach to be used in this study is quantitative, and the design to be addressed is non-experimental, descriptive-cross-sectional. The population will be made up of 60 nursing professionals who work in the emergency service. The technique to be used will be the survey and the instrument that will be used will be the questionnaire called Maslach Burnout Inventory, which is internationally and nationally validated. It is made up of 22 items, organized into 3 dimensions: emotional exhaustion, depersonalization and lack of personal fulfillment. The global score ranges between 0 and 132 points, with its final values being: high, medium and low level of Burnout Syndrome.
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Calidad de atención del enfermero y satisfacción del paciente en el servicio de emergencia de una Institución de Salud, Lima 2024
(Universidad Privada Norbert Wiener, 2024-12-30) Hurtado Adriano, Karla Lia; Remuzgo Artezano, Anika
Objetivo: Determinar la relación entre calidad de atención del enfermero y satisfacción del paciente en el servicio de emergencia de una Institución de Salud, Lima 2024. Metodología: El estudio tiene un enfoque cuantitativo, nivel correlacional y diseño no experimental, contando con 180 informantes como muestra, se aplicó la técnica de encuesta y dos cuestionarios para cuantificar ambas variables. Resultados: En la hipótesis general hubo relación entre calidad de atención enfermero y satisfacción del paciente (p<0,05). En las hipótesis específicas, hubo relación entre calidad de atención del enfermero en sus dimensiones técnica/científica, humana y entorno con satisfacción del paciente (en todos los casos p<0,05). Se encontró que en la variable calidad de atención enfermero predomino el valor moderado (54,1%), seguido de alta (40,2%) y baja (5,7%). Según la variable satisfacción del paciente predomino el valor medio (59,8%), seguido de alto (31,1%) y bajo (9%). Conclusiones: Se determinó que existe relación positiva y significativa entre la calidad de atención enfermero y satisfacción del paciente en el servicio de emergencia de una Institución de Salud en el año 2024.
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Characterization of aggression towards nursing staff in emergency services
(Universidad Privada Norbert Wiener, 2019-01-06) Cabracancha Alcedo, Marisela Cristel; Alvarado Mestanza, Lisbeth Denis; Avila Vargas Machuca, Jeannette Giselle
The systematic reviews of the 10 scientific articles on the characterization of aggression towards nursing staff in emergency services show that 100% (10/10) provide evidence that aggression towards nursing staff in these services is a common factor, with verbal aggression being the main characteristic, leading to emotional consequences for the professional. It was also found that the aggressions towards nursing staff in emergency services are perpetrated by an aggressor, who can be the patient, a family member, or a visitor, and that the aggressions tend to be either verbal or physical. Regarding the timing of the aggressions, they mainly occur between 00:00 hrs and 13:00 hrs.
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Cuidado humanizado y satisfacción del paciente del servicio de emergencia de un hospital de Lima, 2024
(Universidad Privada Norbert Wiener, 2025-02-02) Saldaña Becerra, Elisa; Peña Guerrero, Leslie Elizabeth
La disertación plantea como objetivo el poder identificar como el cuidado humanizado se asocia con el nivel de satisfacción de los pacientes en el servicio de emergencia, se desarrollará el estudio bajo un enfoque cuantitativo de nivel correlacional, no experimental, con el apoyo de una muestra compuesta por 89 pacientes del servicio de emergencia. Con la finalidad de recopilar información, se utilizarán dos cuestionarios previamente validados por el juicio de tres expertos y con alta confiabilidad con un resultado del 0.871 de alfa de Cronbach para la primera variable y 0.984 para la segunda, con un tiempo estimado de 30 minutos para cada personal de enfermería luego de la recolección de datos se procederá en el programa Excel con la elaboración de la base de datos por variables, dicha base de datos será analizado de manera estadística por el paquete informático de estadística denominado SPSS en su versión 25.0, mediante el cual los resultados serán presentados en tablas y figuras con porcentajes y frecuencias así como de manera inferencial mediante la prueba de normalidad que indicara que prueba estadística es la más conveniente para resolver las hipótesis planteadas.
Acceso abierto
Effective coping strategies to reduce burnout syndrome in nurses working in the emergency department
(Universidad Privada Norbert Wiener, 2020-10-25) Huidobro Rojas, Angela Karina; Ramos Estrella, Yissela; Basurto Santillán, Ivan Javier
Objective: Systematize evidence on effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services. Materials and Methods: the design used for this work was the systematic review, based on the GRADE evaluation system, which gives the possibility of evaluating the quality of the evidence of the articles chosen from the following databases: Cochrane Library , British Medical Journal, PubMed, Lancet, Wiley Online Library, Epistemonikos and Elsevier. Results: The review of the articles showed that: 40% correspond to a systematic review, 30% to an integration review, 10% to a systematic review and meta-analysis, 10% to a narrative review and 10% to a bibliographic review. On the other hand, 70% found effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services, while 30% did not find such strategies. Conclusions: Based on the review of the 10 articles, it was found that 7/10 evidenced effective coping strategies to reduce Burnout syndrome in nurses who work in emergency services, while 3/10 did not find such strategies.
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Effective interventions in managing organophosphate poisoning in patients presenting to the emergency department
(Universidad Privada Norbert Wiener, 2019-02-17) Burga Muñoz, Elsa; Rivadeneyra López, Nancy del Pilar; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on the effectiveness of interventions in the management of organophosphate poisoning in patients who attend the emergency service. Materials and Methods: The type of research was quantitative and the design was a systematic review, the population and sample were 10 scientific articles published and indexed in scientific databases, the instrument was a database search: Cochrane Library, Scielo British Medical Journal, PubMed, Lancet, Wiley Online Library, EBSCO, the GRADE Method was used to evaluate the articles, which evaluated the quality of evidence and the strength of recommendation. Results: 100% articles, 20% Peru and Brazil 10% Spain, Colombia, Ecuador, Mexico, India, Venezuela and Argentina. In relation to the study designs, 30% systematic review, 20% cases and controls, 10% review, meta-analysis, 20% retrospective, 10% prospective and 10% descriptive Conclusions: It is concluded that the most effective interventions were decontamination, monitoring of vital functions, care of the airways, gastric lavage, use of activated charcoal, administration of atropine, in addition, patients poisoned by organophosphates must be subjected to A rapid clinical assessment of their vital functions, as well as a good identification of the diagnoses and nursing intervention, allows the patient to be seen as a whole, taking into account the timely treatment that the patient must receive in the biological, physical and mental sphere of the patient. .
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Effectiveness of a triage system to reduce patient saturation in the hospital emergency department
(Universidad Privada Norbert Wiener, 2019-02-17) Cárdenas Dios, Sophia Stephany; Panizo Gonzales, Maria Margarita; Matta Solis, Hernán Hugo
Objective: Systematize the effectiveness of triage performed by nurses to reduce patient saturation in the emergency service Hospitable. Material and Methods: Observational systemic review and retrospective analyzing the results of multiple clinical trials controlled studies that are the original primary studies. They are part foundation of evidence-based nursing for its comprehensive methodology identifying relevant studies to answer specific questions of clinical practice, the search for Evidence is developed systemically with selection criteria, full-text articles have been restricted and selected articles have been subjected to critical reading. Results: When defining the final selection, ten articles were chosen, it is observed that the origin of the evidence found must indicate that; 30% (3/10) corresponds to Spain, 20% (2/10) corresponds to Costa Rica, 20% (2/10) corresponds to Brazil, 20% (2/10) corresponds to the United States of America, 10 % (1/10) corresponds to China. Conclusion: According to the results obtained, it can be seen that of the total of 10 articles reviewed demonstrate that 60% show the effectiveness of triage performed by nurses to reduce patient saturation in the hospital emergency service. While 40% of the evidence indicates that interventions need to carry out complementary studies to achieve effectiveness in their application.
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Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
Acceso abierto
Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
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Effectiveness of early fracture stabilization compared to late stabilization in polytrauma patients in emergency
(Universidad Privada Norbert Wiener, 2018-07-08) Yaipen Sernaque, Natalia; Bonilla Asalde, César Antonio
Objective: To analyze the evidence about the effectiveness of early stabilization of fractures compared with late stabilization, reduction of costs and hospital days in the prevention of complications of polytraumatized patients in the emergency service. Material and methods: 10 scientific articles were included, constituted by a systematic and cohort review that synthesizes the results of multiple primary research. Published in scientific databases that respond to articles published in Spanish, Portuguese, and English, with an age of no more than seven years, and the selected articles were subjected to a critical reading, using the GRADE system to assign the strength of recommendation. Results: Shows that of the total of 10 articles reviewed, 100% (N=10/10) of these show that early stabilization of fractures compared to late stabilization in polytraumatized patients is effective since complications are prevented, there are reduced costs and fewer hospital days. Conclusions: 10 of the 10 articles evidenced in the reviewed research that early stabilization of fractures compared to late stabilization is effective, preventing complications, reducing costs and fewer hospital days.
Acceso abierto
Effectiveness of education with simulators to improve the skills of nurses of the medical emergency team
(Universidad Privada Norbert Wiener, 2019-07-14) Diaz Reategui, Asunta del Milagro; Jauregui Vera, Sandi Levenca; Matta Solis, Hernán Hugo
Objective: To systematize the evidence on the effectiveness of simulation-based education in improving the skills of emergency nursing teams. Material and Methods: A retrospective and observational systematic review, subjected to critical analysis and using the GRADE evaluation system to assess the level of evidence of articles published in the following databases: Researchgate, Dialnet, Sciendirect, PubMed, Epistemonikos, and Scielo. Of the 10 systematically reviewed articles, 70% were of high quality, as described below: 20% (n=2/10) were meta-analyses, 30% (n=3/10) were systematic reviews, 20% (n=2/10) were randomized controlled trials, and 30% (n=3/10) were of moderate quality, represented by a cohort study and a quasi-experimental study. Results: 90% (n=9/10) indicated that simulation-based education is effective in improving the skills of emergency nurses, while 10% (n=1/10) stated that simulation-based education is not effective in improving the skills of emergency nurses. Conclusion: Simulation-based education is effective in improving the skills of emergency nurses.
Acceso abierto
Effectiveness of five-level triage systems in improving flow in emergency care
(Universidad Privada Norbert Wiener, 2019-05-19) Vidales Chacaliaza, Rosario Alejandra; Ascoy Davalos, Iscra Marcela; Uturunco Vera, Milagros Lizbeth
Material and methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the degree of evidence, found in the following databases: Pubmed, Epistemonikos, Sciencedirect, Medline. Of the 10 articles systematically reviewed, 90% (n= 9/10) are systematic reviews, 10% (n= 1/10) are randomized controlled trials that come from the countries of Australia (20%), Costa Rica (20% ), Sweden (20%), Germany (10%), Canada (10%), USA (10%) and Norway (10%). Results: We show that throughout the world hospital congestion in Emergency services is getting worse and as an effect the waiting time for user care is prolonged, revealing with evidence in the present study that there is a lack of knowledge about the potential effects on the implementation of triage systems for classification into the five levels with valid and reliable methods to reduce waiting time and patient congestion in emergency services by adopting the ideal system to the real need. Conclusion: The reviewed studies on triage systems have a positive effect on reducing waiting times in general, guaranteeing care in reduced time.
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Effectiveness of helicopter emergency medical services versus ground emergency services in reducing mortality in patients with severe trauma
(Universidad Privada Norbert Wiener, 2019-12-07) Morris Rios, Liz Judith; Glenni Garay, Zarely Zabeli
Objective: Systematize evidence on the effectiveness of helicopter medical services versus ground emergency services to reduce mortality in patients with severe trauma. Material and Methods: Systematic observational and retrospective review, subjected to critical reading and using the GRADE evaluation system to identify the degree of evidence of the articles published in the following databases: Epistemonikos, Scielo, Sciencedirect, Researchgate, PubMed. Results: Of the 10 articles systematically reviewed, 10% (n= 1/10) are meta-analysis, 20% (n= 2/10) are a systematic review, 70% (n= 7/10) are studies of cohort and come from the countries of the United States (50%), followed by Japan (20%), Germany (10%), England (10%) and Korea (10%). 100% (n=10/10) indicate that helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma. Conclusion: Helicopter emergency medical services are more effective than ground emergency services in reducing mortality in patients with severe trauma.
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Effectiveness of intraosseous access insertion for emergency care in out-of-hospital situations
(Universidad Privada Norbert Wiener, 2019-11-24) Távara Dávila, María Celinda; Mendoza Villanueva de Cáceres, Judith Beatriz; Cárdenas de Fernández, María Hilda
Objective: Systematize the evidence on the effectiveness of the insertion of the intraosseous line for the care of patients in out-of-hospital emergency situations. Material and Methods: Systematic review, randomized clinical trials, review of retrospective cohort studies, subjected to critical selection, using the GRADE evaluation system determining its strength, quality for the identification of the degree of evidence, found in the following databases: Dialnet, PubMed, Sciencedirect, Scielo, Elsevier, Epistemonikos. Results: Of the 10 articles systematically selected, 50% (n=5/10) are systematic reviews, 20% (n= 2/10) are randomized clinical trials and 30% (n=3/10) are retrospective cohort . Of the results obtained from the systematic review carried out in the present study, they come from the countries of Spain (40%), the United States (30%), Holland (10%), France (10%) and Germany (10%). . Of the studies demonstrated, 100% (n=10) indicate the effectiveness of the insertion of the intraosseous line for the care of patients in an out-of-hospital emergency situation. Conclusion: It is concluded that the intraosseous route demonstrates the effectiveness of the insertion of the intraosseous route for care in patients in out-of-hospital emergency situations, both in pediatric patients and in adult patients.
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Effectiveness of non-invasive mechanical ventilation in patients with closed thoracic trauma to prevent endotracheal intubation in those attending the emergency department
(Universidad Privada Norbert Wiener, 2018-12-16) Perez Izquierdo, Esmilda; Arévalo Castro, Deniz Alberto; Calsin Pacompia, Wilmer
Objective: Systematize evidence on the effectiveness of early and timely use of non-invasive mechanical ventilation in patients with blunt chest trauma admitted to the emergency service. Materials and methods: In the present work it is a study with a systematic review design, clinical trials and meta-analysis, the population consisted of 15 articles and the sample was 10 articles published and indexed in the database Dialnet, Pubmed Heald, PubMed, Scielo, ScienceDirect. To evaluate the articles, the GRADE method was used, which evaluated the quality of evidence and the strength of recommendation. Results: After the systematic review of the articles, 30% of 100% correspond to the USA; 60% to Cuba and Greece, Italy, Canada, France and China with 10% respectively. In relation to the designs and types of studies, 80% correspond to systematic review and meta-analysis respectively; with 20% corresponding to clinical trials. Conclusions: It was concluded that 60% of the articles reviewed showed that NIV was effective, because it avoids endotracheal intubation, avoids the risk of complications associated with mechanical ventilation and reduces mortality. Leading to a lower incidence of physiological trauma allowing the lung to open and recruit.
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Effectiveness of telephone triage to improve patient satisfaction for those requiring urgent or emergency care
(Universidad Privada Norbert Wiener, 2018-07-07) Albujar Flores, Adaliz; Capcha Leonardo, Yuly Amparo; Bonilla Asalde, César Antonio
Objective: To synthesize the evidence on the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care. Materials and Methods: This is a Systematic Review based on 10 articles found in the following databases: Cochrane Library, Lilacs, Pubmed, Epistemonikos, Intramed, which were analyzed using the GRADE system to determine their strength and quality of evidence. Of the 100% (10/10) of the evidence analyzed, 30% come from Canada, 20% from Australia, and 10% from the United States, Norway, the Netherlands, Lisbon, and Madrid, respectively. These correspond to the systematic review methodological design in 50% (5/10), 20% (2/10) quasi-experimental, and another 10% (meta-analysis, cross-sectional, and prospective cohort). Results: Of the 10 articles reviewed, 80% (8/10) demonstrate the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care. Conclusion: Of the 10 articles reviewed, 8 demonstrate the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care.
Acceso abierto
Effectiveness of telephone triage to improve patient satisfaction for those requiring urgent or emergency care
(Universidad Privada Norbert Wiener, 2018-07-07) Albujar Flores, Adaliz; Capcha Leonardo, Yuly Amparo; Bonilla Asalde, César Antonio
Objective: To synthesize the evidence on the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care. Materials and Methods: This is a Systematic Review based on 10 articles found in the following databases: Cochrane Library, Lilacs, Pubmed, Epistemonikos, Intramed, which were analyzed using the GRADE system to determine their strength and quality of evidence. Of the 100% (10/10) of the evidence analyzed, 30% come from Canada, 20% from Australia, and 10% from the United States, Norway, the Netherlands, Lisbon, and Madrid, respectively. These correspond to the systematic review methodological design in 50% (5/10), 20% (2/10) quasi-experimental, and another 10% (meta-analysis, cross-sectional, and prospective cohort). Results: Of the 10 articles reviewed, 80% (8/10) demonstrate the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care. Conclusion: Of the 10 articles reviewed, 8 demonstrate the effectiveness of telephone triage in improving the satisfaction of patients requiring urgent or emergency care.
Acceso abierto
Effectiveness of the activation of the ictus code for the decrease of the morbimortality of patients attended in emergency services
(Universidad Privada Norbert Wiener, 2019-11-24) Lima Cornejo, Jordy Fernando; Minaya Quispe, Rocio Lisseth; Gamarra Bustillos, Carlos
Objective: Systematize the evidence on the effectiveness of the stroke code activation for reducing morbidity and mortality in patients attended in emergency services. Material and Methods: A systematic review of international research was carried out, obtained from databases: Epistemonikos, PubMed, Elsevier, Google Scholar, and Scielo, analyzed through the Grade system to determine the level of evidence. The search was performed using DECS and MESH descriptors for Spanish and English searches, respectively. 60% of the reviewed articles come from France, Spain, and China, with 20% each, and the remaining 40% come from the USA, Korea, Italy, and Taiwan, respectively. Results: 100% of the evidence indicates that stroke code activation is effective in reducing morbidity and mortality in patients attended in emergency services. Conclusions: 10 out of 10 pieces of evidence demonstrate that stroke code activation is effective in reducing morbidity and mortality in patients attended in emergency services.