{"id":"https://openalex.org/W7204254740","doi":"https://doi.org/10.12659/msm.953922","title":"Self-Reported Completeness of Neurological Documentation in Prehospital Emergency Care: Associations With Neurological Training and Professional Experience","display_name":"Self-Reported Completeness of Neurological Documentation in Prehospital Emergency Care: Associations With Neurological Training and Professional Experience","publication_year":2026,"publication_date":"2026-08-26","ids":{"openalex":"https://openalex.org/W7204254740","doi":"https://doi.org/10.12659/msm.953922","pmid":"https://pubmed.ncbi.nlm.nih.gov/42920291","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13715366"},"language":"en","primary_location":{"id":"doi:10.12659/msm.953922","doi":"https://doi.org/10.12659/msm.953922","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.953922","pdf_url":"https://medscimonit.com/download/inPress/idArt/953922","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://medscimonit.com/download/inPress/idArt/953922","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092407717","display_name":"Damian Strojny","orcid":"https://orcid.org/0009-0007-2324-3039","observed_orcids":["https://orcid.org/0009-0007-2324-3039"]},"institutions":[{"id":"https://openalex.org/I4210145463","display_name":"WSB University","ror":"https://ror.org/046tym167","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210145463"]}],"countries":["PL"],"is_corresponding":true,"raw_author_name":"Damian Strojny","raw_affiliation_strings":["Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland","institution_ids":["https://openalex.org/I4210145463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133289985","display_name":"karol szwej","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145463","display_name":"WSB University","ror":"https://ror.org/046tym167","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210145463"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Karol Szwej","raw_affiliation_strings":["Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland","institution_ids":["https://openalex.org/I4210145463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148357479","display_name":"Damian Marut","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145463","display_name":"WSB University","ror":"https://ror.org/046tym167","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210145463"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Damian Marut","raw_affiliation_strings":["Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland","institution_ids":["https://openalex.org/I4210145463"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148204993","display_name":"Kamil Skubis","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145463","display_name":"WSB University","ror":"https://ror.org/046tym167","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210145463"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Kamil Skubis","raw_affiliation_strings":["Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland","institution_ids":["https://openalex.org/I4210145463"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033113181","display_name":"Beniamin Oskar Grabarek","orcid":"https://orcid.org/0000-0003-1633-7145","observed_orcids":["https://orcid.org/0000-0003-1633-7145"]},"institutions":[{"id":"https://openalex.org/I4210145463","display_name":"WSB University","ror":"https://ror.org/046tym167","country_code":"PL","type":"education","lineage":["https://openalex.org/I4210145463"]}],"countries":["PL"],"is_corresponding":false,"raw_author_name":"Beniamin Oskar Grabarek","raw_affiliation_strings":["Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Collegium Medicum, WSB University, D?browa G\u00f3rnicza, Poland","institution_ids":["https://openalex.org/I4210145463"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5092407717"],"corresponding_institution_ids":["https://openalex.org/I4210145463"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.58162078,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":null,"first_page":"e953922","last_page":"e953922"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.4771000146865845,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.4771000146865845,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.28200000524520874,"subfield":{"id":"https://openalex.org/subfields/2922","display_name":"Research and Theory"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14354","display_name":"Emergency Medicine Education and Research","score":0.07819999754428864,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prehospital-care","display_name":"prehospital care","score":0.9129999876022339},{"id":"https://openalex.org/keywords/paramedics","display_name":"paramedics","score":0.9929999709129333},{"id":"https://openalex.org/keywords/documentation-completeness","display_name":"documentation completeness","score":0.7160000205039978},{"id":"https://openalex.org/keywords/neurological-examination","display_name":"neurological examination","score":0.7680000066757202},{"id":"https://openalex.org/keywords/professional-experience","display_name":"professional experience","score":0.9750000238418579},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.5350000262260437},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.9990000128746033},{"id":"https://openalex.org/keywords/emergency-medical-services","display_name":"emergency medical services","score":0.6919999718666077},{"id":"https://openalex.org/keywords/documentation-protocol","display_name":"documentation protocol","score":0.48899999260902405}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.7098000049591064},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.685699999332428},{"id":"https://openalex.org/C17231256","wikidata":"https://www.wikidata.org/wiki/Q5156540","display_name":"Completeness (order theory)","level":2,"score":0.6068000197410583},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.578000009059906},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.40299999713897705},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.39309999346733093},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.37619999051094055},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3257000148296356},{"id":"https://openalex.org/C16568411","wikidata":"https://www.wikidata.org/wiki/Q83042","display_name":"Neurology","level":2,"score":0.32100000977516174},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3001999855041504},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.27549999952316284},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.262800008058548}],"mesh":[{"descriptor_ui":"D000094783","descriptor_name":"Paramedics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D004634","descriptor_name":"Emergency Medical Technicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009460","descriptor_name":"Neurologic Examination","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D009462","descriptor_name":"Neurology","qualifier_ui":"Q000193","qualifier_name":"education","is_major_topic":true},{"descriptor_ui":"D011044","descriptor_name":"Poland","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057566","descriptor_name":"Self Report","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.12659/msm.953922","doi":"https://doi.org/10.12659/msm.953922","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.953922","pdf_url":"https://medscimonit.com/download/inPress/idArt/953922","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13715366","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13715366/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13715366/pdf/medscimonit-32-e953922.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Med Sci Monit","raw_type":"Text"},{"id":"pmid:42920291","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42920291","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical science monitor : international medical journal of experimental and clinical research","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.12659/msm.953922","doi":"https://doi.org/10.12659/msm.953922","is_oa":true,"landing_page_url":"https://doi.org/10.12659/msm.953922","pdf_url":"https://medscimonit.com/download/inPress/idArt/953922","source":{"id":"https://openalex.org/S156858864","display_name":"Medical Science Monitor","issn_l":"1234-1010","issn":["1234-1010","1643-3750"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-c","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320062","host_organization_name":"International Scientific Information Inc.","host_organization_lineage":["https://openalex.org/P4310320062"],"host_organization_lineage_names":["International Scientific Information Inc."],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Science Monitor","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204254740.pdf","grobid_xml":"https://content.openalex.org/works/W7204254740.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4303685729","https://openalex.org/W4235788544","https://openalex.org/W7221799172","https://openalex.org/W7128326188","https://openalex.org/W4402452688","https://openalex.org/W2892377008","https://openalex.org/W4307442343","https://openalex.org/W7128343242","https://openalex.org/W2328743843","https://openalex.org/W6958658593"],"abstract_inverted_index":{"BACKGROUND":[0],"Neurological":[1,21],"assessment":[2],"is":[3],"a":[4,81,91,107],"critical":[5],"component":[6],"of":[7,37,99,132,144,158],"prehospital":[8,249],"emergency":[9,71],"care,":[10],"particularly":[11],"in":[12,24,70,74,168,215,248],"time-sensitive":[13],"conditions":[14],"including":[15],"stroke":[16],"and":[17,49,63,162,201,209,218,237],"traumatic":[18],"brain":[19],"injury.":[20],"documentation":[22,39,86,116,157,182,195,227,235,246],"practices":[23,247],"this":[25],"setting":[26],"remain":[27],"insufficiently":[28],"characterized.":[29],"This":[30],"study":[31,57],"aimed":[32],"to":[33,242],"evaluate":[34],"self-reported":[35,115,154,203,226],"completeness":[36,87,117,175,183,196,228],"neurological":[38,47,102,128,150,160,165,169,194,212,216,245],"among":[40,66,197],"paramedics,":[41],"then":[42],"examine":[43],"its":[44],"associations":[45],"with":[46,173,187,224],"training":[48,170,217],"professional":[50,188,220],"experience.":[51],"MATERIAL":[52],"AND":[53],"METHODS":[54],"A":[55],"cross-sectional":[56],"was":[58,88,118,171,184,199],"conducted":[59],"between":[60],"June":[61],"2025":[62],"March":[64],"2026":[65],"348":[67],"paramedics":[68,198],"working":[69],"medical":[72],"services":[73],"southeastern":[75],"Poland.":[76],"Data":[77],"were":[78,138,205,222],"collected":[79],"using":[80,90],"structured":[82],"electronic":[83],"questionnaire.":[84],"Self-reported":[85,181,193],"assessed":[89],"composite":[92],"score":[93],"based":[94],"on":[95,106],"the":[96],"reported":[97,125,139,146],"frequency":[98],"documenting":[100,126,148],"7":[101],"examination":[103],"elements":[104],"rated":[105],"5-point":[108],"Likert":[109],"scale":[110],"(range:":[111],"7-35).":[112],"RESULTS":[113],"Overall":[114],"moderate":[119,200],"(mean":[120],"score:":[121],"24.57).":[122],"Respondents":[123],"frequently":[124],"basic":[127],"parameters":[129],"(eg,":[130],"level":[131],"consciousness:":[133],"81.0%);":[134],"more":[135,243],"detailed":[136,163,210],"components":[137],"less":[140],"consistently.":[141],"Only":[142],"9.2%":[143],"respondents":[145],"consistently":[147],"temporal":[149,159],"changes.":[151],"The":[152],"greatest":[153],"deficiencies":[155],"involved":[156],"changes":[161],"focal":[164,211],"findings.":[166],"Participation":[167,214],"associated":[172,223],"higher":[174,225],"scores":[176],"(26.20":[177],"vs":[178],"23.24;":[179],"P<0.001).":[180,191],"positively":[185],"correlated":[186],"experience":[189,221],"(\u03c1=0.359;":[190],"CONCLUSIONS":[192],"selective;":[202],"rates":[204],"lowest":[206],"for":[207],"dynamic":[208],"components.":[213],"greater":[219],"scores.":[229],"These":[230],"findings":[231],"suggest":[232],"that":[233],"standardized":[234],"protocols":[236],"targeted":[238],"educational":[239],"interventions":[240],"contribute":[241],"consistent":[244],"settings.":[250]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-08-27T00:00:00"}