fa عمومى General پژوهشي Research <p style="text-align: justify;"><strong>Background:</strong> Stroke is a major cause of death and disability in the world and these&nbsp;complications can be decreased by competent emergency care. Emergency medical service&nbsp;(EMS) transfer half of the stroke patients to hospitals. This study aimed to determine diagnosis&nbsp;of status and transfer time of stroke patients by EMS to a main hospital (Valiasr) in Arak City.<br> <strong>Materials and Methods:</strong> This study was a descriptive analytic study and conducted on 43&nbsp;patients with a diagnosis of stroke that transferred by EMS to Valiasr Hospital in Arak City.&nbsp;Data were collected through a checklist which contained information about age, sex, type&nbsp;of accident, response time, scene time, transfer time, and total time from inpatients records&nbsp;and Emergency Center statistics. Regarding data analysis, descriptive statistical tests were&nbsp;performed by SPSS 19.<br> <strong>Results:</strong> The mean(SD) age of patients was 73.7(3.8) years and 51.2% of them were women.&nbsp;The stroke diagnosis by EMS technicians was correct in 15(34.9%) cases. In 20(46.5%)&nbsp;cases, the diagnosis was wrong and in 8(18.6%) cases, there were not any diagnosis. The&nbsp;most common non-stroke condition was confusion. The mean response time and arrival time&nbsp;to location, transfer time, and total time were 6.9, 16.9, 9.1, and 35.3 minutes, respectively. In&nbsp;patients with correct diagnosis and wrong or no diagnosis, these mean times were 7, 17.1, 3.9, &nbsp;and 35.7 minutes and 6.9, 16.8, 9.7, and 33.5 minutes, respectively.<br> <strong>Conclusion:</strong> The results of this study showed that an accurate diagnosis by EMS technicians&nbsp;could be an indicator for faster transfer of the patient to treatment center. It is recommended&nbsp;that more appropriate pre-hospital diagnosis tools of stroke be developed and handed to EMS&nbsp;staff, for more accurate diagnosis of strokes and their better treatment.</p> Diagnosis of status, Transfer time, Stroke patient, Prehospital emergency 163 173 http://hdq.uswr.ac.ir/browse.php?a_code=A-10-25-8&slc_lang=fa&sid=1 Saiedeh Bahrampouri No Department of Health in Emergency and Disaster Research, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran. Hamid Reza Khankeh hamid.khankeh@ki.se Yes Department of Nursing, University of Social Welfare & Rehabilitation Sciences, Tehran, Iran. Asghar Dalvandi No Department of Clinical Science and Education, Karolinska Institutet, Solnavägen, Solna, Sweden.