{
  "abstract": "Background: Neurological assessment is a critical component of prehospital emergency care, particularly in time-sensitive conditions including stroke and traumatic brain injury. Neurological documentation practices in this setting remain insufficiently characterized. This study aimed to evaluate self-reported completeness of neurological documentation among paramedics, then examine its associations with neurological training and professional experience.\n\nMaterial/Methods: A cross-sectional study was conducted between June 2025 and March 2026 among 348 paramedics working in emergency medical services in southeastern Poland. Data were collected using a structured electronic questionnaire. Self-reported documentation completeness was assessed using a composite score based on the reported frequency of documenting 7 neurological examination elements rated on a 5-point Likert scale (range: 7–35).\n\nResults: Overall self-reported documentation completeness was moderate (mean score: 24.57). Respondents frequently reported documenting basic neurological parameters (eg, level of consciousness: 81.0%); more detailed components were reported less consistently. Only 9.2% of respondents reported consistently documenting temporal neurological changes. The greatest self-reported deficiencies involved documentation of temporal neurological changes and detailed focal neurological findings. Participation in neurological training was associated with higher completeness scores (26.20 vs 23.24; P < 0.001). Self-reported documentation completeness was positively correlated with professional experience (ρ = 0.359; P < 0.001).\n\nConclusions: Self-reported neurological documentation completeness among paramedics was moderate and selective; self-reported rates were lowest for dynamic and detailed focal neurological components. Participation in neurological training and greater professional experience were associated with higher self-reported documentation completeness scores. These findings suggest that standardized documentation protocols and targeted educational interventions contribute to more consistent neurological documentation practices in prehospital settings.",
  "abstract_shown": true,
  "affiliations": [
    "Collegium Medicum, WSB University, Dąbrowa Górnicza, Poland",
    "Department of Neurology, New Medical Techniques Specialist Hospital of St. Family in Rudna Mała, Rudna Mała, Poland"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Damian Strojny",
      "orcid": "0009-0007-2324-3039"
    },
    {
      "affs": [
        0
      ],
      "name": "Karol Szwej",
      "orcid": "0009-0004-2296-3884"
    },
    {
      "affs": [
        0
      ],
      "name": "Damian Marut"
    },
    {
      "affs": [
        0
      ],
      "name": "Kamil Skubis"
    },
    {
      "affs": [
        0
      ],
      "name": "Beniamin Oskar Grabarek",
      "orcid": "0000-0003-1633-7145"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9470dq13dw93e.bib",
  "cited_by": 0,
  "doi": "10.12659/msm.953922",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13715366/",
  "id": "9470dq13dw93e",
  "issns": [
    "1234-1010",
    "1643-3750"
  ],
  "landing_url": "https://doi.org/10.12659/msm.953922",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Public Health"
    ],
    [
      "openalex",
      "2711|Trauma and Emergency Care Studies"
    ]
  ],
  "openalex": "W7204254740",
  "pdf_url": "https://medscimonit.com/download/inPress/idArt/953922",
  "pmcid": "PMC13715366",
  "pmid": "42920291",
  "published": "2026-10-24",
  "publisher": "International Scientific Information, Inc.",
  "ris": "https://research.draconitic.com/paper/9470dq13dw93e.ris",
  "sources": [
    {
      "first_seen": "2026-11-01T12:22:41Z",
      "native_id": "PMC13715366",
      "source": "pmc",
      "url": "https://doi.org/10.12659/msm.953922"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Public Health",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Self-Reported Completeness of Neurological Documentation in Prehospital Emergency Care: Associations With Neurological Training and Professional Experience",
  "title_text": "Self-Reported Completeness of Neurological Documentation in Prehospital Emergency Care: Associations With Neurological Training and Professional Experience",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:22:41Z",
  "url": "https://research.draconitic.com/paper/9470dq13dw93e",
  "venue": "Medical Science Monitor: International Medical Journal of Experimental and Clinical Research",
  "versions": []
}