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019106582. PROSPERO CRD42019106582. This work was to study the prehospital time among suspected stroke patients who were transported by an emergency medical service (EMS) system using a national database. National EMS database of suspected stroke patients who were treated by EMS system across 77 provinces of Thailand between January 1, 2015, and December 31, 2018, was retrospectively analyzed. Demographic data (i.e., regions, shifts, levels of ambulance, and distance to the scene) and prehospital time (i.e., dispatch, activation, respon