Prehospital Comprehensive Stroke Center vs Primary Stroke Center Triage in Patients With Suspected Large Vessel Occlusion Stroke
Original Investigation. August 9, 2021
Tareq
Kass-Hout, MD1; Jungwha Lee, PhD, MPH2; Katie Tataris, MD, MPH3,4; et al
Key Points
Question - Is the implementation of a regional
prehospital transport policy for comprehensive stroke center triage associated
with increased rates of endovascular therapy (EVT)?
Findings -
This preimplementation-postimplementation study of 663 patients who arrived at
the hospital within 6 hours of onset of acute ischemic stroke found an
association of increased EVT rates from the preimplementation period (4.8% [95%
CI, 3.0%-7.8%]) to 13.6% [95% CI, 10.4%-17.6%) in the postimplementation
period. No change in time to thrombolysis or rate of thrombolysis was observed.
Meaning -
These findings suggest that implementation of a regional prehospital transport
policy for comprehensive stroke center triage may result in a significant
increase in EVT rates in patients with acute ischemic stroke and large vessel
occlusion.
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