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...
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