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Key PointsQuestionWhat was the predictive performance for large artery occlusion stroke and the association with onset-to-delivery times for endovascular and intravenous recanalization therapies during the first year following implementation of the prehospital Stockholm Stroke Triage System that combined motor symptom severity with ambulance-to-hospital teleconsultation? FindingsIn this cohort study of 2905 patients undergoing code-stroke ambulance transport within the Stockholm region (Sweden), the new triage system had an overall accuracy in predicting large-artery occlusion stroke of 87% (positive predictive value, 41%; negative predictive value, 93%). The median onset-to-puncture time for thrombectomy was 137 minutes vs 206 minutes in the previous year, while onset-to-needle time for intravenous thrombolysis was unchanged at a median of 115 minutes. MeaningCombining a symptom-based prehospital triage algorithm with ambulance-to-hospital teleconsultation may result in markedly reduced delivery times for thrombectomy without delaying intravenous thrombolysis.
JAMA Neurology – American Medical Association
Published: Jun 6, 2020
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