Key PointsQuestionIs the implementation of a regional prehospital transport policy for comprehensive stroke center triage associated with increased rates of endovascular therapy (EVT)? FindingsThis 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. MeaningThese 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.
JAMA Neurology – American Medical Association
Published: Oct 9, 2021