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Prehospital Comprehensive Stroke Center vs Primary Stroke Center Triage in Patients With Suspected Large Vessel Occlusion Stroke

Prehospital Comprehensive Stroke Center vs Primary Stroke Center Triage in Patients With... 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Neurology American Medical Association

Prehospital Comprehensive Stroke Center vs Primary Stroke Center Triage in Patients With Suspected Large Vessel Occlusion Stroke

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Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2168-6149
eISSN
2168-6157
DOI
10.1001/jamaneurol.2021.2485
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMA NeurologyAmerican Medical Association

Published: Oct 9, 2021

References