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Transport strategy for ischaemic stroke patients with large vessel occlusion

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F44555601%3A13430%2F22%3A43897490" target="_blank" >RIV/44555601:13430/22:43897490 - isvavai.cz</a>

  • Alternative codes found

    RIV/00098892:_____/22:10157289 RIV/61989592:15110/22:73614222

  • Result on the web

    <a href="https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2022.0054/68144" target="_blank" >https://journals.viamedica.pl/neurologia_neurochirurgia_polska/article/view/PJNNS.a2022.0054/68144</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.5603/PJNNS.a2022.0054" target="_blank" >10.5603/PJNNS.a2022.0054</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Transport strategy for ischaemic stroke patients with large vessel occlusion

  • Original language description

    Introduction.There are today two models of transporting patients with acute ischaemic stroke because of large artery occlu-sion (AIS-LVO): mothership (MS) and drip-and-ship (DS). Our aim was to evaluate our ongoing transport strategy (OT), which is an MS/DS hybrid. In our OT, the patient is transported directly to the CT of the Primary Stroke Centre (PSC), where intravenous thrombolysis (IVT) is administered. The patient then continues without delay to a Comprehensive Stroke Centre (CSC) with the same medical rescue team (MRT). The distance between our centres is 73 km.Material and methods. We retrospectively analysed data of 100 consecutive AIS-LVO patients treated with mechanical throm-bectomy (MT) between January 2017 and October 2019. OT, MS and DS groups were compared. 31 patients were transported as MS, 32 as DS, and 37 as OT.Results. DS had significantly longer time to groin puncture (185 min) compared to OT and MS (p &lt; 0.0001). OT shortened time almost to MS level (OT 124 min, MS 110 min, p = 0.002. Time to IVT administration (from MRT departure) differed statistically significantly in favour of OT (OT 27 min, MS 63 min, p &lt; 0.0001). Logistical change in PSC had a significant effect on decreasing the door-to-needle time (DNT) median from 37 min to 11 min (p &lt; 0.0001). DNT reduction also occurred in patients with AIS and without an indication for MT.Conclusions. OT is highly effective, significantly reducing the time to IVT administration, and combining all the benefits, while eliminating all the disadvantages, of DS and MS. The OT concept gives all indicated patients a chance for MT to be performed, and does not overload the performing centre

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30304 - Public and environmental health

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Neurologia i Neurochirurgia Polska (Polish Journal of Neurology and Neurosurgery, PJNNS)

  • ISSN

    0028-3843

  • e-ISSN

    1897-4260

  • Volume of the periodical

    56

  • Issue of the periodical within the volume

    6

  • Country of publishing house

    PL - POLAND

  • Number of pages

    8

  • Pages from-to

    464-471

  • UT code for WoS article

    000907031300001

  • EID of the result in the Scopus database