Transport strategy for ischaemic stroke patients with large vessel occlusion

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Transport strategy for ischaemic stroke patients with large vessel occlusion

Popis výsledku v původním jazyce

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

Název v anglickém jazyce

Transport strategy for ischaemic stroke patients with large vessel occlusion

Popis výsledku anglicky

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

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30304 - Public and environmental health

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

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

ISSN

0028-3843

e-ISSN

1897-4260

Svazek periodika

56

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

PL - Polská republika

Počet stran výsledku

8

Strana od-do

464-471

Kód UT WoS článku

000907031300001

EID výsledku v databázi Scopus

—