Prehospital Stroke Triage to Route Patients Directly to a Thrombectomy Center: New York City First-Year Experience.

ABSTRACT:

Background

New York City Emergency Medical Services implemented a prehospital triage protocol using a modified Speech-Los Angeles Motor Scale to identify patients with large-vessel occlusion. Patients with Speech-Los Angeles Motor Scale ≥4 and last known well within 5 hours were routed to the nearest thrombectomy-capable stroke center. Our aim was to describe the Speech-Los Angeles Motor Scale Triage Positive (STP) cohort and compare to a cohort that ultimately underwent endovascular thrombectomy (EVT) but were missed by the protocol (not triaged as Speech-Los Angeles Motor Scale positive [NSTP]).

Methods

A prospectively collected database identified patients arriving within 5 hours from last known well between April 2019 and March 2020. STP patients (N=145) were assessed fo

SUBMITTER: Kim BD 

PROVIDER: S-EPMC12778616 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature