Pre-hospital Triage of Acute Ischemic Stroke Patients-Importance of Considering More Than Two Transport Options.

ABSTRACT: Background: Patients with acute ischemic stroke (AIS) and large vessel occlusion benefit from rapid access to mechanical thrombectomy in addition to intravenous thrombolysis. Prehospital triage algorithms to determine the optimal transport destination for AIS patients with unknown vessel status have so far only considered two alternatives: the nearest comprehensive (CSC) and the nearest primary stroke center (PSC). Objective: This study explores the importance of considering a larger number of PSCs during pre-hospital triage of AIS patients. Methods: Analysis was performed in random two-dimensional abstract geographic stroke care infrastructure environments and two models based on real-world geographic scenarios. Transport times to CSCs and PSCs were calculated to define sub-regions with s

SUBMITTER: Schlemm L 

PROVIDER: S-EPMC6503645 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature