Interhospital transfer vs. direct presentation of patients with a large vessel occlusion not eligible for IV thrombolysis.

ABSTRACT:

Background and purpose

Direct presentation of patients with acute ischemic stroke to a comprehensive stroke center (CSC) reduces time to endovascular treatment (EVT), but may increase time to treatment for intravenous thrombolysis (IVT). This dilemma, however, is not applicable to patients who have a contraindication for IVT. We examined the effect of direct presentation to a CSC on outcomes after EVT in patients not eligible for IVT.

Methods

We used data from the MR CLEAN Registry (2014-2017). We included patients who were not treated with IVT and compared patients directly presented to a CSC to patients transferred from a primary stroke center. Outcomes included treatment times and 90-day modified Rankin Scale scores (mRS) adjusted for potential confounders.

Results

SUBMITTER: van Meenen LCC 

PROVIDER: S-EPMC7320925 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature