Comparison of Prehospital Scales for Predicting Large Anterior Vessel Occlusion in the Ambulance Setting.

ABSTRACT:

Importance

The efficacy of endovascular thrombectomy (EVT) for symptomatic large anterior vessel occlusion (sLAVO) sharply decreases with time. Because EVT is restricted to comprehensive stroke centers, prehospital triage of patients with acute stroke codes for sLAVO is crucial, and although several prediction scales are already in use, external validation, head-to-head comparison, and feasibility data are lacking.

Objective

To conduct external validation and head-to-head comparisons of 7 sLAVO prediction scales in the emergency medical service (EMS) setting and to assess scale feasibility by EMS paramedics.

Design, setting, and participants

This prospective cohort study was conducted between July 2018 and October 2019 in a large urban center in the Netherlands with a

SUBMITTER: Nguyen TTM 

PROVIDER: S-EPMC8015863 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature