biostudies-literatureUnknown12(2)Ryan A<h4>Introduction</h4>Stroke reperfusion therapies, comprising intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT), are best practice treatments for eligible acute ischemic stroke patients. In Australia, EVT is provided at few, mainly metropolitan, comprehensive stroke centres (CSC). There are significant challenges for Australia's rural and remote populations in accessing EVT, but improved access can be facilitated by a 'drip and ship' approach. TACTICS (Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship) aims to test whether a multicomponent, multidisciplinary implementation intervention can increase the proportion of stroke patients receiving EVT.<h4>Methods and analysis</h4>This is a non-randomised controlled, stepped wedge trial involving siBMJ opene055461https://www.ebi.ac.uk/biostudies/studies/S-EPMC8845197biostudies-literatureTACTICS - Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship: evaluating the effectiveness of an 'implementation intervention' in providing better patient access to reperfusion therapies: protocol for a non-randomised controlled stepped wedge cluster trial in acute stroke.PMC8845197Whalen OBivard AParsons MCampbell BCVMalavera ABrown HSpratt NKuhle SHatchwell LDavis SMMaltby SWong AWalker FRDonnan GAKeynes AGarcia-Esperon CLevi CRButcher KHood RJRyan ABladin COldmeadow CKleinig TAttia JAnderson CMuller CDelcourt CPaul CLYang QSabet AGrimley RSCox MfalseTACTICS - Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship: evaluating the effectiveness of an 'implementation intervention' in providing better patient access to reperfusion therapies: protocol for a non-randomised controlled stepped wedge cluster trial in acute stroke.<h4>Introduction</h4>Stroke reperfusion therapies, comprising intravenous thrombolysis (IVT) and/or endovascular thrombectomy (EVT), are best practice treatments for eligible acute ischemic stroke patients. In Australia, EVT is provided at few, mainly metropolitan, comprehensive stroke centres (CSC). There are significant challenges for Australia's rural and remote populations in accessing EVT, but improved access can be facilitated by a 'drip and ship' approach. TACTICS (Trial of Advanced CT Imaging and Combined Education Support for Drip and Ship) aims to test whether a multicomponent, multidisciplinary implementation intervention can increase the proportion of stroke patients receiving EVT.<h4>Methods and analysis</h4>This is a non-randomised controlled, stepped wedge trial involving si2022-01-01T00:00:00Z2022 Feb2025-04-04T09:00:44.116Z2025-04-04T09:00:44.116ZS-EPMC88451973514957110.1136/bmjopen-2021-055461