SynthesisCurrent atherosclerosis reports2018
Prehospital Prediction of Large Vessel Occlusion in Suspected Stroke Patients.
Synthesis in Current atherosclerosis reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 48 citations in OpenAlex.
- Prehospital scale to differentiate intracerebral hemorrhage from large-vessel occlusion patients: a prospective cohort study.Scientific reports · 2025Article
- Screening Performance of Stroke Scale for Mid-Level Personnel (SML) in Detecting Acute Stroke with Large Vessel Occlusion: A Cross-sectional Study.Archives of academic emergency medicine · 2025Article
- A Two-Step Approach Using the National Health Institutes of Health Stroke Scale Assessed by Paramedics to Enhance Prehospital Stroke Detection: A Case Report and Concept Proposal.Journal of clinical medicine · 2024Article
- Rapid Arterial Occlusion Evaluation (RACE) Tool in Detecting Large Cerebral Vessel Occlusions; a Systematic Review and Meta-Analysis.Archives of academic emergency medicine · 2024Review
- What predicts large vessel occlusion in mild stroke patients?BMC neurology · 2023Article
- Performance of the vision, aphasia, neglect (VAN) assessment within a single large EMS system.Journal of neurointerventional surgery · 2022Article
- A novel emergency medical services protocol to improve treatment time for large vessel occlusion strokes.PloS one · 2022Article
- Large vessel occlusion prediction scales provide high negative but low positive predictive values in prehospital suspected stroke patients.BMJ neurology open · 2022Article
- mG-FAST, a single pre-hospital stroke screen for evaluating large vessel and non-large vessel strokes.Frontiers in neurology · 2022Article
- Large Vessel Occlusion Stroke Detection in the Prehospital Environment.Current emergency and hospital medicine reports · 2021Article
- The Neurological Examination Improves Cranial Accelerometry Large Vessel Occlusion Prediction Accuracy.Neurocritical care · 2021Article
- Endovascular Treatment of Acute Ischemic Stroke.Current treatment options in cardiovascular medicine · 2019Review
- Endovascular Stroke Therapy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019Review
- The role of the Cincinnati Prehospital Stroke Scale in the emergency department: evidence from a systematic review and meta-analysis.Open access emergency medicine : OAEM · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewRecent advances in endovascular thrombectomy have made acute ischemic stroke due to a large vessel occlusion more treatable than ever. Rapid access to treatment remains paramount and multiple large vessel occlusion prediction scales have been created to enhance prehospital identification and triage of these patients. This review summarizes the current state of large vessel occlusion prediction scales, proposes a set of ideal scale features, and discusses the future of these scales and prehospital neurological emergency response systems. RECENT
findingsA meta-analysis of the available data concluded that none of the currently published scales are more accurate than the others. However, other studies provide insight into important qualitative features beyond accuracy. At present, only a few large vessel occlusion prediction scales have been studied in the necessary prehospital suspected stroke patient population. Among these small studies, 26-51% of patients identified by scales had large vessel occlusions and 63-84% qualified for triage to a Comprehensive Stroke Center. Valuable scale features include binary scoring, inclusion of gaze deviation and arm weakness, exclusion of neglect, and prehospital validation in a suspected stroke cohort. Patients with neurological emergencies that mimic large vessel occlusion, such as intracranial hemorrhage, may also benefit from triage to Comprehensive Stroke Centers. Prehospital triage is more complex than ever and guidelines, tools, and systems continue to evolve.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.