Evidence map›Paper›PMID 36970521›Full record

ArticleFrontiers in neurology2023

Clinical outcome, recanalization success, and time metrics in drip-and-ship vs. drive-the-doctor: A retrospective analysis of the HEI-LU-Stroke registry.

Christian Urbanek, Jasmin Jung, Resul Güney, Arne Potreck, Simon Nagel, Armin J Grau, Timan Boujan, Andre Luckscheiter, Martin Bendszus, Markus A Möhlenbruch and 1 more

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In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Christian UrbanekDepartment of Neurology, Clinical Centre of the City of Ludwigshafen, Ludwigshafen, Germany.
Jasmin JungDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Resul GüneyDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Arne PotreckDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Simon NagelDepartment of Neurology, Clinical Centre of the City of Ludwigshafen, Ludwigshafen, Germany.
Armin J GrauDepartment of Neurology, Clinical Centre of the City of Ludwigshafen, Ludwigshafen, Germany.
Timan BoujanDepartment of Radiology, Clinical Centre of the City of Ludwigshafen, Ludwigshafen, Germany.
Andre LuckscheiterDepartment of Anaesthesiology, Clinical Centre of the City of Ludwigshafen, Ludwigshafen, Germany.
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Markus A MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.
Fatih SekerDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed at comparing clinical outcome, recanalization success and time metrics in the "drip and ship" (DS) vs. "drive the doctor" (DD) concept in a comparable setting. Methods: This is a retrospective analysis of thrombectomy registries of a comprehensive stroke center (CSC) and a thrombectomy-capable stroke center (TSC). Patients, who were transferred from the TSC to the CSC, were classified as DS. Patients treated at the TSC by an interventionalist transferred from the CSC were classified as DD. Good outcome was defined as mRS 0-2 or equivalent to premorbid mRS at discharge. Recanalization (TICI 2b-3 or equivalent) and time metrics were compared in both groups. Results: In total, 295 patients were included, of which 116 (39.3%) were treated in the DS concept and 179 (60.7%) in the DD concept. Good clinical outcome was similarly achieved in DS and DD (DS 25.0% vs. DD 31.3%, Conclusion: The DD concept is time saving while achieving similar clinical outcome and recanalization results.

Indexed as

drip and shipdrive the doctorstrokethrombectomytriage concept

Identifiers

PMID36970521
PMCPMC10035332

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Registered trials

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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.