Evidence map›Paper›PMID 38899767›Full record

SynthesisJournal of the American Heart Association2024

Physician Transfer Versus Patient Transfer for Mechanical Thrombectomy in Patients With Acute Ischemic Stroke: A Systematic Review and Meta-Analysis.

Adnan I Qureshi, Abdullah Lodhi, Hamza Maqsood, Xiaoyu Ma, Gordian J Hubert, Camilo R Gomez, Chun S Kwok, Daniel E Ford, Daniel F Hanley, David R Mehr and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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. Review
  2. Review
  3. Article
  4. Drip and ship in patients with acute ischemic stroke: a narrative review.Therapeutic advances in neurological disorders · 2025
    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

12 authors.

Adnan I QureshiZeenat Qureshi Stroke Institutes St Cloud MN USA.ORCID 0000-0003-4962-540X
Abdullah LodhiZeenat Qureshi Stroke Institutes St Cloud MN USA.ORCID 0000-0002-8180-7855
Hamza MaqsoodZeenat Qureshi Stroke Institutes St Cloud MN USA.ORCID 0000-0001-5721-9511
Xiaoyu MaZeenat Qureshi Stroke Institutes St Cloud MN USA.ORCID 0000-0001-7436-7591
Gordian J HubertDepartment of Neurology, TEMPiS Telestroke Center München Klinik gGmbH Munich Germany.ORCID 0000-0002-9463-0606
Camilo R GomezDepartment of Neurology University of Missouri Columbia MO USA.ORCID 0000-0002-8002-5157
Chun S KwokDepartment of Cardiology, Queen Elizabeth Hospital Birmingham University Hospitals of Birmingham NHS Trust Stoke-on-Trent UK.ORCID 0000-0001-7047-1586
Daniel E FordDepartment of Medicine Johns Hopkins University Baltimore MD USA.ORCID 0000-0002-2549-2289
Daniel F HanleyDepartment of Neurology Johns Hopkins University Baltimore MD USA.ORCID 0000-0002-9536-4258
David R MehrDepartment of Geriatric Medicine University of Missouri Columbia MO USA.ORCID 0000-0002-5194-1383
Qaisar A ShahDepartment of Neurology Winchester Medical Center Winchester VA USA.
M Fareed K SuriDepartment of Neurology CentraCare St Cloud MN USA.ORCID 0000-0002-2300-6216

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysician transfer is an alternate option to patient transfer for expedient performance of mechanical thrombectomy in patients with acute ischemic stroke. METHODS AND

resultsWe conducted a systematic review to identify studies that evaluate the effect of physician transfer in patients with acute ischemic stroke who undergo mechanical thrombectomy. A search of PubMed, Scopus, and Web of Science was undertaken, and data were extracted. A statistical pooling with random-effects meta-analysis was performed to examine the odds of reduced time interval between stroke onset and recanalization, functional independence, death, and angiographic recanalization. A total of 12 studies (11 nonrandomized observational studies and 1 nonrandomized controlled trial) were included, with a total of 1894 patients. Physician transfer was associated with a significantly shorter time interval between stroke onset and recanalization with a pooled mean difference estimate of -62.08 (95% CI, -112.56 to -11.61];

conclusionsPhysician transfer was associated with a significant reduction in the mean of time interval between symptom onset and recanalization and increased odds for functional independence at 90 days with physician transfer compared with patient transfer among patients who undergo mechanical thrombectomy.

Indexed as

Ischemic StrokePatient TransferThrombectomyTime-to-TreatmentHumansTime FactorsTreatment Outcomefunctional independencemechanical thrombectomypatient transferphysician transfertime intervals

Identifiers

PMID38899767
PMCPMC11255715

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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.