ArticleStroke (Hoboken, N.J.)2022
Bypass of Primary Stroke Centers Compared With Secondary Transfer for Endovascular Thrombectomy.
Article in Stroke (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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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.
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Who cites it
2 citing papers in PubMed.
- Long Distance Air Ambulance Transfers for Endovascular Thrombectomy.Stroke (Hoboken, N.J.) · 2023Article
- Assessing the Relationship between LAMS and CT Perfusion Parameters in Acute Ischemic Stroke Secondary to Large Vessel Occlusion.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Our stroke network operates a hybrid organizational structure, with patients with potential large-vessel occlusion taken to the local primary stroke center (PSC) during office hours, and directly bypassed to the endovascular thrombectomy-capable stroke center (EVT-SC) after hours. We aimed to compare the 2 methods of transfer. Methods: Consecutive patients with anterior large-vessel occlusion treated with EVT between August 2017 and February 2021 were identified. Patients who had EVT puncture within 6 hours of last known normal were included for analysis. Patients were grouped into method of presentation: direct bypass to EVT-SC ("EVT-SC direct") or taken to local PSC with secondary transfer to EVT-SC ("PSC-transfer"). The primary outcome was 3-month functional independence (modified Rankin scale score 0-2). Secondary outcomes included mortality at 7 days and at 3 months. Results: A total of 259 patients (109 women; mean±SD age, 66.8±15.2 years) were included; there were 91 (35.1%) EVT-SC direct and 168 (64.9%) PSC-transfer patients. The EVT-SC direct patients had shorter median times from last known normal to thrombolysis (120 versus 147 minutes; Conclusions: In this comparison of 2 organizational paradigms in patients with a PSC as the closest stroke center, direct bypass to EVT-SC resulted in significantly better process times and clinical outcomes compared with secondary transfers from PSCs.
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