ArticleStroke (Hoboken, N.J.)2024
Evaluating Transport Strategies and Local Hospital Impact on Stroke Outcomes: A RACECAT Trial Substudy.
Article in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
Who cites it
3 citing papers in PubMed.
- Review
- CATalyze-AI: accelerating referral for thrombectomy in acute stroke patients using an AI-based software. A prospective, multicentre, quasi-experimental cohort study.European stroke journal · 2026Article
- Direct Transport to a Thrombectomy Center Accelerates Acute Stroke Reperfusion Therapies in Nonurban Settings.Journal of the American Heart Association · 2026Observational
Corrections and comments
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Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The optimal strategy for transferring patients to specialized acute stroke care remains controversial. This substudy of the Effect of Direct Transportation to Thrombectomy-Capable Center vs Local Stroke Center on Neurological Outcomes in Patients with suspected Large-Vessel Occlusion Stroke in Nonurban Areas (RACECAT) trial aims to investigate the impact of local hospital characteristics and performance on the optimal transport strategy and stroke outcomes. Methods: This was a secondary post hoc analysis of the RACECAT trial, evaluating factors potentially associated with functional outcomes among patients initially evaluated at a local stroke center (Local-SC) versus a thrombectomy-capable center. The primary outcome was the shift in the 90-day modified Rankin Scale score in the target population of the RACECAT trial. Door-to-needle time, level of care of the Local-SC (telestroke versus primary stroke center), the specialty of the physician involved with therapeutic decisions, and Local-SC case volume were assessed for subgroup analyses. Results: Of the 1367 patients included in the analysis, 903 had acute ischemic strokes (modified intention to treat). The 90-day modified Rankin Scale score was associated with door-to-needle time in the entire modified intention-to-treat cohort ( Conclusions: Direct transport to thrombectomy-capable centers may be preferable in areas primarily covered by telestroke or Local-SCs with poorer performance, especially in patients with large-vessel occlusion. These findings can contribute to refining prehospital triage strategies and optimizing stroke systems of care.
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