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Inter‐hospital transfer for thrombectomy: transfer time is brain

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Názov: Inter‐hospital transfer for thrombectomy: transfer time is brain
Autori: Seners, Pierre, Khyheng, Maeva, Labreuche, Julien, Lapergue, Bertrand, Pico, Fernando, Clottes, Paul
Prispievatelia: Delvoye, François
Zdroj: Eur J Neurol
Informácie o vydavateľovi: Wiley, 2024.
Rok vydania: 2024
Predmety: Patient Transfer, Male, Time Factors, Patient Transfer/methods, inter‐hospital transfer, Time-to-Treatment/statistics & numerical data, Ischemic Stroke/diagnostic imaging, Sciences de la santé humaine, Time-to-Treatment, 03 medical and health sciences, 0302 clinical medicine, Neurologie, Ischemic Stroke/therapy, Humans, Registries, Human health sciences, Ischemic Stroke/surgery, Thrombectomy, Aged, Ischemic Stroke, Retrospective Studies, Aged, 80 and over, ischaemic stroke, Middle Aged, Stroke, Treatment Outcome, Neurology, thrombectomy, Thrombectomy/methods, Female, Neurology (clinical)
Popis: Background and purposePatients with acute ischaemic stroke and a large vessel occlusion who present to a non‐endovascular‐capable centre often require inter‐hospital transfer for thrombectomy. Whether the inter‐hospital transfer time is associated with 3‐month functional outcome is poorly known.MethodsAcute stroke patients enrolled between January 2015 and December 2022 in the prospective French multicentre Endovascular Treatment of Ischaemic Stroke registry were retrospectively analysed. Patients with an anterior circulation large vessel occlusion transferred from a non‐endovascular to a comprehensive stroke centre for thrombectomy were eligible. Inter‐hospital transfer time was defined as the time between imaging in the referring hospital and groin puncture for thrombectomy. The relationship between transfer time and favourable 3‐month functional outcome (modified Rankin Scale 0–2) was assessed through a mixed logistic regression model adjusting for centre and symptom‐onset‐to‐referring‐hospital imaging time, age, sex, diabetes, referring hospital National Institutes of Health Stroke Scale score, Alberta Stroke Programme Early Computed Tomography Score, occlusion site and intravenous thrombolysis use.ResultsOverall, 3769 patients were included (median inter‐hospital transfer time 161 min, interquartile range 128–195; 46% with favourable outcome). A longer transfer time was independently associated with lower rates of favourable outcome (p ConclusionsA shorter inter‐hospital transfer time is strongly associated with favourable 3‐month functional outcome. A speedier inter‐hospital transfer is of critical importance to improve outcome.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1468-1331
1351-5101
DOI: 10.1111/ene.16276
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38483088
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....a068f4fe79fe6c8f371db4d81f60deae
Databáza: OpenAIRE
Popis
Abstrakt:Background and purposePatients with acute ischaemic stroke and a large vessel occlusion who present to a non‐endovascular‐capable centre often require inter‐hospital transfer for thrombectomy. Whether the inter‐hospital transfer time is associated with 3‐month functional outcome is poorly known.MethodsAcute stroke patients enrolled between January 2015 and December 2022 in the prospective French multicentre Endovascular Treatment of Ischaemic Stroke registry were retrospectively analysed. Patients with an anterior circulation large vessel occlusion transferred from a non‐endovascular to a comprehensive stroke centre for thrombectomy were eligible. Inter‐hospital transfer time was defined as the time between imaging in the referring hospital and groin puncture for thrombectomy. The relationship between transfer time and favourable 3‐month functional outcome (modified Rankin Scale 0–2) was assessed through a mixed logistic regression model adjusting for centre and symptom‐onset‐to‐referring‐hospital imaging time, age, sex, diabetes, referring hospital National Institutes of Health Stroke Scale score, Alberta Stroke Programme Early Computed Tomography Score, occlusion site and intravenous thrombolysis use.ResultsOverall, 3769 patients were included (median inter‐hospital transfer time 161 min, interquartile range 128–195; 46% with favourable outcome). A longer transfer time was independently associated with lower rates of favourable outcome (p ConclusionsA shorter inter‐hospital transfer time is strongly associated with favourable 3‐month functional outcome. A speedier inter‐hospital transfer is of critical importance to improve outcome.
ISSN:14681331
13515101
DOI:10.1111/ene.16276