Long-term implementation of a prehospital severity scale for EMS triage of acute stroke: a real-world experience
| Autor: | Linda Saju, Richard Burgess, Ehad Afreen, Syed Zaidi, Hisham Salahuddin, Vieh Kung, Gretchen E. Tietjen, Brent Parquette, Andrea Korsnack, Kimberly Cole, Diana E. Slawski, Alicia C. Castonguay, Julie Shawver, Kunaal Bafna, David Lindstrom, Mouhammad A. Jumaa |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Emergency Medical Services Time Factors 030204 cardiovascular system & hematology Severity of Illness Index Brain Ischemia Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Emergency medical services Humans Prospective Studies Acute ischemic stroke Stroke intervention Acute stroke Aged Ohio Ischemic Stroke Hospital network Aged 80 and over business.industry Background data General Medicine Middle Aged medicine.disease Triage stroke thrombectomy Emergency medicine Surgery Female Neurology (clinical) business 030217 neurology & neurosurgery Large vessel occlusion |
| Zdroj: | Journal of Neurointerventional Surgery |
| ISSN: | 1759-8486 |
| Popis: | BackgroundData on the implementation of prehospital large vessel occlusion (LVO) scales to identify and triage patients with acute ischemic stroke (AIS) in the field are limited, with the majority of studies occurring outside the USA.ObjectiveTo report our long-term experience of a US countywide emergency medical services (EMS) acute stroke triage protocol using the Rapid Arterial oCclusion Evaluation (RACE) score.MethodsOur prospective database was used to identify all consecutive patients triaged within Lucas County, Ohio by the EMS with (1) a RACE score ≥5, taken directly to an endovascular capable center (ECC) as RACE-alerts (RA) and (2) a RACE score ResultsBetween July 2015 and June 2018, 492 RA and 1147 SA were triaged within our five-hospital network. Of the RA, 37% had AIS secondary to LVOs. Of the 492 RA and 1147 SA, 125 (25.4%) and 38 (3.3%), respectively, underwent MT (OR=9.9; 95% CI 6.8 to 14.6; pConclusionsWe have demonstrated the long-term feasibility of a countywide EMS-based prehospital triage protocol using the RACE Scale within our hospital network. |
| Databáze: | OpenAIRE |
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