Other Hospital-onset Acute Ischemic Stroke Due to Large Vessel Occlusion Treated by Mechanical Thrombectomy after Inter-hospital Transfer
| Autor: | Ryokichi Yagi, Koji Takeuchi, Yuichiro Tsuji, Ryo Hiramatsu, Noriaki Matsubara, Yangtae Park, Shigeru Miyachi, Hiroyuki Ohnishi, Toshihiko Kuroiwa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Patient Transfer Time Factors Medical staff thrombectomy-incapable hospital Treatment results in-hospital stroke Time-to-Treatment 030218 nuclear medicine & medical imaging mechanical thrombectomy 03 medical and health sciences 0302 clinical medicine Modified Rankin Scale large vessel occlusion Humans Medicine In hospital stroke Stroke Acute ischemic stroke Aged Ischemic Stroke Retrospective Studies Thrombectomy Aged 80 and over business.industry Middle Aged medicine.disease Mechanical thrombectomy Cerebrovascular Disorders Treatment Outcome Anesthesia inter-hospital transfer Original Article Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery Large vessel occlusion |
| Zdroj: | Neurologia medico-chirurgica |
| ISSN: | 1349-8029 0470-8105 |
| DOI: | 10.2176/nmc.oa.2019-0261 |
| Popis: | The purpose of this study was to investigate the in-hospital acute ischemic stroke due to large vessel occlusion (LVO) that developed in another thrombectomy-incapable hospital, treated by mechanical thrombectomy after inter-hospital transfer. In eight other hospital-onset LVO patients, clinical characteristics, treatment results, and the timeline of thrombectomy were retrospectively investigated and compared to the results of 17 patients developed LVO at our own hospital and 18 developed in the community. In the analysis of timeline, the mean recognition-to-arrival time in other hospital-onset patients was 169 ± 78 min, significantly longer than for the community-onset patients (79 ± 78 min). Arrival-to-puncture time was 42 ± 19 min, significantly shorter than for the own hospital-onset patients (166 ± 80 min) and the community-onset patients (155 ± 76 min). Recognition-to-puncture times for the other hospital-onset patients, the own hospital-onset patients, and the community-onset patients were 212 ± 74, 166 ± 80, and 216 ± 83 min, respectively, and recognition-to-recanalization times were 285 ± 73, 200 ± 81, and 275 ± 125 min. Both these times were shorter for the own hospital-onset patients. The rates of modified Rankin Scale (mRS) of 0-2 in the three groups were 12%, 30%, and 23%, respectively. The rate of mRS 0-2 was lowest in the other hospital-onset patients. In conclusion, the other hospital-onset patients required additional time for their initial management and inter-hospital transfer although arrival-to-puncture time was shorter. Favorable outcomes were observed less frequently in them. Improving inter-hospital cooperation systems and to educate the medical staff in a thrombectomy-incapable hospital concerning stroke management is important measures for other hospital-onset stroke with LVO. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|