| Autor: |
Bruce C V Campbell, Peter J Mitchell, Karen Smith, Vincent Thijs, Ronil V Chandra, Mark Brooks, Tissa Wijeratne, Henry Ma, Thanh Phan, Philip M C Choi, Mark Parsons, Helen M Dewey, Chris Bladin, Sharon Jones, Mei Yan Ngun, Douglas Crompton, Ben Clissold, Joseph Zhi Wen Wong, Alexandra Warwick, Essie Low, Rumes Kanna Sriamareswaran, Jayantha Rupasinghe |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
BMJ Neurology Open, Vol 5, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2632-6140 |
| DOI: |
10.1136/bmjno-2022-000376 |
| Popis: |
Background Time to reperfusion is an important predictor of outcome in ischaemic stroke from large vessel occlusion (LVO). For patients requiring endovascular thrombectomy (EVT), the transfer times from peripheral hospitals in metropolitan and regional Victoria, Australia to comprehensive stroke centres (CSCs) have not been studied.Aims To determine transfer and journey times for patients with LVO stroke being transferred for consideration of EVT.Methods All patients transferred for consideration of EVT to three Victorian CSCs from January 2017 to December 2018 were included. Travel times were obtained from records matched to Ambulance Victoria and the referring centre via Victorian Stroke Telemedicine or hospital medical records. Metrics of interest included door-in-door-out time (DIDO), inbound journey time and outbound journey time.Results Data for 455 transferred patients were obtained, of which 395 (86.8%) underwent EVT. The median DIDO was 107 min (IQR 84–145) for metropolitan sites and 132 min (IQR 108–167) for regional sites. At metropolitan referring hospitals, faster DIDO was associated with use of the same ambulance crew to transport between hospitals (75 (63–90) vs 124 (99–156) min, p |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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