Pre-hospital and intrahospital workflow optimization for patients with suspected ischemic stroke due to large vessel occlusion - findings from a tertiary care facility

Autor: Stefan Krebs, Julia Ferrari, Alice Schürer, Astrid Chiari, Christian Neumann, Wilfried Lang, Marek Sykora
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Neurology, Vol 22, Iss 1, Pp 1-6 (2022)
Druh dokumentu: article
ISSN: 1471-2377
DOI: 10.1186/s12883-022-03033-1
Popis: Abstract Background The efficacy of recanalization treatment in patients with ischemic stroke due to large vessel occlusion (LVO) is highly time dependent. We aimed to investigate the effects of an optimization of prehospital and intrahospital pathways on time metrics and efficacy of endovascular treatment in ischemic stroke due to LVO. Methods Patients treated with mechanical thrombectomy (MT) at the Hospital of St. John of God Vienna, Austria, between 2013 and 2020 were extracted from the Austrian Stroke Unit Registry. Study endpoints including time metrics, early neurological improvement and functional outcome measured by modified Rankin Scale (mRS) at 3 months were compared before and after optimization of prehospital and intrahospital pathways. Results Two hundred ninety-nine patients were treated with MT during the study period, 94 before and 205 after the workflow optimization. Workflow optimization was significantly associated with time metrics improvement (door to groin puncture time 45 versus 31 min; p
Databáze: Directory of Open Access Journals
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