Drip and ship versus direct to endovascular thrombectomy: The impact of treatment times on transport decision-making.

ABSTRACT:

Introduction

In ischaemic stroke care, fast reperfusion is essential for disability free survival. It is unknown if bypassing thrombolysis centres in favour of endovascular thrombectomy (mothership) outweighs transport to the nearest thrombolysis centre for alteplase and then transfer for endovascular thrombectomy (drip-and-ship). We use conditional probability modelling to determine the impact of treatment times on transport decision-making for acute ischaemic stroke.

Materials and methods

Probability of good outcome was modelled using a previously published framework, data from the Irish National Stroke Register, and an endovascular thrombectomy registry at a tertiary referral centre in Ireland. Ireland was divided into 139 regions, transport times between each region and

SUBMITTER: Holodinsky JK 

PROVIDER: S-EPMC6460407 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature