Stroke systems of care in high-income countries: what is optimal?

P Langhorne, HJ Audebert, DA Cadilhac, J Kim… - The Lancet, 2020 - thelancet.com
Stroke is a complex, time-sensitive, medical emergency that requires well functioning
systems of care to optimise treatment and improve patient outcomes. Education and training …

Direct transfer to the neuroangiography suite for patients with stroke

SM Desai, M Psychogios, P Khatri, TG Jovin… - Stroke, 2023 - Am Heart Assoc
The therapeutic focus in acute ischemic stroke over the last 2.5 decades has been to
balance the benefits of rapid reperfusion therapy with the risks of treatment-related …

Bypassing the closest stroke center for thrombectomy candidates: what additional delay to thrombolysis is acceptable?

L Schlemm, M Endres, CH Nolte - Stroke, 2020 - Am Heart Assoc
Background and Purpose—Patients with acute ischemic stroke who have large vessel
occlusion benefit from direct transport to a comprehensive stroke center (CSC) capable of …

Prehospital triage strategies for the transportation of suspected stroke patients in the United States

E Venema, JF Burke, B Roozenbeek, J Nelson… - Stroke, 2020 - Am Heart Assoc
Background and Purpose: Ischemic stroke patients with large vessel occlusion (LVO) could
benefit from direct transportation to an intervention center for endovascular treatment, but …

Comparison of Drip‐and‐Ship Versus Mothership Delivery Models of Mechanical Thrombectomy Delivery

L D'Anna, T Dolkar, O Vittay, L Dixon… - Stroke: Vascular and …, 2023 - Am Heart Assoc
Background It remains uncertain whether the drip‐and‐ship (DS) strategy (transport to the
nearest primary stroke centers) or the mothership (MS) model (direct transportation to the …

Potential effects of a mobile stroke unit on time to treatment and outcome in patients treated with thrombectomy or thrombolysis: A Danish–German cross‐border …

S Bluhm, P Schramm… - European Journal of …, 2024 - Wiley Online Library
Background and purpose A mobile stroke unit (MSU) reduces delays in stroke treatment by
allowing thrombolysis on board and avoiding secondary transports. Due to the beneficial …

Geographical Requirements for the Applicability of the Results of the RACECAT Study to Other Stroke Networks

FAF Schuler, M Ribó… - Journal of the …, 2023 - Am Heart Assoc
Background The RACECAT (Transfer to the Closest Local Stroke Center vs Direct Transfer
to Endovascular Stroke Center of Acute Stroke Patients With Suspected Large Vessel …

Leaving no large vessel occlusion stroke behind: reorganizing stroke systems of care to improve timely access to endovascular therapy

RA McTaggart, JK Holodinsky, JM Ospel, AK Cheung… - Stroke, 2020 - Am Heart Assoc
Upon first reaching a patient with suspected stroke, EMS protocols in most regions use a
stroke screen, such as field assessment stroke triage, Los Angeles prehospital stroke …

Optimizing patient selection for interhospital transfer and endovascular therapy in acute ischemic stroke: real-world data from a supraregional, hub-and-spoke …

MI Stefanou, V Stadler, D Baku, F Hennersdorf… - Frontiers in …, 2020 - frontiersin.org
Background: Interhospital transfer for endovascular treatment (EVT) within neurovascular
networks might result in transfer of patients who will not undergo EVT (futile transfer). Limited …

Modeling the optimal transportation for acute stroke treatment: the impact of the drip-and-drive paradigm

M Ernst, E Schlemm, JK Holodinsky, N Kamal… - Stroke, 2020 - Am Heart Assoc
Background and Purpose—Health systems are faced with the challenge of ensuring fast
access to appropriate therapy for patients with acute stroke. The paradigms primarily …