Tokyo Metropolitan Stroke Emergency Medical Services for Interventional Stroke Treatment: The Tama-REgistry of Acute Thrombectomy (TREAT) Study.
J Stroke Cerebrovasc Dis
; 29(6): 104752, 2020 Jun.
Article
en En
| MEDLINE
| ID: mdl-32276861
ABSTRACT
OBJECTIVE:
It is not clear how patients with large vessel occlusion (LVO) who have undergone mechanical thrombectomy (MT) were transported to hospitals by emergency medical services. Here, we describe the current status of the stroke delivery system in a large city.METHODS:
We investigated data from 328 patients (male, nâ¯=â¯199; average age, 74.8 ± 12.9 years) who underwent MT at 12 facilities in the Tama area of Tokyo, between January 2015 and December 2017. The patients were classified according to the destination institution as Stroke A eligible (group A, nâ¯=â¯266 [8.2%]), Tertiary critical care center (group T; nâ¯=â¯35 [10.7%]), and other destinations such as emergency rooms (group O; nâ¯=â¯27 [8.2%]), and then reasons for using Emergency Medical Service (EMS) services and outcomes were compared among the groups.RESULTS:
Rates of milder stroke, and middle cerebral artery occlusion were significantly higher in group A than T, whereas that of vertebral-basilar artery occlusion was significantly lower in group A than in groups T and O. The amount of elapsed time from door to picture (DTP) was significantly lower in group A. The time from onset to recanalization, as well as rates of successful recanalization and favorable outcomes (90-day modified Rankin scale 0-2) did not significantly differ regardless of destination.CONCLUSIONS:
Most patients with LVO in the Tama area were categorized into group A. DTP was significantly lower in group A.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Transporte de Pacientes
/
Trombectomía
/
Accidente Cerebrovascular
/
Servicio de Urgencia en Hospital
/
Tiempo de Tratamiento
/
Centros de Atención Terciaria
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
J Stroke Cerebrovasc Dis
Asunto de la revista:
ANGIOLOGIA
/
CEREBRO
Año:
2020
Tipo del documento:
Article