Journal ArticleDOI
Performance of the RACE Score for the Prehospital Identification of Large Vessel Occlusion Stroke in a Suburban/Rural EMS Service
Robert Dickson,Remle P. Crowe,Casey Patrick,Kevin Crocker,Michael Aiken,Andrew Adams,Guy R Gleisberg,Tyler Nichols,Christopher Mason,Ashish R. Panchal +9 more
TLDR
The RACE scale demonstrated acceptable discrimination, yet the sensitivity and positive predictive value were lower in this cohort of EMS professionals in the United States than in the original validation study conducted in Spain.About:
This article is published in Prehospital Emergency Care.The article was published on 2019-02-20. It has received 34 citations till now. The article focuses on the topics: Emergency medical services & Stroke.read more
Citations
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Journal ArticleDOI
Comparison of eight prehospital stroke scales to detect intracranial large-vessel occlusion in suspected stroke (PRESTO): a prospective observational study
Martijne H C Duvekot,Martijne H C Duvekot,Esmee Venema,Anouk D. Rozeman,Walid Moudrous,Frederique H Vermeij,Marileen Biekart,Hester F. Lingsma,Lisette Maasland,Annemarie D. Wijnhoud,Laus J.M.M. Mulder,Kees C.L. Alblas,Roeland P.J. van Eijkelenburg,Bianca I. Buijck,Jeannette Bakker,Aarnout S. Plaisier,Jan-Hein Hensen,Geert J. Lycklama à Nijeholt,Pieter Jan van Doormaal,Adriaan C.G.M. van Es,Aad van der Lugt,Henk Kerkhoff,Diederik W.J. Dippel,Bob Roozenbeek,Merel L. Willeboer,Bianca Buijck,Aarnout Plaisier,Geert J. Lycklama à Nijeholt,Amber E. Hoek,Erick Oskam,Mandy M.A. van der Zon,Egon D. Zwets,Jan Willem Kuiper,Bruno J.M. van Moll,Mirjam Woudenberg,Arnoud M. de Leeuw,Anja Noordam-Reijm,Timo Bevelander,Vicky Chalos,Eveline J. A. Wiegers,Lennard Wolff,Dennis C. van Kalkeren,Jochem van den Biggelaar +42 more
TL;DR: In this article, a multicentre, prospective, observational cohort study of adults with suspected stroke (aged ≥18 years) who were transported by ambulance to one of eight hospitals in southwest Netherlands was conducted.
Journal ArticleDOI
Non-invasive sensor technology for prehospital stroke diagnosis: Current status and future directions.
TL;DR: Non-invasive external brain monitoring devices are in various stages of development and have promise as stroke sensors in the prehospital setting.
Journal ArticleDOI
Prehospital stroke management in the thrombectomy era
Klaus Fassbender,Silke Walter,Iris Q. Grunwald,Iris Q. Grunwald,Fatma Merzou,Shrey Mathur,Martin Lesmeister,Yang Liu,Thomas Bertsch,James C. Grotta +9 more
TL;DR: The focus of stroke research has shifted to the prehospital setting, and research focuses on the effects of public education, implementation of protocols for emergency medical services for streamlining clinical investigations and accurate triage, use of preclinical scales for stroke recognition, and deployment of novel technical solutions such as smartphone applications, telemedicine, and mobile stroke units.
Journal ArticleDOI
Bypassing the Closest Stroke Center for Thrombectomy Candidates: What Additional Delay to Thrombolysis Is Acceptable?
TL;DR: The results suggest that patients with acute ischemic stroke with suspected large vessel occlusion should be redirected to a CSC if the additional delay to IVT is <30 minutes in urban and 50 minutes in rural settings.
Journal ArticleDOI
Long-term implementation of a prehospital severity scale for EMS triage of acute stroke: a real-world experience
Mouhammad A. Jumaa,Mouhammad A. Jumaa,Alicia C. Castonguay,Hisham Salahuddin,Julie Shawver,Linda Saju,Richard Burgess,Vieh Kung,Diana E. Slawski,Gretchen E. Tietjen,David Lindstrom,Brent Parquette,Andrea Korsnack,Kimberly Cole,Ehad Afreen,Kunaal Bafna,Syed Zaidi,Syed Zaidi +17 more
TL;DR: The long-term feasibility of a countywide EMS-based prehospital triage protocol using the Rapid Arterial oCclusion Evaluation (RACE) score is demonstrated within the hospital network.
References
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Journal ArticleDOI
A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke
Debbie Beumer,Debbie Beumer,Julie Staals,Jeannette Hofmeijer,Jelis Boiten,J. De Vries,Omid S. Eshghi,Koos Keizer,R. van den Berg,A. van der Lugt,Abstr Act +10 more
TL;DR: In patients with acute ischemic stroke caused by a proximal intracranial occlusion of the anterior circulation, intraarterial treatment administered within 6 hours after stroke onset was effective and safe.
Journal ArticleDOI
Endovascular thrombectomy after large-vessel ischaemic stroke: a meta-analysis of individual patient data from five randomised trials
Mayank Goyal,Bijoy K Menon,Wim H. van Zwam,Diederik W.J. Dippel,Peter Mitchell,Andrew M. Demchuk,Antoni Dávalos,Charles B. L. M. Majoie,Aad van der Lugt,Maria Angeles De Miquel,Geoffrey A. Donnan,Yvo B.W.E.M. Roos,Alain Bonafe,Reza Jahan,Hans-Christoph Diener,Lucie A. van den Berg,Elad I. Levy,Olvert A. Berkhemer,Vitor Mendes Pereira,Jeremy L. Rempel,Mónica Millán,Stephen M. Davis,Daniel Roy,John Thornton,Luis San Roman,Marc Ribo,Debbie Beumer,Bruce Stouch,Scott Brown,Bruce C.V. Campbell,Robert J. van Oostenbrugge,Jeffrey L. Saver,Michael D. Hill,Tudor G Jovin +33 more
TL;DR: Endovascular thrombectomy is of benefit to most patients with acute ischaemic stroke caused by occlusion of the proximal anterior circulation, irrespective of patient characteristics or geographical location, and will have global implications on structuring systems of care to provide timely treatment.
Journal ArticleDOI
Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke
Mayank Goyal,Muneer Eesa,John Thornton,Denis-Claude Roy,Dar Dowlatshahi,Ashfaq Shuaib,D. Tampieri,David Williams,H. Choe,Brian T. Jankowitz,Michael Kelly,Guillermo Linares,Jai Jai Shiva Shankar,Alain Weill,Suresh Subramaniam,Abstr Act +15 more
TL;DR: In this paper, the authors evaluated rapid endovascular treatment in addition to standard care in patients with acute ischemic stroke with a small infarct core, a proximal intracranial arterial occlusion, and moderate-to-good collateral circulation.
Journal ArticleDOI
Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection
Bruce C.V. Campbell,Leonid Churilov,Nawaf Yassi,Bernard Yan,M. Brooks,F. Miteff,Martin Krause,M. Priglinger,Timothy Ang,Rebecca Scroop,Ben McGuinness,Tissa Wijeratne,Winston Chong,Monica S Badve,H. Rice,L. de Villiers,Henry Ma,Abstr Act +17 more
TL;DR: In patients with ischemic stroke with a proximal cerebral arterial occlusion and salvageable tissue on CT perfusion imaging, early thrombectomy with the Solitaire FR stent retriever, as compared with alteplase alone, improved reperfusion, early neurologic recovery, and functional outcome.
Journal ArticleDOI
Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke
Jeffrey L. Saver,Mayank Goyal,Alain Bonafe,Hans-Christoph Diener,Elad I. Levy,Vitor Mendes Pereira,Gregory W. Albers,Christophe Cognard,David J. Cohen,Werner Hacke,Olav Jansen,Tudor G Jovin,Heinrich Mattle,Raul G Nogueira,Adnan H. Siddiqui,Dileep R. Yavagal,Blaise Baxter,Thomas Devlin,Demetrius K. Lopes,Vivek Y. Reddy,Richard du Mesnil de Rochemont,Oliver C. Singer,Reza Jahan +22 more
TL;DR: In patients receiving intravenous t-PA for acute ischemic stroke, thrombectomy with the use of a stent retriever within 6 hours after onset improved functional outcomes at 90 days.
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Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis
Jeffrey L. Saver,Mayank Goyal,Aad van der Lugt,Bijoy K Menon,Charles B. L. M. Majoie,Diederik W.J. Dippel,Bruce C.V. Campbell,Raul G Nogueira,Andrew M. Demchuk,Alejandro Tomasello,Pere Cardona,Thomas Devlin,Donald Frei,Richard du Mesnil de Rochemont,Olvert A. Berkhemer,Tudor G Jovin,Adnan H. Siddiqui,Wim H. van Zwam,Stephen M. Davis,Carlos Castaño,Biggya L. Sapkota,Puck S.S. Fransen,Carlos A. Molina,Robert J. van Oostenbrugge,Ángel Chamorro,Hester F. Lingsma,Frank L. Silver,Geoffrey A. Donnan,Ashfaq Shuaib,Scott Brown,Bruce Stouch,Peter Mitchell,Antoni Dávalos,Yvo B.W.E.M. Roos,Michael D. Hill +34 more