Acute Ischemic Stroke
Conditions
Keywords
mechanical thrombectomy, telestroke, drip and ship, interhospital transfer, communication
Brief summary
The aim of this study is to evaluate the impact of a standardized alarming system on treatment times and workflow in stroke patients with interhospital transfer for mechanical thrombectomy (MT). The main questions it aims to answer are: * Is the implementation of a standardized alarming system associated with shorter transfer and treatment times? * Is the implementation of a standardized alarming system associated with a better adherence on existing standard operating procedures for interhospital transfer? We will analyze data from our existing thrombectomy registry comparing time periods before and after introduction of the MT alarming system.
Interventions
OTHERstandardized MT alarming system
Standardized alarming system via telephone loop in the primary thrombectomy centre triggered immediately after decision to mechanical thrombectomy in stroke patients admitted in primary stroke centers
Sponsors
Munich Municipal Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age \>= 18 years * diagnosis of acute ischemic stroke * indication for mechanical thrombectomy * admission to one of 7 participating primary stroke centers within in the catchment area of the referral center
Exclusion criteria
* unclear indication for mechanical thrombectomy (patients admitted for perfusion imaging before decision for or against a MT)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| decision-to-groin time | 24 hours | time from decision for MT (while patient still in the primary stroke center) to groin puncture (start of mechanical thrombectomy procedure in the primary thrombectomy center) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| decision-to-departure time | 24 hours | time from decision for MT to departure of the patient from primary stroke center (to the primary thrombectomy center) |
| decision-to-arrival time | 24 hours | time from decision for MT to arrival of the patient at the primary thrombectomy center |
| arrival-to-groin time | 24 hours | time from arrival of the patient at the primary thrombectomy center to groin puncture (start of mechanical thrombectomy procedure) |
| rate of refusal of transfer requests due to lack of capacity | 24 hours | rate of patients that had to be transferred to a secondary thrombectomy center instead of the primary thrombectomy centre due to lack of capacity in the referral clinic |
| Adverse events within 7 days | 7 days | Adverse events within the first 7 days after transfer to referral center |
| Periprocedural complications | 24 hours | rate of periprocedural complications during MT |
| Successful outcome of MT (mTICI > 2b) | 24 hours | rate of successfully performed MT (mTICI \> 2b) of all patients with attempted MT |
| groin-to-recanalization time | 24 hours | Time from groin puncture to successful recanalization |
| decision-to-transfer request time | 24 hours | Time from decision for MT to request of emergency medical service for interhospital transfer |
Countries
Germany
Contacts
Primary ContactHanni Wiestler, MD
Backup ContactNikolai Hubert
Outcome results
None listed