Effect of “drip-and-ship” and “drip-and-drive” on endovascular treatment of acute ischemic stroke with large vessel occlusion: a single-center retrospective study

Hang, Yu; Jia, Zhen; Zhang, Lin; Cao, Yue; Huang, Huang; Shi, Haibin; Liu, Sheng

doi:10.1177/02841851211006897

Cited by 3 publications

(5 citation statements)

References 14 publications

(18 reference statements)

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“…Six studies were from Germany, 3 from the United States, 2 from China, and 1 from Spain. The mode of physician transport was air and ground in 2 4 , 11 and 10 studies, 3 , 5 , 6 , 7 , 8 , 9 , 10 , 12 , 13 , 14 respectively.…”

Section: Resultsmentioning

confidence: 99%

“…The median quality grade was 9, with 6 of 11 studies having a quality grade of ≥8 for risk of bias using the NOS scoring system 3 , 5 , 6 , 8 , 9 , 10 (Tables S2 and S3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Hang et al. 8 report only 1 event in the physician transfer group for both death and sICH outcomes. In our analyses, the study by Hang et al contributed limited weight to both death and sICH analyses, effectively minimizing the consequences resulting from rare events in the analyses.…”

Section: Discussionmentioning

confidence: 99%

“…The quality of the included 11 observational studies 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 12 , 13 , 14 , 15 was assessed by 2 independent reviewers (A.L. and H.M.) for risk of bias using the Newcastle–Ottawa Scale (NOS) for cohort studies.…”

Section: Methodsmentioning

confidence: 99%

“… 2 A few studies with small sample sizes have suggested that physician transfer can reduce the time from emergency department arrival to initiation of MT 3 , 4 , 5 , 6 , 7 and increase the rates of functional independence after the procedure. 3 , 5 , 6 , 8 , 9 , 10 , 11 , 12 , 13 , 14 Due to the small number of patients in individual studies, we performed a meta‐analysis to systematically assess the existing literature and pool together the studies to estimate the effect of physician transfer compared with patient transfer.…”

mentioning

confidence: 99%

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Physician Transfer Versus Patient Transfer for Mechanical Thrombectomy in Patients With Acute Ischemic Stroke: A Systematic Review and Meta‐Analysis

Qureshi,

Lodhi,

Maqsood

et al. 2024

JAHA

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Background Physician transfer is an alternate option to patient transfer for expedient performance of mechanical thrombectomy in patients with acute ischemic stroke. Methods and Results We conducted a systematic review to identify studies that evaluate the effect of physician transfer in patients with acute ischemic stroke who undergo mechanical thrombectomy. A search of PubMed, Scopus, and Web of Science was undertaken, and data were extracted. A statistical pooling with random‐effects meta‐analysis was performed to examine the odds of reduced time interval between stroke onset and recanalization, functional independence, death, and angiographic recanalization. A total of 12 studies (11 nonrandomized observational studies and 1 nonrandomized controlled trial) were included, with a total of 1894 patients. Physician transfer was associated with a significantly shorter time interval between stroke onset and recanalization with a pooled mean difference estimate of −62.08 (95% CI, −112.56 to −11.61]; P =0.016; 8 studies involving 1419 patients) with high between‐study heterogeneity in the estimates ( I 2 =90.6%). The odds for functional independence at 90 days were significantly higher (odds ratio, 1.29 [95% CI, 1.00–1.66]; P =0.046; 7 studies with 1222 patients) with physician transfer with low between‐study heterogeneity ( I 2 =0%). Physician transfer was not associated with higher odds of near‐complete or complete angiographic recanalization (odds ratio, 1.18 [95% CI, 0.89–1.57; P =0.25; I 2 =2.8%; 11 studies with 1856 subjects). Conclusions Physician transfer was associated with a significant reduction in the mean of time interval between symptom onset and recanalization and increased odds for functional independence at 90 days with physician transfer compared with patient transfer among patients who undergo mechanical thrombectomy.

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Section: Resultsmentioning

confidence: 99%

“…The median quality grade was 9, with 6 of 11 studies having a quality grade of ≥8 for risk of bias using the NOS scoring system 3 , 5 , 6 , 8 , 9 , 10 (Tables S2 and S3 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Physician Transfer Versus Patient Transfer for Mechanical Thrombectomy in Patients With Acute Ischemic Stroke: A Systematic Review and Meta‐Analysis

Qureshi,

Lodhi,

Maqsood

et al. 2024

JAHA

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Acute ischemic stroke patients admitted to hospitals that perform percutaneous coronary interventions in the United States

Qureshi,

Suri,

Shah

et al. 2023

Journal of Stroke and Cerebrovascular Diseases

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Endovascular thrombectomy for acute ischemic stroke in elderly patients with atrial fibrillation

et al. 2022

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Background To assess the clinical outcomes after endovascular thrombectomy (EVT) in elderly large vessel occlusion (LVO)-related acute ischemic stroke (AIS) patients with atrial fibrillation (AF). Methods Between January 2019 and December 2020, consecutive AF patients who received EVT due to anterior-circulation stroke were enrolled. The primary outcome was modified Rankin scale (mRS) score at 90 days. Secondary outcomes included all-cause mortality, the recanalization status after EVT (assessed using modified thrombolysis in cerebral infarction scale, mTICI) and any intracranial hemorrhage (ICH). A multivariate logistic regression model was performed to identify predictors of the functional outcome. Results A total of 148 eligible patients were finally enrolled. Among them, 42 were ≥ 80 years old. Compared to their younger counterparts, patients aged ≥80 years had lower likelihood of good functional outcome (mRS score 0–2) at 90 days (26.2% vs. 48.1%, P = 0.015), less satisfied recanalization (mTICI, 2b-3) (78.6% vs. 94.3%, P = 0.004) and higher all-cause mortality rate (35.7% vs. 14.2%, P = 0.003). A multivariable logistic regression analysis showed that age ≥ 80 years at baseline were the significant predictors for a poor functional outcome (OR: 3.72, 95% CI: 1.17–11.89, p = 0.027). Intravenous thrombolysis (IVT) prior to EVT and longer time intervals from onset of symptoms to EVT tended to be associated with poor functional outcome in patients ≥80 years old. Conclusions Age ≥ 80 years was a significant predictor of unfavorable outcomes after EVT for AIS patients with AF. An increased risk of adverse events must be balanced against the benefit from EVT in elderly patients with AF.

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Effect of “drip-and-ship” and “drip-and-drive” on endovascular treatment of acute ischemic stroke with large vessel occlusion: a single-center retrospective study

Cited by 3 publications

References 14 publications

Physician Transfer Versus Patient Transfer for Mechanical Thrombectomy in Patients With Acute Ischemic Stroke: A Systematic Review and Meta‐Analysis

Physician Transfer Versus Patient Transfer for Mechanical Thrombectomy in Patients With Acute Ischemic Stroke: A Systematic Review and Meta‐Analysis

Acute ischemic stroke patients admitted to hospitals that perform percutaneous coronary interventions in the United States

Endovascular thrombectomy for acute ischemic stroke in elderly patients with atrial fibrillation

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