Complications During Inter-Hospital Transfer of Patients with Acute Ischemic Stroke for Endovascular Therapy. (2nd September 2020)

• Record Type: Journal Article
• Authors: Sablot, Denis; Leibinger, Franck; Dumitrana, Adrian; Duchateau, Nathalie; Van Damme, Laurène; Farouil, Geoffroy; Gaillard, Nicolas; Lachcar, Marlène; Benayoun, Laurent; Arquizan, Caroline; Ibanez, Majo; Coll, Francis; Fadat, Bénédicte; Nguyen Them, Ludovic; Desmond, Lucie; Allou, Thibaut; Smadja, Philippe; Ferraro-Allou, Adelaïde; Mourand, Isabelle; Dutray, Anais; Pujol, Celine; Tardieu, Maxime; Jurici, Snejana; Bonnec, Jean-Marie; Olivier, Nadège; Mas, Julie; Costalat, Vincent; Bonafe, Alain
• Is Part Of: Prehospital emergency care. Volume 24:Number 5(2020)
• Page Start: 610
• Page End: 616
• Publication Date: 2020-09-02
• Subjects: thrombectomy -- stroke unit -- stroke management -- reperfusion -- ischemic stroke -- adverse event -- prehospital management; revascularization -- health services; 362.18
• DOI: 10.1080/10903127.2019.1695299
• Languages: English
• ISSNs: 1090-3127

Abstract

Abstract: Purpose : Few data are available on complications occurring during inter-hospital transfer from a primary stroke center (PSC) to a comprehensive stroke center (CSC) for endovascular treatment (EVT) after large vessel occlusion (LVO). Therefore, we prospectively studied data from consecutive patients transferred from our PSC to the next CSC during 4 years to determine the incidence and risk factors of complications during transfer. Methods : This observational, single-center study included consecutive patients transferred from January 1, 2015 to December 31, 2018. During inter-hospital transfer, all medical incidents were systematically recorded. A new complete clinical examination was performed on arrival at the CSC. Results : Among the 253 patients transferred to the CSC during the study period, 68 (26.9%) had one or more complications. In 11 patients (4.3%) these were life-threatening and required emergency intervention by a physician. Baseline characteristics were not different between patients with and without complications, except for the LVO location. Specifically, basilar artery (BA) occlusion was strongly associated with complications during the transport (p < 0.0005). Conclusion: Complications occurred in 26.9% of patients during transfer. Only BA occlusion could predict complication during transfer. Future studies should identify variables to help stratifying patients at high and low risk of complications during transportation.