Association of Time of Day With Outcomes Among Patients Triaged for a Suspected Severe Stroke in Nonurban Catalonia. Issue 3 (28th February 2023)

• Record Type: Journal Article
• Authors: García-Tornel, Álvaro; Flores, Alan; Terceño, Mikel; Cardona, Pedro; Amaro, Sergi; Gomis, Meritxell; Zaragoza, Josep; Krupinski, Jerzy; Gómez-Choco, Manuel; Mas, Natalia; Cocho, Dolores; Catena, Esther; Purroy, Francesc; Deck, Matias; Rubiera, Marta; Pagola, Jorge; Rodriguez-Luna, David; Juega, Jesús; Rodríguez-Villatoro, Noelia; Molina, Carlos A.; Soro, Cristina; Jimenez, Xavier; Salvat-Plana, Mercè; Dávalos, Antoni; Jovin, Tudor G; Abilleira, Sonia; Pérez de la Ossa, Natalia; Ribó, Marc
• Other Names: Sanjuan Estela author non-byline.; Santana Katherine author non-byline.; Maisterra Olga author non-byline.; Santamarina Estevo author non-byline.; Muchada Marian author non-byline.; Boned Sandra author non-byline.; Franco Antonio Palasi author non-byline.; Gadea Marta Olivé author non-byline.; Deck Matías author non-byline.; Requena Manuel author non-byline.; Sala Victoria author non-byline.; Muñoz Lucía author non-byline.; Millán Mónica author non-byline.; López-Cancio Elena author non-byline.; Dorado Laura author non-byline.; Hernández-Pérez María author non-byline.; Ciurans Jordi author non-byline.; Samaniego Daniela author non-byline.; Canento Tamara author non-byline.; Martin Lorena author non-byline.; Planas Anna author non-byline.; Broto Joaquin author non-byline.; Sorrentino Agustín author non-byline.; Paré Martí author non-byline.; Zhu Nuole author non-byline.; Garrido Alicia author non-byline.; Grau Laia author non-byline.; Crespo Ane Miren author non-byline.; Presas Silvia author non-byline.; Almendrote Miriam author non-byline.; Ramos Alba author non-byline.; Lucente Giuseppe author non-byline.; Ispierto Lourdes author non-byline.; Lozano Manuel author non-byline.; Becerra Juan Luis author non-byline.; Jiménez Marta author non-byline.; Rolán Dolores Vilas author non-byline.; Guanyabens Nicolas author non-byline.; Sanchez-Ojanguren Josep author non-byline.; Martínez-Piñeiro Alicia author non-byline.; Forcén Sara author non-byline.; Gea Mireia author non-byline.; Álvarez Marta author non-byline.; Ramos Anna author non-byline.; Lizarbe Manuel Domínguez author non-byline.; Guerra Rubio author non-byline.; Bragado Irene author non-byline.; Arbex Andrea author non-byline.; Rodríguez Luis author non-byline.; Bustamante Alejandro author non-byline.; Portela Pere Cardona author non-byline.; García Helena Quesada author non-byline.; Rodríguez Blanca Lara author non-byline.; Cayuela Nuria author non-byline.; Miró Julia author non-byline.; Marzal Clara author non-byline.; Paipa Andrés author non-byline.; Campoy Sergio author non-byline.; Núñez Ana author non-byline.; Arroyo Pablo author non-byline.; Besora Sarah author non-byline.; Adell Vanessa author non-byline.; Campdelacreu Jaume author non-byline.; Martí Montse Alemany author non-byline.; González Belén author non-byline.; Vila Laura Bau author non-byline.; Crespo Marta Fiter author non-byline.; Berbel Anna author non-byline.; Urbaneja Ma. Cristina Villaescusa author non-byline.; Guillen Núria author non-byline.; Vidal Nuria author non-byline.; Santamaria Patricia Valentina Vérez author non-byline.; Navarro Diego Herrero author non-byline.; Simó Marta author non-byline.; Falip Mercedes author non-byline.; Matas Elisabeth author non-byline.; Ochoa Neus Mongay author non-byline.; Gifreu Ariadna author non-byline.; Muñoz Albert author non-byline.; Romero Lucía author non-byline.; Portell Eduard author non-byline.; Perez Guillermo Hernández author non-byline.; Esteve F. Ruiz author non-byline.; Teixidor Silvia author non-byline.; Talavera Augusto Salazar author non-byline.; Gómez Roser author non-byline.; Nuin Xabier Urra author non-byline.; Vargas Martha author non-byline.; Chamorro Ángel author non-byline.; Llull Laura author non-byline.; Renú Arturo author non-byline.; Rudilosso Salvatore author non-byline.; del Valle Raquel Sánchez author non-byline.; Ariño Helena author non-byline.; Solà Nuria author non-byline.; la Puma Delón author non-byline.; Gil Francisco author non-byline.; Gómez Juan Bernardo author non-byline.; Matos Nuria author non-byline.; Falgàs Neus author non-byline.; Borrego Sergi author non-byline.; Sánchez Almudena author non-byline.; Balasa Mircea author non-byline.; Montejo Carmen author non-byline.; Guasp Mar author non-byline.; Reyes David author non-byline.; Cervilla Pablo Sánchez author non-byline.; Contador Jose Miguel author non-byline.; Monge Victor Augusto Vera author non-byline.; Ramos Oscar author non-byline.; Rodríguez Alejandro author non-byline.; Campello Ana Rodríguez author non-byline.; Ballester Gemma Romeral author non-byline.; Trujillano Mireia Llop author non-byline.; Steinhauer Eva Giralt author non-byline.; Godia Elisa Cuadrado author non-byline.; Santiago Angel Javier Ois author non-byline.; Conde Jordi Jimenez author non-byline.; Fábregas Joan Martí author non-byline.; Guisado Daniel author non-byline.; Prats Luís author non-byline.; Camps Pol author non-byline.; Delgado Raquel author non-byline.; Domeño Alejandro Martínez author non-byline.; Marín Rebeca author non-byline.; Cànovas David author non-byline.; Estela Jordi author non-byline.; Ros Marta author non-byline.; Aranceta Sonsoles author non-byline.; Espinosa Jordi author non-byline.; Rubio Marta author non-byline.; Lafuente Cristina author non-byline.; Barrachina Oriol author non-byline.; Anguita Alicia author non-byline.; Reverter Anna author non-byline.; García Carmen author non-byline.; Sansa Gemma author non-byline.; Hervas Mariona author non-byline.; Crosas Monica author non-byline.; Delgado Tania author non-byline.; Folch Dra Sonia Huertas author non-byline.; Gamito Gemma Muñoz author non-byline.; Alvarez Josep Trenado author non-byline.; Subirana Teresa author non-byline.; Molina Jessica author non-byline.; Besora Sarah author non-byline.; Romero Laura Comes author non-byline.; Valls Gemma Guardia author non-byline.; Jover Miriam author non-byline.; Sotova Javier Joaquín author non-byline.; García Sánchez Sonia Mª author non-byline.; Valenzuela Sebastian author non-byline.; Mengual Juan José author non-byline.; Font M. Àngels author non-byline.; Gómez Ruiz Mª Isabel author non-byline.; Zubizarreta Irati author non-byline.; González Susana Fernández author non-byline.; Gubieras Laura author non-byline.; Cobos Carmen E. author non-byline.; Romo Luis Mena author non-byline.; Caballol Nuria author non-byline.; Cano Luis author non-byline.; Leal Joaquín Serena author non-byline.; Blas Yolanda Silva author non-byline.; Trigo Irene Bragado author non-byline.; Viturro Saima Bashir author non-byline.; Albiñana Laura Pardo author non-byline.; Garrido Montserrat Reina author non-byline.; Cazcarra Carla Marco author non-byline.; Uscamaita Karol Enrique author non-byline.; Márquez Fabian author non-byline.; Coll Cristina author non-byline.; Villlas Mar Irida Lloret author non-byline.; Vila Berta Solano author non-byline.; Perna Berta Alemany author non-byline.; Domínguezl Daniel López author non-byline.; de Lera Mercedes author non-byline.; Foraster Anna Cots author non-byline.; Monge Victor Augusto Vera author non-byline.; Bojaryn Urszula author non-byline.; Benabdelhak Ikram author non-byline.; Capdevila Gerard Mauri author non-byline.; Montesinos Jordi Sanahuja author non-byline.; Vázquez Daniel author non-byline.; Hervás José Vicente author non-byline.; González Cristina author non-byline.; Quílez Alejandro author non-byline.; Pascual Mikel Vicente author non-byline.; Ruiz María author non-byline.; Riba Yolanda author non-byline.; Villar M. Pilar Gil author non-byline.; García Cristina author non-byline.; Roig Xavier Ustrell author non-byline.; Mora Mònica Baldrich author non-byline.; Guinjoan Anna Pellisé author non-byline.; Borras Judit author non-byline.; Martínez Alba Mañé author non-byline.; Marés Rafael author non-byline.; Viñas i Gaya Jaume author non-byline.; Seró Laia author non-byline.; Rodríguez Paula author non-byline.; Castilho Gislaine author non-byline.; Ortega Angela Monterde author non-byline.; Reverté Silvia author non-byline.; Baiges Joan Josep author non-byline.; Ozaeta Gisela Martín author non-byline.; Escalante Sonia author non-byline.; Belloch Patricia Esteve author non-byline.; Payo Iago author non-byline.; Salvado Júlia Saura author non-byline.; Soler Insa Josep M author non-byline.; Vilamala Ester Tio author non-byline.; Navarro Josep Abos author non-byline.; Tabuenca Héctor Cruz author non-byline.; Sánchez Tamara Canento author non-byline.; Ros Marta author non-byline.; Matos Nuria author non-byline.; Roldán Elisabet author non-byline.; Rubiol Elsa Puiggrós author non-byline.; Franquet Elisabet author non-byline.; Fuentes Lidia author non-byline.; Donaire Javier author non-byline.; Martí Elena author non-byline.; Giménez Laura author non-byline.; Vázquez Junior Gil author non-byline.; Ambrós Eloisa Nieto Clara Gris author non-byline.; Rodríguez Puri author non-byline.; Oletta José Félix author non-byline.; Mellado Pilar Pons author non-byline.; Gómez Bárbara author non-byline.; Raileau Vergilin author non-byline.; Pardina Oscar author non-byline.; Mercadal Jordi author non-byline.; López-Diéguez María author non-byline.; Pérez Pilar author non-byline.; Gabarró Lourdes author non-byline.; Orriols María author non-byline.; Molina José Carlos author non-byline.; Canet Joan Josep author non-byline.; Roca Mireia author non-byline.; Álvaro Muriel author non-byline.; Boneu Francesc author non-byline.; Giménez Georgina author non-byline.; Albà Jaume author non-byline.; Gibert Francesc author non-byline.; Garcia Jéssica author non-byline.; Barragan Patricia author non-byline.; Jurado Gustavo author non-byline.; Pascual_Medicina Interna Vanesa author non-byline.; Ortega Josep Sabaté author non-byline.; Solano Joan Amaurys Martínez author non-byline.; Fernández Víctor author non-byline.; Torres Mónica author non-byline.; Alvaredo Ana Belén Montero author non-byline.; Parejo Laura Redondo author non-byline.; Aragonés Josep Maria author non-byline.; Bullón Anna author non-byline.; Loste Cora author non-byline.; González Paula author non-byline.; Bejarano Neker author non-byline.; Sanchez Francisco author non-byline.; Lucchetti Gianni author non-byline.; Pla Xavier author non-byline.; Gimeno Dr Javier author non-byline.; Reynaga Esteban author non-byline.; Barcons Montse author non-byline.; Celedón Gabriel author non-byline.; Ortiz Juan author non-byline.; Anastasovski Dr Goran author non-byline.; Mascaró Dr Oscar author non-byline.; de los Ríos Dr Javier Diez author non-byline.; Feliu Meritxell author non-byline.; Ribera Anna author non-byline.; Ruiz Cristhian author non-byline.; Corominas Gerard author non-byline.; Nunes Dra Daniella author non-byline.; Roca Claudia author non-byline.; Latorre Nadina author non-byline.; Yataco Lizbeth author non-byline.; Cruz Maricelys author non-byline.; Blanco Nerea author non-byline.; Castejón Santiago author non-byline.; Sunyer Claustre Pont author non-byline.; Garcia Jordi Espinosa author non-byline.; Martin Rodrigo Paz author non-byline.; de Luis Sanchez Albert author non-byline.; Vivas Dolores Espinosa author non-byline.; Molina Juan Valencia author non-byline.; Palome Planels author non-byline.; Chaume Laia Tomas author non-byline.; Vilella Ares Villagrasa author non-byline.; Bustamante Marco author non-byline.; Boltes Anunciación author non-byline.; Rodríguez Fernando author non-byline.; Arrieta Itziar author non-byline.; Molist Jordi Ciurans author non-byline.; Andreu Barnés author non-byline.; Soler Ernest Palomeras author non-byline.; Buscà Nicolau Guanyabens author non-byline.; López Manuel Daza author non-byline.; Farreres Jordi Bigas author non-byline.; Ruiz Virginia Casado author non-byline.; Batiste Desiree Muriana author non-byline.; Sanz Cartagena Mª Pilar author non-byline.; de Vega Eulalia Cabot author non-byline.; Real Josep Bassa author non-byline.; Roman Hector Pelaez author non-byline.; Socolich César author non-byline.; Alonso Camp Josep Mª author non-byline.; Orgaz Antonio Tomás Cano author non-byline.; Fossas Felip Mª Pilar author non-byline.; Morón Nicolás author non-byline.; Bacca Sandra author non-byline.; Molina Mauricio author non-byline.; Casarramona Francesc author non-byline.; Elias Lorena author non-byline.; Bukaei Muhammad Zidane author non-byline.; Gutierrez Jose Antonio Martos author non-byline.; Escuin Judith Lopez author non-byline.; Olaizola Cristina author non-byline.; Vargas Yolexis López author non-byline.; Oyonarte Juan Jiménez author non-byline.; Soultana Rashida author non-byline.; Golpe Eduardo Sanjurjo author non-byline.; Salvador Esther author non-byline.; Vila Guillem author non-byline.; Serrano Marcos author non-byline.; Claverol Matilde Nuria López author non-byline.; Lamolla Marian author non-byline.; Amate Miquel author non-byline.; Rodriguez Adriana author non-byline.; Romero Ruth author non-byline.; del Carpio Montgomery author non-byline.; Hernandez Ana Isabel author non-byline.; Martín Julián author non-byline.; Rosas M Carmen author non-byline.; Nogueroles Antonio author non-byline.; Encarnación Sorilandy author non-byline.; Robles Augusto author non-byline.; Herrera Jose Antonio author non-byline.; Gavilán Roger author non-byline.; Mameghani Toghrol author non-byline.; Araujo Gastón author non-byline.; Morales M.Angeles Garrido author non-byline.; Segui Enric Ramon Albert author non-byline.; Climent Eva Fernandez author non-byline.; Pujol Francesc Paris author non-byline.; Seira Mireia Judit Garrofé author non-byline.; Pía Lucía Gómez author non-byline.; Nuñez Fernando Salleres author non-byline.; Peñalver Cristina Aguar author non-byline.; Lopes Cristina Vaz author non-byline.; Tasa Elisenda Ribera author non-byline.; Vilchez Carmen Repullo author non-byline.; Zambrana Modesto Sánchez author non-byline.; Ribas Beatriu Suescun author non-byline.; Panés Inés Vilà author non-byline.; Planavila Montserrat Vila author non-byline.; Lorenzo Alicia Vaqueiro author non-byline.; Guixes Meritxell Sabartés author non-byline.; Medina Jorge author non-byline.; Sambrano David author non-byline.; Zamarreño Javi author non-byline.; Pirela Carmen author non-byline.; Vélez Paola author non-byline.; Cajamarca Luis author non-byline.; Pérez Honey author non-byline.; Martínez Yarles author non-byline.; Gonçalves Jesus Alexander author non-byline.; Regordosa Carles author non-byline.; Mormeneo Claudia author non-byline.; Griu Laura author non-byline.; Colina Maria Francia author non-byline.; Farik Enric author non-byline.; Duch Dolors Carrión author non-byline.; Badenas Carles author non-byline.; Bernal Oscar author non-byline.; Agramunt Núria author non-byline.; Morales Shyrlei author non-byline.; Reynoso Victoria author non-byline.; Guerrero Miguel author non-byline.; Cid Primitivo Romera author non-byline.; Folqué Mònica author non-byline.; Pedroza Claudia author non-byline.; Hachem Adnan author non-byline.; Martínez Íñigo Soteras author non-byline.; García Xavier Verdera author non-byline.; Amorós Mercè López author non-byline.; Subirós Xavier Costa author non-byline.; Benet Marta Cufí author non-byline.; Van Eendenburg Cecile author non-byline.; Osuna Teresa author non-byline.; Santos Dra Gina author non-byline.; Pallisera Dra Mireia author non-byline.; Oliva Dr Lluís Gonzalo author non-byline.; Sanchez Dra Gemma author non-byline.; Basurto Dr Xavier author non-byline.; Vivoda Dr Ludgi author non-byline.; Van der Kleyn Dr Richard author non-byline.; Robles Dra Laura author non-byline.; Barranco Ana Cabanelas author non-byline.; Almendros Mª Cruz author non-byline.; Oliveras Marc Pérez author non-byline.; Álvarez Amelia Fernández author non-byline.; Rybyeva Maria author non-byline.; Viñas Antoni author non-byline.; Barcons Maria author non-byline.; Tavera Joaquim Danès Alberto author non-byline.; Burbano Pablo author non-byline.; López Cintie author non-byline.; Cruz David author non-byline.; Bisbe Paula author non-byline.; Fernández Nora author non-byline.; Palacio Juan Carlos author non-byline.; Fraiz Eduardo author non-byline.; Aguiló Oriol author non-byline.; Amorodjo Rollmy author non-byline.; Velázquez John author non-byline.; Sánchez Elena author non-byline.; Español Jaume author non-byline.; Perez de Celis Judit author non-byline.; Coll Anna author non-byline.; Díaz Glòria author non-byline.; Vergés i Sala Margarida author non-byline.; Casas Capdevila Mª Ángels author non-byline.; Ferrini Yosmairy Yoselin author non-byline.; Gorriz Aitor author non-byline.; Navarro Diego-Javier Cucurell author non-byline.; Velásquez Dulce author non-byline.; Pla Soler Jaume author non-byline.; González Josep author non-byline.; Higuera Julian David author non-byline.; Cuellar Lina author non-byline.; Miniello Liza Margarita author non-byline.; Pujol Lluis author non-byline.; Cracan Sorin author non-byline.; Vives Mora author non-byline.; Angela M author non-byline.; Lopez Lopez author non-byline.; Molist Montse Gorchs author non-byline.; Anna Delofeu author non-byline.; Muñoz Silvia Solà author non-byline.; Yolanda Ferreres author non-byline.; Pujalte Carol author non-byline.; Marín Elisabeth Téllez author non-byline.; Casas Yolanda Font author non-byline.; Luque Sara Hernández author non-byline.; Sendra Joaquim Mejias author non-byline.; Valero Francesca Mellado author non-byline.; Escala Campos author non-byline.; De Lacanal Galup author non-byline.; Diaz Lopez author non-byline.; Paramio Castillo author non-byline.; Estopà Català author non-byline.; Moreda Español author non-byline.; Majo Calafell author non-byline.; Almeida Carballo author non-byline.; Naval Castro author non-byline.; Elena M author non-byline.; Ruiz Cregut author non-byline.; Lluis Pere author non-byline.; Font Deulofeu author non-byline.; Sanjuan Fabregat author non-byline.; Pere Joan author non-byline.; Gorchs Fontquerni author non-byline.; Bellés Forés author non-byline.; Antoni Joan author non-byline.; Herrera Gomez author non-byline.; Carlos Juan author non-byline.; Prades Hijazo author non-byline.; Torvisco Itzaina author non-byline.; Rovira Marti author non-byline.; Gonzalez Obiols author non-byline.; Cavero Olive author non-byline.; Gil Querol author non-byline.; Soledad M author non-byline.; Rodriguez Rico author non-byline.; Sambernardo Rios author non-byline.; Molina Ropero author non-byline.; Ramon Jose author non-byline.; Valero Sanchez author non-byline.; Arevalo Santos author non-byline.; Jose Maria author non-byline.; Garcia Soto author non-byline.; Angeles Maria author non-byline.; Escribano Tebar author non-byline.; Garcia Torres author non-byline.; José Pedro author non-byline.; Carrion Verdes author non-byline.; Isabel M author non-byline.; Lopez Verge author non-byline.; Jose Juan author non-byline.; Canela Lopez author non-byline.; Angeles M author non-byline.; Guarque Lucas author non-byline.; Alvarez Morales author non-byline.; Arnulfo Jorge author non-byline.; Fornieles Morell author non-byline.; Gomez Subirats author non-byline.; Teresa Maria author non-byline.; Masa, Miquel Torello author non-byline.; Lopez Val author non-byline.; Mercedes Maria author non-byline.; Reyes Palmero author non-byline.; Manuel Juan author non-byline.; Forne Rodriguez author non-byline.; Turiel Ruana author non-byline.; Gonzalez Sanchez author non-byline.; Gornals Sebastia author non-byline.; Rico Abrio author non-byline.; Falip Albert Gual author non-byline.; Oliveros Aznar author non-byline.; Perotti Brugues author non-byline.; Molinero Calvet author non-byline.; Franco Catells author non-byline.; Medina Corrales author non-byline.; Miro Daroca author non-byline.; Marquez Duran author non-byline.; Pradas Feliu author non-byline.; Casanova Figueras author non-byline.; Tortajada Garcia author non-byline.; Gallego Grajera author non-byline.; del Mar Azahara author non-byline.; Arroyo Las author non-byline.; de Jesus Dulcenombre author non-byline.; Sanz Laserreta author non-byline.; Vidal Llambrich author non-byline.; Corral Monllao author non-byline.; de la Cruz Morales author non-byline.; Blanco Moreno author non-byline.; Orgaz Orejuela author non-byline.; Suazo Piñana author non-byline.; Minguillon Pons author non-byline.; Gómez Rodríguez author non-byline.; Carlos José author non-byline.; Pereira Rodriguez author non-byline.; Porcel, Anna Sedo author non-byline.; Villar Sevil author non-byline.; Lopez Sierra author non-byline.; Romero Torres author non-byline.; Calveres, Anna Trepat author non-byline.; Arnella Ventura author non-byline.; Gil Acera author non-byline.; Teresa M author non-byline.; Vico Biesot author non-byline.; Galea Castro author non-byline.; Maria Rosa author non-byline.; Chafer Escorcia author non-byline.; Antonio Juan author non-byline.; Moreda Español author non-byline.; Faure Gil author non-byline.; Luque Hernandez author non-byline.; Delgado Jimenez author non-byline.; Gay Mallafre author non-byline.; Angel M. author non-byline.; Sanzo Olivares author non-byline.; Fondevila Pubill author non-byline.; Fort Sabate author non-byline.; Agámez Segovia author non-byline.; Carlos Antonio author non-byline.; Longaretti Turata author non-byline.; Hernandez Valle author non-byline.; Guixens Trayner author non-byline.; Valor Aguilar author non-byline.; Alvarez Aguirre author non-byline.; Naval Alastrue author non-byline.; Baquero Alferez author non-byline.; Marne Alonso author non-byline.; Orozco Aloy author non-byline.; Colino Alvarez author non-byline.; Peñuela Alvarez author non-byline.; Cirilo Ameller author non-byline.; Vanessa Maria author non-byline.; Guerrero Andujar author non-byline.; Remedios Estefania author non-byline.; Sillero Auladell author non-byline.; Sorbet Azcarate author non-byline.; Genesca Basany author non-byline.; Barduena Benavent author non-byline.; Tudela Benito author non-byline.; Pardo Blanch author non-byline.; Pla Boluda author non-byline.; Gonzalez Bonilla author non-byline.; Serramalera Bru author non-byline.; Andreu Burnat author non-byline.; Calvo-Rayo Caballero author non-byline.; Casellas Calvo author non-byline.; Mombiela Camps author non-byline.; Bresme Cano author non-byline.; Fernandez Carcelen author non-byline.; Solà Caro author non-byline.; Matavacas Casasas author non-byline.; Bolado Castanedo author non-byline.; Cortina Cerdeña author non-byline.; Jane Abella author non-byline.; Borrego Laia Collado author non-byline.; Orri Colom author non-byline.; Vilanova Comellas author non-byline.; Sole Conillera author non-byline.; Torres Cots author non-byline.; Estepa Cuchi author non-byline.; de Sostoa Graell Marc author non-byline.; del Rio Lopez Laura author non-byline.; Compte Delgado author non-byline.; Bueno Diaz author non-byline.; Maneiro Diaz author non-byline.; Lucia Andrea author non-byline.; Palau Domenech author non-byline.; Carme M. author non-byline.; Carasso Duran author non-byline.; Javier Pablo author non-byline.; Marquez Duran author non-byline.; Abidi El author non-byline.; Martin Escoda author non-byline.; Casanovas Esteve author non-byline.; Perez Fernandez author non-byline.; Quintero Ferre author non-byline.; Escobar Flores author non-byline.; Abad Fontcuberta author non-byline.; del Valle Fortes author non-byline.; del Valle Fortes author non-byline.; Luisa Mª author non-byline.; Quesada Franco author non-byline.; Maria Sara author non-byline.; Romero Franco author non-byline.; Teresa Maria author non-byline.; Francisco Gallego author non-byline.; Gala Gamiz author non-byline.; Castañeda Garcia author non-byline.; Rodriguez Garcia author non-byline.; Gemma Casajuana author non-byline.; Arroyo Gomez author non-byline.; Girbau Gomez author non-byline.; Fernandez Gonzalez author non-byline.; Gonzalez Gonzalez author non-byline.; Gonzalez Gonzalez author non-byline.; Lopez Gonzalez author non-byline.; Obeso Gual author non-byline.; Blanco Guerrero author non-byline.; Roca Guillemas author non-byline.; Eudaldo Guillermo author non-byline.; Hernandez Sebastia author non-byline.; Covas Homar author non-byline.; Alvarez Hostench author non-byline.; Royo Huerta author non-byline.; Barcelo Ibañez author non-byline.; Cruz Izquiero author non-byline.; Etxetxikia Jaione Urdangarin author non-byline.; Gimenez Juárez author non-byline.; Alami Khlifi author non-byline.; Gasco Laparra author non-byline.; Moreales Lara author non-byline.; Arroyo Las author non-byline.; de Jesus Dulcenombre author non-byline.; Medina Lasaosa author non-byline.; Lourdes Maria author non-byline.; Cava Lazaro author non-byline.; Berrar Leon author non-byline.; Maturana López author non-byline.; Ramirez Lopez author non-byline.; Romero López author non-byline.; Marco Lorente author non-byline.; Martin Lorenzo author non-byline.; Casals Lozano author non-byline.; Nicola Lujan author non-byline.; Diaz Madrid author non-byline.; Antonio Jose author non-byline.; Morales Maria Teresa Peris author non-byline.; Clemente Marti author non-byline.; Castaño Martinez author non-byline.; Natanael David author non-byline.; Gamez Martinez author non-byline.; Gonzalez Martinez author non-byline.; Quesada Martinez author non-byline.; de la Cabeza Maria author non-byline.; Fusté Marzà author non-byline.; Lasheras Melendo author non-byline.; Mestre Miralles author non-byline.; Pastalle Montserrat Puig author non-byline.; Vidal Montserrate author non-byline.; Mellado Mora author non-byline.; Ponce Morales author non-byline.; Fornieles Morell author non-byline.; Cabre Morera author non-byline.; Vivet Morera author non-byline.; Souza Mundi author non-byline.; Quiles Muñoz author non-byline.; Rosa Navea author non-byline.; Iglesias Neira author non-byline.; Asuncion M author non-byline.; Manrique Nuñez author non-byline.; Pilar Mª author non-byline.; Martinez Obiols author non-byline.; Reig Pallares author non-byline.; Torres Partegas author non-byline.; Berengueras Pascual author non-byline.; Gamez Perez author non-byline.; Oset Perez author non-byline.; Restrepo Perez author non-byline.; Alejandra Maria author non-byline.; Yeste Planas author non-byline.; Mangado Planells author non-byline.; Minguillon Pons author non-byline.; Carbonell Puertas author non-byline.; Blanco Quinteiro author non-byline.; Benavente Rebollar author non-byline.; Fernandez Recasens author non-byline.; Gomez Reyes author non-byline.; del Carmen Maria author non-byline.; Pou Roca author non-byline.; Ferrer Rodriguez author non-byline.; Franco Rodriguez author non-byline.; Fuertes Rodriguez author non-byline.; Muñoz Rodriguez author non-byline.; Navarro Rodriguez author non-byline.; Iniesta Roig author non-byline.; Gracia Romero author non-byline.; Brunet Rovira author non-byline.; de Eugenio Rovira author non-byline.; Baena Rubio author non-byline.; Llorens Ruiz author non-byline.; Llamazares Sala author non-byline.; Alaez San Juan author non-byline.; Segura Sanchez author non-byline.; Soldevilla Santasusana author non-byline.; Salmeron Sanz author non-byline.; Perez Segura author non-byline.; Balcells Serra author non-byline.; Dumitras Sorina author non-byline.; Montoya Teixidor author non-byline.; Vicente Tena author non-byline.; Salinas Tierno author non-byline.; Ines Ester author non-byline.; Testa Toledo author non-byline.; Figueras Tomàs author non-byline.; Ruperez Tomas author non-byline.; Garcia-Penche Torrano author non-byline.; Esparza Torres author non-byline.; Blanco Vazquez author non-byline.; De la Paz Vazquez author non-byline.; Gil Vazquez author non-byline.; Gonzalez Vazquez author non-byline.; Meler Vidal author non-byline.; Cots Vilalta author non-byline.; Jimenez Vilches author non-byline.; Jose Maria author non-byline.; Fernandez Visser author non-byline.; Gavin Viu author non-byline.; Vives Vives author non-byline.; Jimenez Carmona author non-byline.; Jose Francisco author non-byline.; Vilches Galobardes author non-byline.; Gomez Gonzalez author non-byline.; Manzanera Jodar author non-byline.; Cortes Marimon author non-byline.; Orive Marrodan author non-byline.; Bosch Martin author non-byline.; Jose Maria author non-byline.; Lopez Martorell author non-byline.; Roca Millares author non-byline.; Jesus M author non-byline.; Guri Miralles author non-byline.; Hernandez Muliterno author non-byline.; Oliva Muñoz author non-byline.; Pujol Pons author non-byline.; Conde Postius author non-byline.; Arruñada Prieto author non-byline.; Antonio Jose author non-byline.; Mathé Quintana author non-byline.; Mata Rosell author non-byline.; Alvarez Aguirre author non-byline.; Alvarez Alvarin author non-byline.; Flores Arrufat author non-byline.; Pago Bañuelos author non-byline.; Andreu Burnat author non-byline.; Vilar Campo author non-byline.; Hidalgo Cardus author non-byline.; Gil Castello author non-byline.; Gloria Maria author non-byline.; Montsesinos Castrillo author non-byline.; Estopà Català author non-byline.; Garces Clave author non-byline.; Sanroma Comes author non-byline.; Sequi Descalzo author non-byline.; Ricol Errando author non-byline.; Campillo Escudero author non-byline.; del Mar Maria author non-byline.; Alvarez Fernandez author non-byline.; Gomez Fernandez author non-byline.; Perez Fernandez author non-byline.; Espinosa Franch author non-byline.; Graells Freixes author non-byline.; Plaza Garcia author non-byline.; Gallego Garcia-Marron author non-byline.; Simancas Hernandez author non-byline.; Covas Homar author non-byline.; Royo Huerta author non-byline.; Armas Jaraba author non-byline.; Ramos Jimenez author non-byline.; Canela Lopez author non-byline.; Angeles M author non-byline.; Lopez Lopez author non-byline.; Oganissian Lopez author non-byline.; Romero Madrona author non-byline.; Rosa M author non-byline.; Millan Martinez author non-byline.; Morón Martínez author non-byline.; Encinas Merchan author non-byline.; Fornieles Morell author non-byline.; Jimenez Moreno author non-byline.; Rico Muñoz author non-byline.; Rodriguez Navarro author non-byline.; Ibañez Nogales author non-byline.; Maria Rita author non-byline.; Viera Novillo author non-byline.; Torrabadella Parella author non-byline.; Alba Mari author non-byline.; Villar Pera author non-byline.; Montserrat Carla author non-byline.; Carbonell Puertas author non-byline.; Miralles Rabella author non-byline.; Trilles Ramis author non-byline.; Ortiz Ribera author non-byline.; Fuertes Rodriguez author non-byline.; Gonzalez Sanchez author non-byline.; Perez Sastre author non-byline.; Perez Segura author non-byline.; Borrega Soro author non-byline.; Garcia Soto author non-byline.; Angeles Maria author non-byline.; Fores Tapia author non-byline.; Bernad Tellez author non-byline.; Alvarez Trenado author non-byline.; Moreda Español author non-byline.; Martin Felix author non-byline.; Perez Herrero author non-byline.; Manzanera Jodar author non-byline.; Fuster Lanau author non-byline.; Gomariz Lopez author non-byline.; Orive Marrodan author non-byline.; Bosch Martin author non-byline.; Jose Maria author non-byline.; Guri Miralles author non-byline.; Oliva Muñoz author non-byline.; Lozano Pardo author non-byline.; Pujol Pons author non-byline.; Altimiras Quintana author non-byline.; Lopez Ventosa author non-byline.; Damian Almodovar author non-byline.; Colino Alvarez author non-byline.; Monterroso Alvarez author non-byline.; Comas Arambudo author non-byline.; Garzon Boullon author non-byline.; Capella Burgos author non-byline.; Garcia Campuzano author non-byline.; Del Mar Maria author non-byline.; Olivas Capdevila author non-byline.; Fernandez Carcelen author non-byline.; Solà Caro author non-byline.; Marti Carre author non-byline.; Isabel Clara author non-byline.; Bacaicoa Carretero author non-byline.; Gil Castello author non-byline.; Gloria Maria author non-byline.; Montsesinos Castrillo author non-byline.; Calderon Cazorla author non-byline.; Osuna Chacon author non-byline.; Planas Cortes author non-byline.; Olio Cortit author non-byline.; Estany Delhomme author non-byline.; Carasso Duran author non-byline.; Javier Pablo author non-byline.; Campillo Escudero author non-byline.; del Mar Maria author non-byline.; Martinez Fructuos author non-byline.; Lopez Garcia author non-byline.; Luis Pascual author non-byline.; Plaza Garcia author non-byline.; Vallve Genis Amill author non-byline.; Arroyo Gomez author non-byline.; Girbau Gomez author non-byline.; Muñoz Gonzalez author non-byline.; Ventura Hernaez author non-byline.; Covas Homar author non-byline.; Gimenez Lavernia author non-byline.; Rojo Martin author non-byline.; Medina Martínez author non-byline.; Millan Martinez author non-byline.; Barrera Mayol author non-byline.; Pi Mercader author non-byline.; Dalmau Merino author non-byline.; Campodarbe Miguel author non-byline.; Pastalle Montserrat Puig author non-byline.; de la Cruz Morales author non-byline.; Fornieles Morell author non-byline.; Sanchez Moreno author non-byline.; Javier Francisco author non-byline.; Reig Pallares author non-byline.; Torrabadella Parella author non-byline.; Alba Mari author non-byline.; Barrameda Penela author non-byline.; Ajenjo Prieto author non-byline.; Benavente Rebollar author non-byline.; Pareja Rodriguez author non-byline.; Piñar Rodríguez author non-byline.; Javier Francisco author non-byline.; Tello Rodriguez author non-byline.; Pereda Romero author non-byline.; Saborido Sainz author non-byline.; Martin Santacana author non-byline.; Martinez Santos author non-byline.; Chavez Sierra author non-byline.; Testa Toledo author non-byline.; Figueras Tomàs author non-byline.; Garcia Torres author non-byline.; José Pedro author non-byline.; Torres Turbau author non-byline.; Domenech Vicente author non-byline.; Esteo Villena author non-byline.; Pertegaz Vives author non-byline.; Gonzalez Baena author non-byline.; Pont Bagaria author non-byline.; Sanchez Beltran author non-byline.; Alarcon Bonet author non-byline.; Ballescà Borch author non-byline.; Clanchet Buhils author non-byline.; Garcia Closa author non-byline.; Carril Colomina author non-byline.; Sanchez Cristina Fernandez author non-byline.; Toledo Edurne Judith Fernandez author non-byline.; Rodriguez Espases author non-byline.; Resa Espert author non-byline.; Xavier F author non-byline.; Sol Fernández author non-byline.; Lugo Gonzalez author non-byline.; Llesera Gracia author non-byline.; Lendinez Herrada author non-byline.; Liesa Juliench author non-byline.; Alicia Sandra author non-byline.; Ortega Lopez author non-byline.; Yuste Lopez author non-byline.; Villanueva Lozano author non-byline.; Soto Lucia Sola author non-byline.; Castellano Madrid author non-byline.; Cano Megias author non-byline.; Jesus Daniel author non-byline.; Ponce Montasell author non-byline.; Sospedra Montesinos author non-byline.; Martinez Moya author non-byline.; Herrera Muñoz author non-byline.; Isabel M author non-byline.; Fernandez Ocaña author non-byline.; Jose Maria author non-byline.; Bernal Palau author non-byline.; Sole Perez author non-byline.; Carbonell Ramon author non-byline.; Lop Ribas author non-byline.; López Rubio author non-byline.; Lopez Rueda author non-byline.; Castaño Sabat author non-byline.; Lara Sabata author non-byline.; Ramírez Salmerón author non-byline.; Gornals Sebastia author non-byline.; Creus Serra author non-byline.; Dalmau Serrano author non-byline.; Mainero Sumasi author non-byline.; Gabriel Gonzalo author non-byline.; Masa Torello author non-byline.; Primo Valencia author non-byline.; Muñoz Ana Maria Viñuales author non-byline.; Roig Josep author non-byline.; Hidalgo Verònica author non-byline.;
• Is Part Of: Stroke. Volume 54:Issue 3(2023)
• Page Start: 770
• Page End: 780
• Publication Date: 2023-02-28
• Subjects: emergency medical services -- hospital -- Spain -- stroke -- thrombectomy; Cerebrovascular disease -- Periodicals; Cerebral circulation -- Periodicals; 616.81
• DOI: 10.1161/STROKEAHA.122.041013
• Languages: English
• ISSNs: 0039-2499

Abstract

Abstract : Background: We aim to assess whether time of day modified the treatment effect in the RACECAT trial (Direct Transfer to an Endovascular Center Compared to Transfer to the Closest Stroke Center in Acute Stroke Patients With Suspected Large Vessel Occlusion Trial), a cluster-randomized trial that did not demonstrate the benefit of direct transportation to a thrombectomy-capable center versus nearest local stroke center for patients with a suspected large vessel stroke triaged in nonurban Catalonia between March 2017 and June 2020. Methods: We performed a post hoc analysis of RACECAT to evaluate if the association between initial transport routing and functional outcome differed according to trial enrollment time: daytime (8:00 am –8:59 pm ) and nighttime (9:00 pm –7:59 am ). Primary outcome was disability at 90 days, as assessed by the shift analysis on the modified Rankin Scale score, in patients with ischemic stroke. Subgroup analyses according to stroke subtype were evaluated. Results: We included 949 patients with an ischemic stroke, of whom 258 patients(27%) were enrolled during nighttime. Among patients enrolled during nighttime, direct transport to a thrombectomy-capable center was associated with lower degrees of disability at 90 days (adjusted common odds ratio [acOR], 1.620 [95% CI, 1.020–2.551]); no significant difference between trial groups was present during daytime (acOR, 0.890 [95% CI, 0.680–1.163]; P interaction =0.014). Influence of nighttime on the treatment effect was only evident in patients with large vessel occlusion(daytime, acOR 0.766 [95% CI, 0.548–1.072]; nighttime, acOR, 1.785 [95% CI, 1.024–3.112] ; P interaction <0.01); no heterogeneity was observed for other stroke subtypes ( P interaction >0.1 for all comparisons). We observed longer delays in alteplase administration, interhospital transfers, and mechanical thrombectomy initiation during nighttime in patients allocated to local stroke centers. Conclusions: Among patients evaluated during nighttime for a suspected acute severe stroke in non-urban areas of Catalonia, direct transport to a thrombectomy-capable center was associated with lower degrees of disability at 90 days. This association was only evident in patients with confirmed large vessel occlusion on vascular imaging. Time delays in alteplase administration and interhospital transfers might mediate the observed differences in clinical outcome. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT02795962.