Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta
Abstract Mobile Stroke Unit (MSU) expedites the delivery of intravenous thrombolysis in acute stroke patients. We further evaluated the functional outcome of patients shipped to a tertiary care centre or repatriated to local hospitals after triage by MSU in acute stroke syndrome in rural northern Al...
Guardado en:
| Autores principales: | , , , , , , , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Nature Portfolio
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/91369a0ae7b94d4fad39450911f39598 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:91369a0ae7b94d4fad39450911f39598 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:91369a0ae7b94d4fad39450911f395982021-12-02T13:34:58ZPre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta10.1038/s41598-021-84441-02045-2322https://doaj.org/article/91369a0ae7b94d4fad39450911f395982021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84441-0https://doaj.org/toc/2045-2322Abstract Mobile Stroke Unit (MSU) expedites the delivery of intravenous thrombolysis in acute stroke patients. We further evaluated the functional outcome of patients shipped to a tertiary care centre or repatriated to local hospitals after triage by MSU in acute stroke syndrome in rural northern Alberta. Consecutive patients with suspected acute stroke syndrome were included. On the basis of neurology consultation and, Computed Tomography findings, patients, who were thrombolysed or needed advanced care were transported to the Comprehensive stroke center (CSC) (Triage to CSC group). Other patients were repatriated to local hospital care (Triage to LHC group). A total of 156 patients were assessed in MSU, 73 (46.8%) were female and the mean age was 66.6 ± 15 years. One hundred and eight (69.2%) patients, including 41 (26.3%) treated with thrombolysis were transported to the CSC (Triage to CSC group) and 48 (30.8%) were repatriated to local hospital care. The diagnosis made in MSU and final diagnosis were matching in 88% (95) and 91.7% (44, p = 0.39) in Triage to CSC and Triage to LHC groups respectively. Prehospital triage by MSU of acute stroke syndrome can reliably repatriate patients to the home hospital. The proposed model has the potential to triage patients according to their medical needs by enabling treatment in home hospitals whenever reasonable.Mahesh P. KateThomas JeerakathilBrian H. BuckKhurshid KhanAli Zohair NomaniAsif ButtSibi ThirunavukkarasuTomasz NowackiHayrapet KalashyanMar Irida Lloret-VillasAtlantic D’SouzaSachin MishraJennifer McCombeKenneth ButcherGlen JicklingMaher SaqqurAshfaq ShuaibNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
Medicine R Science Q |
| spellingShingle |
Medicine R Science Q Mahesh P. Kate Thomas Jeerakathil Brian H. Buck Khurshid Khan Ali Zohair Nomani Asif Butt Sibi Thirunavukkarasu Tomasz Nowacki Hayrapet Kalashyan Mar Irida Lloret-Villas Atlantic D’Souza Sachin Mishra Jennifer McCombe Kenneth Butcher Glen Jickling Maher Saqqur Ashfaq Shuaib Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| description |
Abstract Mobile Stroke Unit (MSU) expedites the delivery of intravenous thrombolysis in acute stroke patients. We further evaluated the functional outcome of patients shipped to a tertiary care centre or repatriated to local hospitals after triage by MSU in acute stroke syndrome in rural northern Alberta. Consecutive patients with suspected acute stroke syndrome were included. On the basis of neurology consultation and, Computed Tomography findings, patients, who were thrombolysed or needed advanced care were transported to the Comprehensive stroke center (CSC) (Triage to CSC group). Other patients were repatriated to local hospital care (Triage to LHC group). A total of 156 patients were assessed in MSU, 73 (46.8%) were female and the mean age was 66.6 ± 15 years. One hundred and eight (69.2%) patients, including 41 (26.3%) treated with thrombolysis were transported to the CSC (Triage to CSC group) and 48 (30.8%) were repatriated to local hospital care. The diagnosis made in MSU and final diagnosis were matching in 88% (95) and 91.7% (44, p = 0.39) in Triage to CSC and Triage to LHC groups respectively. Prehospital triage by MSU of acute stroke syndrome can reliably repatriate patients to the home hospital. The proposed model has the potential to triage patients according to their medical needs by enabling treatment in home hospitals whenever reasonable. |
| format |
article |
| author |
Mahesh P. Kate Thomas Jeerakathil Brian H. Buck Khurshid Khan Ali Zohair Nomani Asif Butt Sibi Thirunavukkarasu Tomasz Nowacki Hayrapet Kalashyan Mar Irida Lloret-Villas Atlantic D’Souza Sachin Mishra Jennifer McCombe Kenneth Butcher Glen Jickling Maher Saqqur Ashfaq Shuaib |
| author_facet |
Mahesh P. Kate Thomas Jeerakathil Brian H. Buck Khurshid Khan Ali Zohair Nomani Asif Butt Sibi Thirunavukkarasu Tomasz Nowacki Hayrapet Kalashyan Mar Irida Lloret-Villas Atlantic D’Souza Sachin Mishra Jennifer McCombe Kenneth Butcher Glen Jickling Maher Saqqur Ashfaq Shuaib |
| author_sort |
Mahesh P. Kate |
| title |
Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| title_short |
Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| title_full |
Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| title_fullStr |
Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| title_full_unstemmed |
Pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural Alberta |
| title_sort |
pre-hospital triage of suspected acute stroke patients in a mobile stroke unit in the rural alberta |
| publisher |
Nature Portfolio |
| publishDate |
2021 |
| url |
https://doaj.org/article/91369a0ae7b94d4fad39450911f39598 |
| work_keys_str_mv |
AT maheshpkate prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT thomasjeerakathil prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT brianhbuck prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT khurshidkhan prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT alizohairnomani prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT asifbutt prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT sibithirunavukkarasu prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT tomasznowacki prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT hayrapetkalashyan prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT mariridalloretvillas prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT atlanticdsouza prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT sachinmishra prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT jennifermccombe prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT kennethbutcher prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT glenjickling prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT mahersaqqur prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta AT ashfaqshuaib prehospitaltriageofsuspectedacutestrokepatientsinamobilestrokeunitintheruralalberta |
| _version_ |
1718392749610237952 |