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- W2912351457 abstract "Introduction: While more spokes are now capable of taking care of post-tPA patients, little is known, however, about long term functional outcome of those patients. In this study, we aim to compare long-term outcome for patients who received tPA at a telestroke spoke and remain at the spoke (drip-and-stay) to those patients who received tPA at a spoke and were transferred to the telestroke hub (drip-and-ship). Methods: This is a retrospective review of prospectively collected data on patients who received tPA through the Medical University of South Carolina (MUSC) telestroke program between January 2016 and March 2018. Collected data included age, sex, race, admission NIH stroke scale, door to needle time (DTN), and long-term outcomes measured by modified Rankin Scale (mRS) at 90 days. Patients who were transferred to the telestroke hub because of suspected large vessel occlusion were excluded from the study. Descriptive statistics were used to compare patient demographics and clinical outcomes across the two groups. Generalized linear regression model was used to assess the effect of the drip-and-ship paradigm on 90-day mRS controlling for baseline characteristics. Results: Total of 517 patients were identified (410 drip-and-stay and 107 drip-and-ship). Baseline characteristics are summarized in table 1. Drip-and-stay group had higher percentage of women (60%) as compared to the drip-and-ship group (46.7%) (P=0.013). mRS of 0-2 at 90 days was achieved in 323 patients (78.8%) in the drip-and-stay and in 80 patients (74.8%) in the drip-and-ship group (P=0.372). Regression analysis showed no difference in the adjusted relative risk of having 90-day mRS ≤2 between drip-and-stay and drip-and-ship patients (RR 0.95, p=0.365, 95% CI [0.05-1.1]). Conclusion: In our study, no difference was found in the long-term functional outcome for telestroke patients who were treated under drip-and-stay paradigm when compared to the drip-and-ship paradigm" @default.
- W2912351457 created "2019-02-21" @default.
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- W2912351457 date "2019-02-01" @default.
- W2912351457 modified "2023-09-26" @default.
- W2912351457 title "Abstract WP103: Functional Outcome of Telestroke Patients Treated Under Drip-And-Stay Paradigm versus Drip-And-Ship Paradigm" @default.
- W2912351457 doi "https://doi.org/10.1161/str.50.suppl_1.wp103" @default.
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