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- W3100221346 abstract "We read with great interest Guillory et al.’s study of prehospital use of the Field Assessment Stroke Triage for Emergency Destination (FAST-ED) scale for detection of large-vessel occlusions (LVO) ( 1 Guillory B.C. Gupta A.A. Cubeddu L.X. Boge L.A. Can prehospital personnel accurately triage patients for large vessel occlusion strokes?. J Emerg Med. 2020; (in press) Abstract Full Text Full Text PDF Scopus (6) Google Scholar ). Although we acknowledge that the study is limited by an unblinded protocol, we believe that these preliminary findings hold importance. This is due to the ongoing need for a reliable and well-validated protocol for early detection and triage of LVO stroke cases to specialist centers for endovascular thrombectomy. This early triaging is crucial, as it has been shown that shorter time to thrombectomy treatment onset is associated with better clinical outcome for these patients ( 2 Saver J.L. Goyal M. van der Lugt A. et al. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis. JAMA. 2016; 316: 1279-1289 Crossref PubMed Scopus (1049) Google Scholar , 3 Jahan R. Saver J.L. Schwamm L.H. et al. Association between time to treatment with endovascular reperfusion therapy and outcomes in patients with acute ischemic stroke treated in clinical practice. JAMA. 2019; 322: 252-263 Crossref PubMed Scopus (79) Google Scholar ). In addition, as kindly referenced by Guillory et al., a later LVO diagnosis can result in interhospital transfer, with significant effects on patient morbidity and mortality ( 1 Guillory B.C. Gupta A.A. Cubeddu L.X. Boge L.A. Can prehospital personnel accurately triage patients for large vessel occlusion strokes?. J Emerg Med. 2020; (in press) Abstract Full Text Full Text PDF Scopus (6) Google Scholar , 4 Venema E. Groot A. Lingsma H. et al. Effect of interhospital transfer on endovascular treatment for acute ischemic stroke. Stroke. 2019; 50: 923-930 Crossref PubMed Scopus (40) Google Scholar ). Can Prehospital Personnel Accurately Triage Patients for Large Vessel Occlusion Strokes?Journal of Emergency MedicineVol. 58Issue 6PreviewThe Field Assessment Stroke Triage for Emergency Destination (FAST-ED) score was developed in the hospital setting to be used in the prehospital setting. It has been shown to have higher predictive value than comparable stroke scales, including the National Institutes of Health Stroke Scale, for identifying large vessel occlusion strokes. Full-Text PDF" @default.
- W3100221346 created "2020-11-23" @default.
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- W3100221346 date "2020-10-01" @default.
- W3100221346 modified "2023-10-06" @default.
- W3100221346 title "Limitations of Prehospital Stroke Scales for Large-Vessel Occlusion Detection" @default.
- W3100221346 doi "https://doi.org/10.1016/j.jemermed.2020.04.062" @default.
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