Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis Tiu, J, Watson, T and Clissold, Ben 2021, Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis, Internal Medicine Journal, vol. 51, no. 6, pp. 905-909, doi: 10.1111/imj.14843. Attached Files Name Description MIMEType Size Downloads Title Mechanical thrombectomy for emergent large vessel occlusion: an Australian primary stroke centre workflow analysis Author(s) Tiu, J Watson, T Clissold, Ben Journal name Internal Medicine Journal Volume number 51 Issue number 6 Start page 905 End page 909 Total pages 5 Publisher Royal Australasian College of Physicians Place of publication Melbourne, Vic. Publication date 2021 ISSN 1444-0903 1445-5994 Keyword(s) stroke thrombectomy treatment workflow pre-hospital door-in-door-out Summary Background: Time to successful reperfusion is a critical prognostic factor for acute ischaemic stroke. Mechanical thrombectomy has become the gold standard treatment for emergent large vessel occlusion stroke. The timely delivery of this highly specialised procedure to patients outside of metropolitan centres presents a dilemma of inequity, with limited workflow data hindering benchmarking and service optimisation. Aims: To analyse key stroke treatment time parameters from a primary stroke centre existing in a regional centre within a hub-and-spoke delivery model in Victoria, Australia. Methods: Retrospective cohort study of patients transferred from a regional primary stroke centre to a metropolitan comprehensive stroke centre for mechanical thrombectomy between July 2016 and December 2018. Time workflow analysis was conducted from symptom onset to primary stroke centre departure. Results: A total of 55 patients was included in this study with an average age of 70.2 years. Median National Institutes of Health Stroke Scale score on admission was 13 (interquartile range (IQR) 7–17). Median pre-hospital time was 68 min (IQR 56–137) and median door-in-door-out time was 120.5 min (IQR 98–150), constituting 36.1% and 63.9% of total median time from symptom onset to primary stroke centre departure (188.5 min) respectively. There were no significant differences across observed cohort characteristics under linear regression analysis. Conclusion: Protracted pre-hospital and primary stroke centre workflow times can delay effective treatment for patients with acute ischaemic stroke in regional areas. A systems-level approach to streamlining processes in these key areas is required to bridge this inequity in best practice care. DOI 10.1111/imj.14843 Field of Research 1102 Cardiorespiratory Medicine and Haematology 1103 Clinical Sciences 1117 Public Health and Health Services HERDC Research category C1 Refereed article in a scholarly journal Persistent URL http://hdl.handle.net/10536/DRO/DU:30161485 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges   Connect to Elements publication management system Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Mon, 17 Jan 2022, 09:50:51 EST Mon, 17 Jan 2022, 15:02:44 EST Mon, 17 Jan 2022, 15:16:57 EST Tue, 25 Jan 2022, 15:19:05 EST Wed, 09 Mar 2022, 16:05:59 EST Wed, 09 Mar 2022, 16:07:23 EST Wed, 09 Mar 2022, 16:17:33 EST Filtered Full Citation counts:   Cited 0 times in TR Web of Science Cited 1 times in Scopus Search Google Scholar Access Statistics: 9 Abstract Views, 0 File Downloads  -  Detailed Statistics Created: Mon, 17 Jan 2022, 09:50:51 EST