All because our fucking failures of stroke associations and stroke medical 'professionals' have never gotten stroke solved to 100% recovery for all. Everyone involved in this is the personification of incompetency!
I will against my better nature hope all of you discover schadenfreude when you have your stroke and DON'T RECOVER!
Hospital Transfer Delays for EVT Leave Patients With Stroke More Disabled
Longer door-in-door-out (DIDO) times during interhospital transfer for endovascular therapy (EVT) are associated with significantly lower rates of EVT, higher complication rates, and worse functional outcomes in patients with acute ischemic stroke, a large US cohort study showed.
Using nationwide data from the Get With The Guidelines-Stroke (GWTG-Stroke) registry, investigators found a strong association between longer DIDO times at referring hospitals and increased disability at hospital discharge, even after adjusting for patient demographics and risk factors, receiving hospital, and clinical characteristics.
“This study provides new and compelling evidence that greater attention should be paid to developing efficiencies within regional stroke systems of care and hub-and-spoke networks with a targeted focus on minimizing DIDO times at transferring hospitals,” lead investigator Regina Royan, MD, MPH, Department of Emergency Medicine and Department of Neurology, University of Michigan, Ann Arbor, Michigan, and colleagues wrote.
The study was published online on January 21 in The Lancet Neurology.
Transfer Time Matters
EVT is a highly time-sensitive and effective treatment that can reduce disability from acute ischemic stroke, yet nearly half of patients in the US who receive EVT require interhospital transfer.
The American Heart Association/American
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