Complications During Inter-Hospital Transfer of Patients with Acute Ischemic Stroke for Endovascular Therapy

被引：9

作者：

Sablot, Denis ^{[1
,2
]}

Leibinger, Franck ^{[3
]}

Dumitrana, Adrian ^{[1
]}

Duchateau, Nathalie ^{[4
]}

Van Damme, Laurene ^{[1
]}

Farouil, Geoffroy ^{[5
]}

Gaillard, Nicolas ^{[1
,6
]}

Lachcar, Marlene ^{[4
]}

Benayoun, Laurent ^{[3
]}

Arquizan, Caroline ^{[6
]}

Ibanez, Majo ^{[1
]}

Coll, Francis ^{[4
]}

Fadat, Benedicte ^{[1
]}

Them, Ludovic Nguyen ^{[1
]}

Desmond, Lucie ^{[4
]}

Allou, Thibaut ^{[1
]}

Smadja, Philippe ^{[5
]}

Ferraro-Allou, Adelaide ^{[1
]}

Mourand, Isabelle ^{[6
]}

Dutray, Anais ^{[1
]}

Pujol, Celine ^{[4
]}

Tardieu, Maxime ^{[5
]}

Jurici, Snejana ^{[1
]}

Bonnec, Jean-Marie ^{[4
]}

Olivier, Nadege ^{[1
]}

Mas, Julie ^{[1
]}

Costalat, Vincent ^{[7
]}

Bonafe, Alain ^{[5
,7
]}

机构：

[1] Ctr Hosp Perpignan, Neurol Dept, Perpignan, France

[2] Reg Hlth Agcy Occitanie, Montpellier, France

[3] Ctr Hosp Perpignan, Intens Care Unit, Perpignan, France

[4] Ctr Hosp Perpignan, Emergency Dept, Perpignan, France

[5] Ctr Hosp Perpignan, Radiol Dept, Perpignan, France

[6] CHRU Montpellier, Neurol Dept, Montpellier, France

[7] CHRU Montpellier, Neuroradiol Dept, Montpellier, France

来源：

PREHOSPITAL EMERGENCY CARE | 2020年 / 24卷 / 05期

关键词：

thrombectomy; stroke unit; stroke management; reperfusion; ischemic stroke; adverse event; prehospital management; revascularization; health services; TISSUE-PLASMINOGEN ACTIVATOR; HEALTH-CARE PROFESSIONALS; CRITICALLY-ILL PATIENTS; INTRAARTERIAL TREATMENT; INTRAVENOUS ALTEPLASE; EARLY MANAGEMENT; THROMBECTOMY; THROMBOLYSIS; GUIDELINES; INCIDENTS;

D O I：

10.1080/10903127.2019.1695299

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose: Few data are available on complications occurring during inter-hospital transfer from a primary stroke center (PSC) to a comprehensive stroke center (CSC) for endovascular treatment (EVT) after large vessel occlusion (LVO). Therefore, we prospectively studied data from consecutive patients transferred from our PSC to the next CSC during 4 years to determine the incidence and risk factors of complications during transfer. Methods: This observational, single-center study included consecutive patients transferred from January 1, 2015 to December 31, 2018. During inter-hospital transfer, all medical incidents were systematically recorded. A new complete clinical examination was performed on arrival at the CSC. Results: Among the 253 patients transferred to the CSC during the study period, 68 (26.9%) had one or more complications. In 11 patients (4.3%) these were life-threatening and required emergency intervention by a physician. Baseline characteristics were not different between patients with and without complications, except for the LVO location. Specifically, basilar artery (BA) occlusion was strongly associated with complications during the transport (p < 0.0005). Conclusion: Complications occurred in 26.9% of patients during transfer. Only BA occlusion could predict complication during transfer. Future studies should identify variables to help stratifying patients at high and low risk of complications during transportation.

引用

页码：610 / 616

页数：7

共 38 条

[1] ADVERSE EVENTS OCCURRING DURING INTERHOSPITAL TRANSFER OF THE CRITICALLY ILL [J].

BARRY, PW ;

RALSTON, C .

ARCHIVES OF DISEASE IN CHILDHOOD, 1994, 71 (01) :8-11

[2] Incidents relating to the intra-hospital transfer of critically ill patients - An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care [J].

Beckmann, U ;

Gillies, DM ;

Berenholtz, SM ;

Wu, AW ;

Pronovost, P .

INTENSIVE CARE MEDICINE, 2004, 30 (08) :1579-1585

[3] A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke [J].

Berkhemer, O. A. ;

Fransen, P. S. S. ;

Beumer, D. ;

van den Berg, L. A. ;

Lingsma, H. F. ;

Yoo, A. J. ;

Schonewille, W. J. ;

Vos, J. A. ;

Nederkoorn, P. J. ;

Wermer, M. J. H. ;

van Walderveen, M. A. A. ;

Staals, J. ;

Hofmeijer, J. ;

van Oostayen, J. A. ;

Nijeholt, G. J. Lycklama A. ;

Boiten, J. ;

Brouwer, P. A. ;

Emmer, B. J. ;

de Bruijn, S. F. ;

van Dijk, L. C. ;

Kappelle, L. J. ;

Lo, R. H. ;

Van Dijk, E. J. ;

de Vries, J. ;

de Kort, P. L. M. ;

van Rooij, W. J. J. ;

van den Berg, J. S. P. ;

van Hasselt, B. A. A. M. ;

Aerden, L. A. M. ;

Dallinga, R. J. ;

Visser, M. C. ;

Bot, J. C. J. ;

Vroomen, P. C. ;

Eshghi, O. ;

Schreuder, T. H. C. M. L. ;

Heijboer, R. J. J. ;

Keizer, K. ;

Tielbeek, A. V. ;

den Hertog, H. M. ;

Gerrits, D. G. ;

van den Berg-Vos, R. M. ;

Karas, G. B. ;

Steyerberg, E. W. ;

Flach, H. Z. ;

Marquering, H. A. ;

Sprengers, M. E. S. ;

Jenniskens, S. F. M. ;

Beenen, L. F. M. ;

van den Berg, R. ;

Koudstaal, P. J. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (01) :11-20

[4] Mechanical thrombectomy after intravenous alteplase versus alteplase alone after stroke (THRACE): a randomised controlled trial [J].

Bracard, Serge ;

Ducrocq, Xavier ;

Mas, Jean Louis ;

Soudant, Marc ;

Oppenheim, Catherine ;

Moulin, Thieriy ;

Guillemin, Francis .

LANCET NEUROLOGY, 2016, 15 (11) :1138-1147

[5] Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection [J].

Campbell, B. C. V. ;

Mitchell, P. J. ;

Kleinig, T. J. ;

Dewey, H. M. ;

Churilov, L. ;

Yassi, N. ;

Yan, B. ;

Dowling, R. J. ;

Parsons, M. W. ;

Oxley, T. J. ;

Wu, T. Y. ;

Brooks, M. ;

Simpson, M. A. ;

Miteff, F. ;

Levi, C. R. ;

Krause, M. ;

Harrington, T. J. ;

Faulder, K. C. ;

Steinfort, B. S. ;

Priglinger, M. ;

Ang, T. ;

Scroop, R. ;

Barber, P. A. ;

McGuinness, B. ;

Wijeratne, T. ;

Phan, T. G. ;

Chong, W. ;

Chandra, R. V. ;

Bladin, C. F. ;

Badve, M. ;

Rice, H. ;

de Villiers, L. ;

Ma, H. ;

Desmond, P. M. ;

Donnan, G. A. ;

Davis, S. M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1009-1018

[6] PERFORMANCE OF THE RACE SCORE FOR THE PREHOSPITAL IDENTIFICATION OF LARGE VESSEL OCCLUSION STROKE IN A SUBURBAN/RURAL EMS SERVICE [J].

Dickson, Robert L. ;

Crowe, Remle P. ;

Patrick, Casey ;

Crocker, Kevin ;

Aiken, Michael ;

Adams, Andrew ;

Gleisberg, Guy R. ;

Nichols, Tyler ;

Mason, Christopher ;

Panchal, Ashish R. .

PREHOSPITAL EMERGENCY CARE, 2019, 23 (05) :612-618

[7] Transferring the critically ill patient: are we there yet? [J].

Droogh, Joep M. ;

Smit, Marije ;

Absalom, Anthony R. ;

Ligtenberg, Jack J. M. ;

Zijlstra, Jan G. .

CRITICAL CARE, 2015, 19

[8] Mechanical Recanalization after Transfer from a Distant Primary Stroke Center: Effectiveness and Future Directions [J].

Farouil, Geoffroy ;

Sablot, Denis ;

Leibinger, Franck ;

Van Damme, Laurene ;

Coll, Francis ;

Gaillard, Nicolas ;

Ibanez, Majo ;

Smadja, Philippe ;

Benayoun, Laurent ;

Dutray, Anais ;

Tardieu, Maxime ;

Ludovic Nguyen Them ;

Bonnec, Jean-Marie ;

Jurici, Snejana ;

Bensalah, Zoubir Mourad ;

Olivier, Nadege ;

Desmond, Lucie ;

Fadat, Benedicte ;

Bertrand, Jean Louis ;

Mas, Julie ;

Akouz, Aziz ;

Allou, Thibaut ;

Mourand, Isabelle ;

Ferraro-Allou, Adelaide ;

Dumitrana, Adrian ;

Aptel, Sabine ;

Arquizan, Caroline ;

Costalat, Vincent ;

Bonafe, Alain .

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2019, 28 (11)

[9] Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke [J].

Goyal, M. ;

Demchuk, A. M. ;

Menon, B. K. ;

Eesa, M. ;

Rempel, J. L. ;

Thornton, J. ;

Roy, D. ;

Jovin, T. G. ;

Willinsky, R. A. ;

Sapkota, B. L. ;

Dowlatshahi, D. ;

Frei, D. F. ;

Kamal, N. R. ;

Montanera, W. J. ;

Poppe, A. Y. ;

Ryckborst, K. J. ;

Silver, F. L. ;

Shuaib, A. ;

Tampieri, D. ;

Williams, D. ;

Bang, O. Y. ;

Baxter, B. W. ;

Burns, P. A. ;

Choe, H. ;

Heo, J. -H. ;

Holmstedt, C. A. ;

Jankowitz, B. ;

Kelly, M. ;

Linares, G. ;

Mandzia, J. L. ;

Shankar, J. ;

Sohn, S. -I. ;

Swartz, R. H. ;

Barber, P. A. ;

Coutts, S. B. ;

Smith, E. E. ;

Morrish, W. F. ;

Weill, A. ;

Subramaniam, S. ;

Mitha, A. P. ;

Wong, J. H. ;

Lowerison, M. W. ;

Sajobi, T. T. ;

Hill, M. D. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (11) :1019-1030

[10] Randomised double-blind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II) [J].

Hacke, W ;

Kaste, M ;

Fieschi, C ;

von Kummer, R ;

Davalos, A ;

Meier, D ;

Larrue, V ;

Bluhmki, E ;

Davis, S ;

Donnan, G ;

Schneider, D ;

Diez-Tejedor, E ;

Trouillas, P .

LANCET, 1998, 352 (9136) :1245-1251

← 1 2 3 4 →