Abstract
Abstract P172: Dedicated Ground Transport Reduces Door in Door Out Times to Less Than 60 Minutes
Stroke (1970), v 52(Suppl_1), AP172
Mar 2021
Abstract
Abstract only
Introduction:
Prior studies have found conflicting results in regards to whether air or ground transportation to transfer stroke patients is associated with quicker door-in-door-out (DIO) times. We aimed to examine DIO times in acute stroke patients from two community primary stroke centers (one with air/ground; one with dedicated ground transport only) from a similar geographical location. Additionally, we aimed to examine whether there were differences in DIO comparing the hospitals.
Methods:
We prospectively collected and retrospectively analyzed stroke transfer data from two community hospitals in a health system between 10/1/2018 and 03/31/2020. A hierarchical logistic regression was performed in two steps to determine which factors were associated with DIO ≤ 90 minutes. First, possible confounding variables such as age, gender and arrival mode (EMS or private vehicle) were entered. Next, we entered variables of interest; transfer mode (ground vs air), if the patient was transferred for mechanical endovascular reperfusion (MER) and if the patient was transferred from the hospital with dedicated ground transport or not. A subgroup analysis determined if DIO differed between hospitals. Two-sided Fisher’s exact test examined proportion of DIO ≤ 60 minutes comparing hospitals.
Results:
During the study 334 patients were transferred [234 hospital with air/ground (100 air, 134 ground) and 100 hospital with dedicated ground transport]. We found that patients were more likely to be transferred within 90 minutes of arrival if: transferred by air, OR = 14.99 (95%CI 4.34 - 51.76) p < 0.001; transferred for MER, OR = 2.97 (95%CI 1.37 - 6.46) p = 0.006 and transferred by dedicated ground transport, OR = 14.93 (95%CI 4.35 - 51.30) p < 0.001. A subgroup analysis suggested that there was no difference in DIO between patients transferred by air or dedicated ground (p = 0.88). Although, we found significantly more patients were transferred within 60 minutes by the hospital utilizing a dedicated EMS (6.0% vs 1.3%), OR = 4.92 (95%CI 1.20 - 20.06) p = 0.02.
Conclusions:
In conclusion, a dedicated ground transport ambulance allowed for quicker DIO times overall, including a greater proportion of all transfers within 60 minutes but similar DIO times to MER patients transported by air.
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Details
- Title
- Abstract P172: Dedicated Ground Transport Reduces Door in Door Out Times to Less Than 60 Minutes
- Creators
- Kristen Ronosky - Valley Health SystemAmos P Cameron - Valley Health SystemJoe Campbell - Valley Health SystemRonald D Leckey - Valley Health SystemChristopher T Hackett - Allegheny Health Network
- Publication Details
- Stroke (1970), v 52(Suppl_1), AP172
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Number of pages
- 2
- Resource Type
- Abstract
- Language
- English
- Academic Unit
- Neurology
- Web of Science ID
- WOS:000670883500291
- Other Identifier
- 991022054307304721
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Peripheral Vascular Disease