THE COMPARISON OF DRIP AND SHIP VERSUS MOTHERSHIP FOR ENDOVASCULAR TREATMENT IN LATVIA

Research output: Contribution to journalMeeting Abstractpeer-review

Abstract

Background And Aims: In ischemic stroke rapid reperfusion is crucial for disability free survival.
Access to endovascular thrombectomy (ET) in Latvia is limited with P. Stradins CUH- the only center
providing access to ET 24/7. We compared patients who were Mothershiped (MS) to patients who
were transferred from primary stroke centers (Drip-and-ship-DS).
Methods: Retrospective study was performed including all ET patients admitted to PS CUH January
2018 and December 2019. Patients data: mRS, NIHSS at time of admission and at discharge, time of
onset-to-endovascular treatment were collected. Modified Thrombolysis mTICI score of 2b-3 was
define for successful recanalization. Good clinical outcome at discharge was indicated by mRS score
of 0–2.
Results: ET was performed in 204 patients: 36 MS and 168 DS. Median NIHSS score at admission was
14,5 (IQR 10,5-18) vs 15 (IQR 11–18). Median mRS score at admission was 5 (IQR 5–5) in both groups.
Patients undergoing DS had 94,4% recanalization rate and MS 89,9%. Median NIHSS score reduction
from admission to discharge for survived patients (14 to 9 vs 15 to 3) was more pronounced in MS
group. Median onset-to-endovascular treatment time was 292 minutes in DS and 190 minutes in MS
group. mRS 0–2 reached by 25,0% in MS vs 27,4% in DS. Conclusions: Patients with acute ischemic stroke admitted by MS for ET seems to have slightly better
clinical outcome. But the clinical improvement was observed in both groups. There is a room for
improvement primary centers and patient logistics to improve the time in which the patients arrive at
comprehensive stroke center for ET.
Original languageEnglish
Pages (from-to)213-214
JournalInternational Journal of Stroke
Volume15
Issue numberIS
Publication statusPublished - 2020
EventEuropean Stroke Organisation and World Stroke Organization virtual Conference -
Duration: 7 Nov 20209 Nov 2020
https://eso-wso-conference.org/

Field of Science

  • 3.2 Clinical medicine

Publication Type

  • 3.3. Publications in conference proceedings indexed in Web of Science and/or Scopus database

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