Differences in Outcomes of Interhospital Transfer Patients Versus Direct Presentations
Gurmeen Kaur, MBBS
Shah S, Xian Y, Sheng S, Zachrison KS, Saver JL, Sheth KN, et al. Use, Temporal Trends, and Outcomes of Endovascular Therapy after Interhospital Transfer in the United States. Circulation. 2019
The current decade has seen a revolution in stroke care with the advent of endovascular therapy (EVT) and extended timelines for stroke intervention. With the expansion of stroke care, there is a tremendous increase in the need for angiographic suites and providers. Most smaller, non thrombectomy capable centers have set up contracts with academic or bigger centers nearby to transfer their stroke patients for emergent large vessel occlusions.
However, given that the number of treatable strokes far exceeds the number of thrombectomy capable centers, it is the right time to review our nationwide policies on transfers for improved patient care and quality improvement. In this paper, authors Shah et al. have done a great job elucidating the temporal trends in transfer of patients for EVT and how those transfer trends are influencing the final outcome, using the Get with the Guidelines database.