Journal article

Utility of Severity-Based Prehospital Triage for Endovascular Thrombectomy ACT-FAST Validation Study

Henry Zhao, Karen Smith, Stephen Bernard, Michael Stephenson, Henry Ma, Ronil Chandra, Thanh Phan, Christopher F Bladin, Leonid Churilov, Douglas Crompton, Helen M Dewey, Tissa Wijeratne, Geoffrey Cloud, Vincent Thijs, Timothy J Kleinig, Jo Lyn Ng, Cameron Williams, Fana Alemseged, Felix Ng, Peter J Mitchell Show all

Stroke | LIPPINCOTT WILLIAMS & WILKINS | Published : 2021

Abstract

BACKGROUND AND PURPOSE: Severity-based assessment tools may assist in prehospital triage of patients to comprehensive stroke centers (CSCs) for endovascular thrombectomy (EVT), but criticisms regarding diagnostic inaccuracy have not been adequately addressed. This study aimed to quantify the benefits and disadvantages of severity-based triage in a large real-world paramedic validation of the Ambulance Clinical Triage for Acute Stroke Treatment (ACT-FAST) algorithm. METHODS: Ambulance Victoria paramedics assessed the prehospital ACT-FAST algorithm in patients with suspected stroke from November 2017 to July 2019 following an 8-minute training video. All patients were transported to the neares..

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