Conference Proceedings

Sustained benefits for thrombectomy triage using the act-fast algorithm after real-world implementation

H Zhao, K Smith, D Anderson, M Stephenson, L Churilov, JL Ng, L Pesavento, L Weir, N Yassi, P Mitchell, S Davis, B Campbell

International Journal of Stroke | SAGE | Published : 2022

Abstract

Background and Aims: The severity-based ACT-FAST algorithm for pre-hospital triage of large vessel occlusion (LVO) has previously been validated in a large paramedic-led study. We examined the subsequent real-world diagnostic utility of this tool for ambulance triage in the western metropolitan region of Melbourne, Australia. Methods: A manual audit was conducted of all patients presenting to a central comprehensive center for patients in the catchment of two spoke primary centers where ACT-FAST bypass was active from April 2020 to March 2021. Diagnostic performance was determined for LVO and overall need for comprehensive center care, including and excluding concurrent mobile stroke unit ..

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