Current guidelines state that patients who experienced a stroke should usually be transferred to the nearest stroke-treating hospital. In accordance with these guidelines, most patients with large-vessel occlusion (LVO) are transported to a primary stroke center (PSC) that does not offer thrombectomy. From there, these patients must undergo a secondary interhospital transport to a thrombectomy-capable comprehensive stroke center (CSC). Such secondary transfers cause considerable treatment delays, ranging from 96 to 111 minutes.1 Even when the distance between the PSC and a CSC is only 15 miles, transfer times of 104 minutes have been reported.2
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Alexandrov AW, Fassbender K. Triage Based on Preclinical Scores—Low-Cost Strategy for Accelerating Time to Thrombectomy. JAMA Neurol. 2020;77(6):681–682. doi:10.1001/jamaneurol.2020.0113
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