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Regueiro, A., Fernandez-Rodriguez, D., Freixa, X., Bosch, X., Martin-Yuste, V., Brugaletta, S., et al. (2018) Falsos positivos en la activacion por IAMCEST en una red regional: Analisis integral e impacto clinico. Resultados del registro Codi Infart de Cataluna [False Positive STEMI Activations in a Regional Network: Comprehensive Analysis and Clinical Impact. Results from the Catalonian Codi Infart Network]. Revista Espanola de Cardiologia, 71, 243-249.
https://doi.org/10.1016/j.recesp.2017.05.025

has been cited by the following article:

• TITLE: A Real-World Perspective on Interfacility Transfers of Acute Ischemic Stroke from a Semi-Rural Center

  AUTHORS: Lluís Llauger, Ester Puyuelo, Francisco Sanchez-Mendez

  KEYWORDS: Stroke, Emergency Room, Transportation of Patients, Prognosis

  JOURNAL NAME: Open Journal of Emergency Medicine, Vol.8 No.1, February 4, 2020

  ABSTRACT: Introduction: Interfacility transfers (IFT) of acute ischemic stroke (AIS) may not always lead to a better prognosis. Methods: Retrospective cohort study included AIS patients at an emergency department (ED) with telestroke. Multiple linear regression for departure time from ED (DT), quantile regression for length of in-hospital stay (LOS), and Kaplan-Meier estimator with Cox proportional hazards model for one-year survival (SV) were performed. Results: 192 patients included were categorised according to IFT. Mechanical thrombectomy was performed in 50% who had been transferred. Differences were found in DT, discharge disposition and LOS. An inverse relationship existed between DT and NIHSS. The strongest predictor of LOS was TACS (β = 3.14 [0.03 - 8.49]; p = 0.005). SV was related to IFT (HR 4.68 [1.37 - 16.07]; p = 0.014), age (HR 1.1 [1.04 - 1.17]), BI Conclusions: Shared decision-making with a stroke unit through telemedicine enabled a standardised clinical management in a non-metropolitan setting. Several improvement opportunities were identified: multimodal computed tomography availability before transfer, as well as optimization of response time and training in neurosonology of emergency physicians.