JAMA Neurol: Effect of intensive pre-hospital care on the rate of thrombotic solution in stroke patients

Rapid thrombotic therapy reduced the risk of disability in patients with acute ischemic stroke, and researchers recently examined the effects of enhanced acute stroke-assisted treatment assessment (PASTA) intervention on hospital thrombosis ratesstudies were conducted between 2015 and 2018, involving three ambulance services and 15 hospitalsParamedics at the ambulance station are assigned to PASTA or standard care at a pre-random levelPASTA interventions include additional pre-hospital information gathering, structured hospital handovers, actual assistance within 15 minutes of handover, a pre-departure care list, and clinician feedbackThe main result of the study was the proportion of patients treated with thrombotic solutionsSecondary results include intervals and 90-day health conditions (adverse prognosis defined as a corrected Rankin score of 2)1,214 patients were assessed, with an average age of 74.7 years, 590 women (48.6%), 500 patients treated by 242 health care workers trained in PASTA intervention, and 714 patients treated by 355 health care providers who had received standard guidelines for stroke careThe average time for health care workers trained in PASTA intervention to complete patient care events was 13.4 minutes longerPatients in the PASTA group had lower rates of soly, but no significant difference (IN THE PASTA GROUP, 197 PATIENTS IN 500 PATIENTS WERE IN THE STANDARD TREATMENT GROUP, 319 CASES IN 714 PATIENTS WERE 319 (44.7%); AND THE CORRECTION RATIO RATIO WAS 0.81)When paramedics arrived at the scene to the solution, the PASTA group (98.1 minutes) was an average of 8.5 minutes longer than the standard care group (89.4 minutes)The adverse prognosis rate was lower in the PASTA group, but the difference was not significant (64.0% vs 66.8%; the correction ratio was 0.86)studies found that strengthening pre-hospital care assessment had no significant effect on the rate of hospitalization of stroke patients