Wider BASP members (N = 43) Percentage Responses | |||||||
Using your experience and judgement, please take the following elements into consideration when assigning scores to the options: availability; practicality/deliverability; and cost (including of any additional software or hardware likely to be required in your region) | 1 very strongly disapprove | 2 quite strongly disapprove | 3 disapprove | 4 neutral | 5 approve | 6 quite strongly approve | 7 very strongly approve |
1. Patients with large artery occlusive stroke are transferred to nearest [neuroscience] centre for thrombectomy based on local CT/CTA alonea | 2 | 21 | 53 | 23 | |||
2. Patients are transferred to nearest [neuroscience] centre for thrombectomy based on advanced imaging obtained at referring hospitalb | 12 | 5 | 16 | 23 | 21 | 16 | 7 |
3. Selective transfer to nearest on call [neuroscience] thrombectomy centre for expert thrombectomyc | 16 | 19 | 12 | 19 | 14 | 12 | 9 |
Using your experience and judgement, please take the following elements into consideration when assigning scores to the options: availability; practicality/deliverability; and cost (including of any additional software or hardware likely to be required in your region) Whilst options 2 & 3 are both “Advanced Imaging Triage” they may differ in deliverability, cost & practicality so they have been separated out for this exercise. There is of course uncertainty over the strength of evidence supporting either option | Full members of the BSNR (N = 21) Percentage Responses | ||||||
1. Patients are transferred for thrombectomy based on local CT/CTA aloned | 5 | 5 | 5 | 19 | 29 | 38 | |
2. Patients are transferred for thrombectomy based on formal ASPECTS & Collateral Scoring in addition to confirming large artery occlusion present - “Advanced Imaging Triage ACS”e** | 24 | 29 | 14 | 14 | 14 | ||
3. Patients are transferred for thrombectomy based on CT Perfusion parameters in addition to confirming large artery occlusion present - “Advanced Imaging Triage PERFUSION”f** | 14 | 19 | 38 | 14 | 10 | ||
4. Selective transfer to nearest on call neuroscience centre for “expert thrombectomy”g | 5 | 29 | 5 | 29 | 5 | 29 |