What question did this study set out to answer?

This study aims to identify factors influencing delays from symptom onset to groin puncture in acute ischemic stroke patients.

Abstract Number: Esoc2026a1997 Determinants of Time to Thrombectomy: A Real-World Pathway Analysis From the German Stroke Registry

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Randomized trial identifies factors affecting time to thrombectomy in acute ischemic stroke, suggesting key optimization areas.

This study aims to identify factors influencing delays from symptom onset to groin puncture in acute ischemic stroke patients.
Analyzed 18,028 patients from the German Stroke Registry (2015-2023) to assess time intervals before and during hospitalization.
Used multivariable linear regression and path analysis to examine demographic and clinical associations with time delays.
Evaluated prehospital and intrahospital time metrics, including recognition, admission, imaging, and thrombectomy procedures.
Female sex is linked to delayed prehospital recognition (P = 0.001).
Higher NIHSS scores correlate with faster intrahospital processes (-1.2% per point; P < 0.001).
CT-perfusion utilization reduces Imaging-to-Groin time by 10.2% (P < 0.001).

Bieder et al. (2026) studied this question.

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