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July 2, 2026Journal of StrokeOpen Access

Direct Transport to a Comprehensive Stroke Center May Offer Outcome Benefits in Metropolitan Thrombectomy Networks

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Authors

POPeter OroszSemmelweis UniversityZKZoltán KőváriSemmelweis UniversityHMHenriette MészárosSemmelweis University

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Overview

Prospective cohort study evaluates direct transport benefits for thrombectomy patients, highlighting improved outcomes.

Key Points

  • This research aims to assess the impact of direct transport to a comprehensive stroke center versus secondary transfer on patient outcomes in a metropolitan stroke network.
  • Prospective registry-based cohort study including 2,017 thrombectomy patients from 2015 to 2022.
  • Comparison between 242 patients transported directly to a CSC and 1,775 patients transferred to a CSC after primary assessment.
  • Functional outcomes were measured at 90 days using the modified Rankin Scale.
  • Direct transport led to shorter median onset-to-CSC admission time (101 min vs. 240 min, P<0.001).
  • Good functional outcome (mRS 0-2) was achieved more frequently with direct transport (50.3% vs. 40.5%, P=0.015).
  • Direct transport predicted better survival in patients receiving combined thrombolysis and thrombectomy (adjusted hazard ratio 0.67; P=0.026).

Cite This Study

Orosz et al. (2026) studied this question.

synapsesocial.com/papers/6a45ffa29ed134303130ff97https://doi.org/10.5853/jos.2025.06758
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Also Consider

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  1. 1ABSTRACT NUMBER: ESOC2026A37 METROPOLITAN STROKE NETWORK ANALYSIS SHOWS SURVIVAL BENEFIT OF DIRECT TRANSFER FOR COMBINED THROMBOLYSIS AND THROMBECTOMY2026
  2. 2Impact of Direct Transport to Thrombectomy-Capable Center vs. Nearby/Distant Local Stroke Centers on Stroke Outcome in Patients Undergoing Thrombectomy: A Real-Life Study2024 · 2 citations
  3. 3Evaluating Transport Strategies and Local Hospital Impact on Stroke Outcomes: A RACECAT Trial Substudy2024 · 3 citations
  4. 4The impact of interhospital transfer on patients undergoing endovascular thrombectomy for acute ischemic stroke from a comprehensive stroke center2025 · 3 citations
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