• Denis Sablot, Franck Leibinger, Adrian Dumitrana, Nathalie Duchateau, Laurène Van Damme, Geoffroy Farouil, Nicolas Gaillard, Marlène Lachcar, Laurent Benayoun, Caroline Arquizan, Majo Ibanez, Francis Coll, Bénédicte Fadat, Ludovic Nguyen Them, Lucie Desmond, Thibaut Allou, Philippe Smadja, Adelaïde Ferraro-Allou, Isabelle Mourand, Anais Dutray, Celine Pujol, Maxime Tardieu, Snejana Jurici, Jean-Marie Bonnec, Nadège Olivier, Julie Mas, Vincent Costalat, and Alain Bonafe.
• Prehosp Emerg Care. 2020 Sep 1; 24 (5): 610-616.

AbstractPurpose: Few data are available on complications occurring during inter-hospital transfer from a primary stroke center (PSC) to a comprehensive stroke center (CSC) for endovascular treatment (EVT) after large vessel occlusion (LVO). Therefore, we prospectively studied data from consecutive patients transferred from our PSC to the next CSC during 4 years to determine the incidence and risk factors of complications during transfer. Methods: This observational, single-center study included consecutive patients transferred from January 1, 2015 to December 31, 2018. During inter-hospital transfer, all medical incidents were systematically recorded. A new complete clinical examination was performed on arrival at the CSC. Results: Among the 253 patients transferred to the CSC during the study period, 68 (26.9%) had one or more complications. In 11 patients (4.3%) these were life-threatening and required emergency intervention by a physician. Baseline characteristics were not different between patients with and without complications, except for the LVO location. Specifically, basilar artery (BA) occlusion was strongly associated with complications during the transport (p < 0.0005). Conclusion: Complications occurred in 26.9% of patients during transfer. Only BA occlusion could predict complication during transfer. Future studies should identify variables to help stratifying patients at high and low risk of complications during transportation.

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