Please use this identifier to cite or link to this item: https://repository.monashhealth.org/monashhealthjspui/handle/1/52783
Conference/Presentation Title: Remote evaluation of pre-stroke driving, shopping, banking capability as an alternative to modified rankin for reperfusion decisions - results from a telestroke dataset.
Authors: Bladin C.;Kim J.;Bagot K.;Choi P.;Stewart D.;Frost T.;Cadilhac D.
Monash Health Department(s): Monash University - School of Clinical Sciences at Monash Health
Institution: (Bladin, Choi, Frost) Department of Neuroscience, Eastern Health, Melbourne, Australia
(Bladin, Kim, Bagot, Cadilhac) Florey Institute of Neuroscience and Mental Health, Melbourne, Australia
(Bladin, Choi) Eastern Health Clinical School, Monash University, Melbourne, Australia
(Bladin, Stewart) Ambulance Victoria, Melbourne, Australia
(Kim, Bagot, Cadilhac) School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia
Presentation/Conference Date: 13-Nov-2024
Copyright year: 2024
Publication information: Cerebrovascular Diseases. Conference: Asia Pacific Stroke Conference 2024 Combined Australian and New Zealand Stroke Organisation Transcending Borders. Adelaide, SA Australia. 53(Supplement 1) (pp 25), 2024. Date of Publication: 2024.
Journal: Cerebrovascular Diseases
Abstract: Background: Reliable assessment of premorbid function is essential to guide decisions for stroke reperfusion therapies. In the Victorian Stroke Telemedicine (VST) Service, reported ability to perform driving, shopping and banking (DSB) has been used to quickly and reliably ascertain premorbid function, in conjunction with the modified Rankin Scale (mRS). Aim(s): To investigate if the rapid assessment of DSB ability can be a substitute for mRS in reperfusion decisions. Method(s): Data were collected as part of the VST Service (July 2023 to April 2024). Patient demographics and clinical information were collected including clinical diagnosis, stroke severity, symptom onset and reperfusion treatment advised (thrombolysis [tPA], endovascular thrombectomy [EVT]). Multivariable regression models were used to assess associations between variables. Result(s): There were 1,616 consultations provided to patients with ischaemic stroke (57% male; mean age 72.8 years, 71% mRS of 0-1, 66% performing all DSB). Of these, 264 patients were recommended for tPA and 213 patients were recommended for ECR. mRS of 0-1 was associated with driving (odds ratio [OR] 22.4, 95% CI 14.3 - 35.0), shopping (OR 2.35, 95% CI 1.14 - 4.86) and banking (OR 6.04, 95% CI 3.02 - 12.1). Recommendation for reperfusion therapy (tPA / EVT) was associated with ability to perform one component of DSB (OR 4.23, 95% CI 2.80 - 6.38), and the ability to perform all DSB activities (OR 3.01 95% CI 2.16 - 4.21). Conclusion(s): Ascertaining the ability to perform DSB is simple and fast and has the potential to inform provision of reperfusion therapies.
Conference Name: Asia Pacific Stroke Conference 2024 Combined Australian and New Zealand Stroke Organisation Transcending Borders
Conference Start Date: 2024-09-25
Conference End Date: 2024-09-28
Conference Location: Adelaide, SA, Australia
DOI: http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1159/000541320
URI: https://repository.monashhealth.org/monashhealthjspui/handle/1/52783
Type: Conference Abstract
Subjects: cerebrovascular accident
percutaneous thrombectomy
reperfusion
telemedicine
Type of Clinical Study or Trial: Observational study (cohort, case-control, cross sectional, or survey)
Appears in Collections:Conferences

Show full item record

Page view(s)

46
checked on Mar 13, 2025

Google ScholarTM

Check


Items in Monash Health Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.