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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 |
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