… It seems reasonable to lower the threshold to bypass hospitals not capable of acute stroke treatment in favor of transporting to a hospital that is stroke-ready, particularly when patients are severely affected and likely to require advanced care. However, transporting all acute ischemic stroke patients to a comprehensive stroke center (CSC) could overwhelm CSCs and lead to clustering of COVID-19 patients in CSCs.
… necessary transfers of stroke patients who would benefit from endovascular therapy or neurocritical care needs should be ensured, while unnecessary patient transfers of patients should be avoided. Doing so will likely require local hospital boards and health care authorities to collaborate and establish local guidelines and protocols.
The principles presented in the paper are intended as suggestions and to provide a conceptual framework based on the current status of COVID-19. As such, it is preliminary and will be adapted and updated to meet the evolving needs during the COVID-19 crisis and future pandemics.
The paper is authored by the American Heart Association/American Stroke Association Council Science Subcommittees: Emergency Neurovascular Care, the Telestroke and the Neurovascular Intervention Committees.
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Co-authors include Johanna M. Ospel, M.D.; Andrew M. Southerland, M.D.; Charles Wira, M.D.; Sepideh Amin-Hanjani, M.D.; Justin F. Fraser, M.D.; and Peter D. Panagos, M.D. Disclosures are detailed in the manuscript.
The Association receives funding primarily from individuals. Foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific Association programs and events. The Association has strict policies to prevent these relationships from influencing the science content.
About the American Stroke Association
The American Stroke Association is devoted to saving people from stroke — the No. 2 cause of death in the world and a leading cause of serious disability. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat stroke. The Dallas-based association officially launched in 1998 as a division of the American Heart Association.
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