Invited Commentary

Commentary on “Patient Selection for Drip and Ship Thrombolysis in Acute Ischemic Stroke”

Authors: Sheryl Martin-Schild, MD, PhD

Abstract

In this issue of the Southern Medical Journal, Lyerly and colleagues report their findings from a retrospective analysis comparing patients who were ‘‘dripped and shipped’’ from an outside hospital to their academic stroke center with those who presented directly to their center and were treated on-site with intravenous tissue plasminogen activator (tPA).1 The primary aims of this study were to determine whether differences in demographics existed between drip and ship and direct presenters among tPA-treated patients and, if so, whether the demographics of drip and ship patients were representative of the composite demographics in the areas from which the drip and ship patients originated.

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References

1. Lyerly MJ, Albright KC, Boehme AK, et al. Patient selection for drip and ship thrombolysis in acute ischemic stroke. South Med J. 2015;108:393-398.
 
2. Mullen MT, Wiebe DJ, Bowman A, et al. Disparities in accessibility of certified primary stroke centers. Stroke. 2014;45:3381-3388.
 
3. Siegler JE, Boehme AK, Albright KC, et al. Ethnic disparities trump other risk factors in determining delay to emergency department arrival in acute ischemic stroke. Ethn Dis. 2013;23:29-34.
 
4. Alberts MJ, Wechsler LR, Jensen ME, et al. Formation and function of acute stroke-ready hospitals within a stroke system of care recommendations from the brain attack coalition. Stroke. 2013;44:3382-3393.