Optimizing Stroke Treatment During COVID-19: A Comparative Analysis of Drip-and-Ship vs. Mothership Models

The article “Drip-and-ship toward mothership model for mechanical thrombectomy during COVID-19 pandemic: a retrospective analysis” discusses the shift in stroke treatment strategies during the first wave of the COVID-19 pandemic. The study compares the traditional “drip-and-ship” model, where acute ischemic stroke patients are transported to the nearest primary stroke centers, with the “mothership” model, where patients are directly taken to a Comprehensive Stroke Center. The analysis included patients treated with endovascular thrombectomy (EVT) between March 15 and June 15 in both 2019 and 2020. The results showed that the mothership model significantly reduced the onset-to-groin time (OGT) without affecting the onset-to-needle time (ONT). Additionally, the mothership model ensured a higher number of intravenous thrombolysis (IVT) in combination with EVT. Despite longer call-to-door times, the mothership model achieved shorter door-to-needle and door-to-groin times. The study concluded that the mothership model provided quicker EVT without delaying IVT, although it did not significantly impact the 3-month clinical outcomes measured by the modified Rankin Scale (mRS).

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Author: SYNYO GmbH

Sources:

Matteo, P., Sara, B., Francesco, C., (2022), “Drip-and-ship toward mothership model for mechanical thrombectomy during COVID-19 pandemic: a retrospective analysis”, https://link.springer.com/article/10.1007/s10072-022-05903-5#citeas, (Accessed on 21.11.2024)