UNASSIGNED: Medline, Embase, Cochrane Library and JBI were searched for published systematic reviews. Systematic Reviews that detailed outcomes related to time-to-thrombectomy or functional independence were included. Methodological quality was assessed using the JBI critical appraisal tool by two independent reviewers.
UNASSIGNED: A total of 17 systematic reviews were included in the review. These were all assessed as high-quality reviews. A total of 13 reviews reported on functional outcomes, and 12 reviews reported on time-to-thrombectomy outcomes. Various interventions were identified as beneficial. The most frequently reported beneficial interventions that improved functional and time-related outcomes included: direct-to-angio-suite and using a mothership model (compared to drip-and-ship). Only a few studies investigated other strategies including other pre-hospital and teamwork strategies.
UNASSIGNED: Overall, there were various strategies that can be used to reduce delays in the delivery of mechanical thrombectomy with different effectiveness. The mothership model appears to be superior to the drip-and-ship model in reducing delays and improving functional outcomes. Additionally, the direct-to-angiosuite approach appears to be beneficial, but further research is required for broader implementation of this approach and to determine which groups of patients would benefit the most.
■Medline,Embase,搜索CochraneLibrary和JBI以获取已发表的系统评价。包括与血栓切除时间或功能独立性相关的详细结果的系统评论。由两名独立的审稿人使用JBI批判性评估工具评估方法学质量。
■共有17篇系统综述被纳入综述。这些都被评估为高质量的评论。共有13项审查报告了功能成果,以及12篇关于取栓时间结局的综述.各种干预措施被认为是有益的。最常报告的改善功能和时间相关结果的有益干预措施包括:直接到血管套件和使用母船模型(与滴水和船相比)。只有少数研究调查了其他策略,包括其他院前和团队合作策略。
■总的来说,有不同的策略可用于减少不同有效性的机械血栓切除术的延迟.在减少延误和改善功能结果方面,母船模型似乎优于滴水模型。此外,直接到血管套房的方法似乎是有益的,但需要进一步的研究才能更广泛地实施这种方法,并确定哪些患者组将受益最多。