title: Pre and intrahospital workflow for acute stroke treatment.
abstract: OBJECTIVE
  With the recent demonstration of the effectiveness of rapid recanalization of large vessel occlusions in acute ischemic stroke, it is important to assess the current status of pre and intrahospital workflow for acute stroke.
  
  
  RESULTS
  We will review trends in the evaluation and treatment of acute stroke and offer suggestions for how best to advance the workflow for acute stroke care in the coming years.
  
  
  CONCLUSIONS
  Future research is needed for: field use of clinical scores for predicting large vessel occlusions, telemedicine to facilitate prehospital triage, and pre and intrahospital processes for optimizing stroke care delivery.
authors.affiliation: aDepartment of Emergency Medicine, University of Cincinnati bUniversity of Cincinnati Neuroscience Institute cDepartment of Neurosurgery, University of Cincinnati, Cincinnati, Ohio, USA.
authors.forename: Charles
authors.initials: C
authors.lastname: Kircher
authors.forename: Natalie
authors.initials: N
authors.lastname: Kreitzer
authors.forename: Opeolu
authors.initials: O
authors.lastname: Adeoye
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D020521:Stroke / Q000175:diagnosis / Q000628:therapy*; D017216:Telemedicine / Q000379:methods; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*; D057188:Workflow
chemical_list: D010959:Tissue Plasminogen Activator