Abstract
Objective: To study whether the prehsopital Los Angeles Motor Score (LAMS) is significantly associated with having mechanical thrombectomy in patients with acute ischemic stroke.
Background: The LAMS is a prehospital scale that checks for facial droop, arm drift, and grip strength for a total of 0 to 5 points. With the advent of urgent mechanical intervention for large vessel strokes emerging as the treatment of choice, the identification of such strokes as quickly as possible is important.
Design/Methods: Data from all stroke transports to a comprehensive stroke center during the immediate previous 12 month period were abstracted from our IRB approved prehospital research registry. Statistical analyses were performed using JMP 13 Pro for the Macintosh.
Results: The cohort had 157 patients, 53% female, median age was 68 with interquartile range 58–79 years.
Patients who received mechanical thrombectomy (table 1) were significantly more likely to have a LAMS of 5 (P= 0.0193), and receive tPA (P=0.0002). The LAMS retained statistical significance in a multivariate model that included age, gender, and baseline Rankin score.
Conclusions: LAMS score of 5 is a powerful predictor of stroke patients who are likely to have mechanical thrombectomy, underlining its strong correlation to large vessel occlusion.
Study Supported by: n/a
Disclosure: Dr. Ganti has received personal compensation in an editorial capacity for Springer- International Journal of Emergency Medicine. Dr. Banerjee has nothing to disclose.
Letters: Rapid online correspondence
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
