Response by Maïer and Turc to Letter Regarding Article, “Clinical Scales Do Not Reliably Identify Acute Ischemic Stroke Patients With Large-Artery Occlusion”
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We appreciate the interest of Hastrup et al1 in our article in which we examined the accuracy of clinical scales to identify large-artery occlusion (LAO) in patients with acute ischemic stroke.2 Our results are consistent with those of other publications on this topic, including a recent study by Hastrup et al themselves.3,4 However, their interpretation differs from ours. Hastrup et al underline that several clinical scales have a good accuracy (70%–79%) to predict LAO and argue that such scales could improve prehospital triage. We agree that patients with LAO should be sent to a comprehensive stroke center rather than to a primary stroke center lacking neurointerventional facilities. However, we, like others,4 remain skeptical about …