Simulation modelling to study the impact of adding comprehensive stroke centres. Can we deliver endovascular thrombectomy sooner?

ABSTRACT:

Objectives

Regional accessibility and distribution of endovascular thrombectomy (EVT) capable facilities, that is, comprehensive stroke centres (CSCs), may significantly influence time to treatment. We analysed the impact of adding CSCs in the north of the Netherlands, a region with roughly 1.7 million inhabitants currently served by one CSC and eight primary stroke centres (PSCs).

Design

Monte Carlo simulation modelling was used to establish new CSCs in our region by hypothetically upgrading existing PSCs to CSCs and ensuing adjustments in health services set-up.

Setting

One CSC and eight PSCs in the north of the Netherlands.

Participants

165 patients with acute stroke treated with EVT and underwent interhospital transfer between PSC and CSC (drip and ship pat

SUBMITTER: Maas WJ 

PROVIDER: S-EPMC10373665 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature