Improving access and efficiency of acute ischemic stroke treatment across four Canadian provinces: a stepped-wedge trial.

ABSTRACT:

Background

The translation of standard-of-care in acute ischemic stroke reperfusion interventions into practice is well established, but multifactorial obstacles exist in complete adoption, which has led to inequities in access and delivery of services. The objective of this study was to improve access and efficiency of ischemic stroke treatment across four Atlantic Canadian Provinces.

Methods

A stepped-wedge cluster trial was conducted over 30 months with 3 clusters covering 34 sites. The trial was conducted across all 4 Atlantic Canadian provinces: Nova Scotia (NS), New Brunswick (NB), Prince Edward Island (PE), and Newfoundland and Labrador (NL). The design was quasi-randomized, with each cluster associated with one or more provinces: cluster 1-NS; cluster 2-NB and PE; an

SUBMITTER: Kamal N 

PROVIDER: S-EPMC12400858 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature