Optimising regional organisation of endovascular thrombectomy for ischaemic stroke reusing a simulation model.

ABSTRACT:

Objectives

This study assessed whether a previously developed Monte Carlo simulation model can be reused for evaluating various strategies to minimise time-to-treatment in southwest Netherlands for endovascular thrombectomy (EVT) in patients who had an ischaemic stroke.

Design

Reuse of a previously developed simulation model to simulate various strategies in another region, using prospectively collected data from stroke centres and retrospective data from emergency medical services.

Participants

Data from 509 patients who had an ischaemic stroke (≥18 years) treated with EVT (2014-2018) were used.

Interventions

Input for the simulation model reuse included distributions of observed time delays along the acute stroke pathway. Validation of the baseline models was

SUBMITTER: Maas WJ 

PROVIDER: S-EPMC12766838 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature