Ischemic Stroke Systems of Care in California: Evolution in the Organization During the Mechanical Thrombectomy Era.

ABSTRACT:

Background

Optimized stroke systems of care enable access to timely care, including endovascular thrombectomy (EVT). Stroke systems have likely evolved after publication of EVT benefit (2015). Our objective was to map the stroke patient transfer network in California in terms of EVT access and patient transfer patterns, and to examine changes after 2015.

Methods

In this observational study, we identified all ischemic stroke encounters, transfers, alteplase use, and EVT procedures in California from 2010 to 2017. An established connection between any hospital pair was defined as the transfer of ≥2 patients between them. A 2-level logistic regression model assessed whether encounters were more frequently transferred to EVT-capable hospitals post-2015, adjusting for patient- an

SUBMITTER: Zachrison KS 

PROVIDER: S-EPMC12778816 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature