Modeling the Impact of Interhospital Transfer Network Design on Stroke Outcomes in a Large City.

ABSTRACT:

Background and purpose

We sought to model the effects of interhospital transfer network design on endovascular therapy eligibility and clinical outcomes of stroke because of large-vessel occlusion for the residents of a large city.

Methods

We modeled 3 transfer network designs for New York City. In model A, patients were transferred from spoke hospitals to the closest hub hospitals with endovascular capabilities irrespective of hospital affiliation. In model B, which was considered the base case, patients were transferred to the closest affiliated hub hospitals. In model C, patients were transferred to the closest affiliated hospitals, and transfer times were adjusted to reflect full implementation of streamlined transfer protocols. Using Monte Carlo methods, we simulated th

SUBMITTER: Parikh NS 

PROVIDER: S-EPMC5780257 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature