Maximising access to thrombectomy services for stroke in England: A modelling study.

ABSTRACT:

Purpose

Both intravenous thrombolysis (IVT) and intra-arterial endovascular thrombectomy (ET) improve the outcome of patients with acute ischaemic stroke, with endovascular thrombectomy being an option for those patients with large vessel occlusions. We sought to understand how organisation of services affects time to treatment for both intravenous thrombolysis and endovascular thrombectomy.

Method

A multi-objective optimisation approach was used to explore the relationship between the number of intravenous thrombolysis and endovascular thrombectomy centres and times to treatment. The analysis is based on 238,887 emergency stroke admissions in England over 3 years (2013-2015).

Results

Providing hyper-acute care only in comprehensive stroke centres (CSC, providing both

SUBMITTER: Allen M 

PROVIDER: S-EPMC6533864 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature