Rationale and design for studying organisation of care for intra-arterial thrombectomy in the Netherlands: simulation modelling study.

ABSTRACT:

Introduction

The introduction of intra-arterial thrombectomy (IAT) challenges acute stroke care organisations to provide fast access to acute stroke therapies. Parameters of pathway performance include distances to primary and comprehensive stroke centres (CSCs), time to treatment and availability of ambulance services. Further expansion of IAT centres may increase treatment rates yet could affect efficient use of resources and quality of care due to lower treatment volume. The aim was to study the organisation of care and patient logistics of IAT for patients with ischaemic stroke in the Netherlands.

Methods and analyses

Using a simulation modelling approach, we will quantify performance of 16 primary and CSCs offering IAT in the Netherlands. Patient data concerning both pr

SUBMITTER: Lahr MMH 

PROVIDER: S-EPMC6955572 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature