Integrated Stroke System Model Expands Availability of Endovascular Therapy While Maintaining Quality Outcomes.

ABSTRACT:

Background and purpose

The optimal endovascular stroke therapy (EVT) care delivery structure is unknown. Here, we present our experience in creating an integrated stroke system (ISS) to expand EVT availability throughout our region while maintaining hospital and physician quality standards.

Methods

We identified all consecutive patients with large vessel occlusion acute ischemic stroke treated with EVT from January 2014 to February 2019 in our health care system. In October 2017, we implemented the ISS, in which 3 additional hospitals (4 total) became EVT-performing hospitals (EPHs) and physicians were rotated between all centers. The cohort was divided by time into pre-ISS and post-ISS, and the primary outcome was time from stroke onset to EPH arrival. Secondary outcomes in

SUBMITTER: Lopez-Rivera V 

PROVIDER: S-EPMC7902449 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature