Cost-Effectiveness Study of Initial Imaging Selection in Acute Ischemic Stroke Care.

ABSTRACT:

Purpose

National guidelines recommend prompt identification of candidates for acute ischemic stroke (AIS) treatment, requiring timely neuroimaging with CT and/or MRI. CT is often preferred because of its widespread availability and rapid acquisition. Despite higher diagnostic accuracy of MRI, it commonly involves complex workflows that could potentially cause treatment time delays. The purpose of this study was to analyze the impact on outcomes of imaging utilization before treatment decisions at comprehensive stroke centers for patients presenting with suspected AIS in the anterior circulation with last-known-well-to-arrival time 0 to 24 hours.

Methods

A decision simulation model based on the American Heart Association's recommendations for AIS care pathways was developed f

SUBMITTER: Martinez G 

PROVIDER: S-EPMC8186007 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature