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Evolution of a US County System for Acute Comprehensive Stroke Care
Author(s) -
Radoslav Raychev,
Dana Stradling,
Nirav J. Patel,
Joey R. Gee,
David A. Lombardi,
Johnson L. Moon,
David M. Brown,
Mayank Pathak,
Wengui Yu,
Samuel J. Stratton,
Steven C. Cramer
Publication year - 2018
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.118.020620
Subject(s) - medicine , stroke (engine) , acute stroke , neurology , confidence interval , odds ratio , acute care , emergency medical services , emergency medicine , tissue plasminogen activator , thrombolysis , ischemic stroke , reperfusion therapy , myocardial infarction , health care , ischemia , economics , economic growth , mechanical engineering , psychiatry , engineering
In Orange County, California, patients with suspected acute stroke are taken to stroke neurology receiving centers that are designated by County Emergency Medical Services authorities as either hubs or spokes based on endovascular treatment capability. We examined relationships between stroke details, reperfusion therapies, hospital transfers, and their change over time.

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