ReviewJournal of stroke2013
Primary and comprehensive stroke centers: history, value and certification criteria.
Review in Journal of stroke, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Inconsistent Classification of Mild Stroke and Implications on Health Services Delivery.Archives of physical medicine and rehabilitation · 2020Pooled it
- Defining Social and Cultural Barriers to Global Stroke Care: A SVIN-Mission Thrombectomy Initiative.Stroke (Hoboken, N.J.) · 2026Review
- Implementation of stroke prevention: a review of challenges and opportunities in the Americas.Lancet regional health. Americas · 2026Review
- Transcending Social and Cultural Barriers to Transform Global Stroke Care: An SVIN Mission Thrombectomy Initiative.Stroke (Hoboken, N.J.) · 2026Review
- Trends in stroke incidence and mortality in China, Japan, and South Korea (1990-2021) with projections to 2035.Scientific reports · 2025Article
- Research Study on the Cost Structure and Break-Even Point of Mechanical Thrombectomy in Japan.Journal of neuroendovascular therapy · 2025Article
- Treatments and Patient Outcomes Following Stroke Center Expansion.JAMA network open · 2024Article
- Impact of Local Tailoring on Acute Stroke Care in 21 Disparate Emergency Departments: A Prospective Stepped Wedge Type III Hybrid Effectiveness-Implementation Study.Circulation. Cardiovascular quality and outcomes · 2024Article
- Trends in AVM-Associated Intracranial Hemorrhage in the United States, 2000-2019.JAMA neurology · 2024Article
- What's the Future of Vascular Neurology?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023Review
- Access to mechanical thrombectomy and ischemic stroke mortality in Japan: a spatial ecological study.Frontiers in neurology · 2023Article
- Trends in 1-Year Recurrent Ischemic Stroke in the US Medicare Fee-for-Service Population.Stroke · 2022Article
- An inventory of stroke centers in the United States.Journal of the American College of Emergency Physicians open · 2022Article
- Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?Journal of the American College of Emergency Physicians open · 2022Article
- Rural-Urban Disparities in Outcomes of Myocardial Infarction, Heart Failure, and Stroke in the United States.Journal of the American College of Cardiology · 2022Article
- Presence of Thrombectomy-capable Stroke Centers Within Hospital Service Areas Explains Regional Variation in the Case Fatality Rate of Acute Ischemic Stroke in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2021Observational
- Mechanical thrombectomy reduces the gap in treatment outcomes of ischemic stroke between hospital levels of care: analysis of a Korean nationwide data.Annals of translational medicine · 2021Article
- Impact of onset-to-door time on outcomes and factors associated with late hospital arrival in patients with acute ischemic stroke.PloS one · 2021Article
- A Stroke Care Model at an Academic, Comprehensive Stroke Center During the 2020 COVID-19 Pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2020Article
- Trends Among Rural and Urban Medicare Beneficiaries in Care Delivery and Outcomes for Acute Stroke and Transient Ischemic Attacks, 2008-2017.JAMA neurology · 2020Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In the United States (US) stroke care has undergone a remarkable transformation in the past decades at several levels. At the clinical level, randomized trials have paved the way for many new stroke preventives, and recently, several new mechanical clot retrieval devices for acute stroke treatment have been cleared for use in practice by the US Federal Drug Administration. Furthermore, in the mid 1990s we witnessed regulatory approval of intravenous recombinant tissue plasminogen activator for administration in acute ischemic stroke. In the domain of organization of medical care and delivery of health services, stroke has transitioned from a disease dominated by neurologic consultation services only to one managed by vascular neurologists in geographical stroke units, stroke teams and care pathways, primary stroke center certification according to The Joint Commission, and most recently comprehensive stroke center designation under the aegis of The Joint Commission. Many organizations in the US have been involved to enhance stroke care. To name a few, the American Heart Association/American Stroke Association, Brain Attack Coalition, and National Stroke Association have been on the forefront of this movement. Additionally, governmental initiatives by the US Centers for Disease Control and Prevention and legislative initiatives such as the Paul Coverdell National Acute Stroke Registry program have paved the way to focus on stroke prevention, acute treatment and quality improvement. In this invited review, we discuss a brief history of organized stroke care in the United States, evidence to support the value of primary and comprehensive stroke centers, and the certification criteria and process to become a primary or comprehensive stroke center.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.