Evidence map›Paper›PMID 26543664›Full record

ArticleStroke research and treatment2015

The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities.

Karen C Albright, Amelia K Boehme, Michael T Mullen, Tzu-Ching Wu, Charles C Branas, James C Grotta, Sean I Savitz, Catherine Wolff, Bisakha Sen, Brendan G Carr

Open access · goldAbstract read
In one paragraph

Article in Stroke research and treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact, top 91% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. What's the Future of Vascular Neurology?Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Karen C AlbrightGeriatric Research, Education and Clinical Center (GRECC), Birmingham VA Medical Center, Birmingham, AL 35249, USA ; Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
Amelia K BoehmeDepartment of Neurology, Columbia University, New York, NY 10032, USA.
Michael T MullenDepartment of Neurology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Tzu-Ching WuStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USA.
Charles C BranasDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USA.
James C GrottaStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USA.
Sean I SavitzStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030, USA.
Catherine WolffDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USA.
Bisakha SenDepartment of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249, USA.
Brendan G CarrDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104, USA ; Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
University of Pennsylvania · USMemorial Hermann · USUniversity of Alabama at Birmingham · USColumbia University · US

Funding

RESEARCH TRAINING COREP60MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2003 to 2016
$16.2M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
NEUROEPIDEMIOLOGY TRAINING PROGRAMT32NS007153 · NINDS · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI GU, YIAN, WILLEY, JOSHUA ZEBADIAH · 1987 to 2023
$6.2M
AHRQ HHS T32 HS013852NIMHD NIH HHS P60 MD000502NINDS NIH HHS T32 NS007153
6 · The paper itself

Abstract

Background. Ischemic stroke is a time sensitive disease with the effectiveness of treatment decreasing over time. Treatment is more likely to occur at Primary Stroke Centers (PSC); thus rapid access to acute stroke care through stand-alone PSCs or telemedicine (TM) is vital for all Americans. The objective of this study is to determine if disparities exist in access to PSCs or the extended access to acute stroke care provided by TM. Methods. Data from the US Census Bureau and the 2010 Neilson Claritas Demographic Estimation Program, American Hospital Association annual survey, and The Joint Commission list of PSCs and survey response data for all hospitals in the state of Texas were used. Results. Over 64% of block groups had 60-minute ground access to acute stroke care. The odds of a block group having 60-minute access to acute stroke care decreased with age, despite adjustment for sex, race, ethnicity, socioeconomic status, urbanization, and total population. Conclusion. Our survey of Texas hospitals found that as the median age of a block group increased, the odds of having access to acute stroke care decreased.

Identifiers

PMID26543664
PMCPMC4620387
OpenAlexW2159777521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.