Evidence map›Paper›PMID 29063973›Full record

ReviewCurrent atherosclerosis reports2017

Improving Regional Stroke Systems of Care.

Melissa S Eng, Anand V Patel, Richard B Libman, Paul Wright, Jeffrey M Katz

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2017. 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
0.3field-weighted citation impact, top 35% 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, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. A survey of stroke-related capabilities among a sample of US community emergency departments.Journal of the American College of Emergency Physicians open · 2022
    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

5 authors at 2 institutions in 1 country.

Melissa S EngThe Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.
Anand V PatelDepartment of Neurology, Zucker School of Medicine at Hofstra/Northwell and North Shore University Hospital, 300 Community Drive, 9 Tower, Manhasset, NY, 11030, USA.
Richard B LibmanDepartment of Neurology, Zucker School of Medicine at Hofstra/Northwell and North Shore University Hospital, 300 Community Drive, 9 Tower, Manhasset, NY, 11030, USA.
Paul WrightDepartment of Neurology, Zucker School of Medicine at Hofstra/Northwell and North Shore University Hospital, 300 Community Drive, 9 Tower, Manhasset, NY, 11030, USA.
Jeffrey M KatzDepartment of Neurology, Zucker School of Medicine at Hofstra/Northwell and North Shore University Hospital, 300 Community Drive, 9 Tower, Manhasset, NY, 11030, USA. jkatz2@northwell.edu.
North Shore University Hospital · USFeinstein Institute for Medical Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewAcute ischemic stroke (AIS) care is rapidly evolving. This review discusses current diagnostic, therapeutic, and process models that can expedite stroke treatment to achieve best outcomes. RECENT

findingsUse of stent retrievers after selection via advanced imaging is safe and effective, and is an important option for AIS patients with large vessel occlusion (LVO). Significant time delays occur before and during patient transfers, and upon comprehensive stroke center (CSC) arrival, and have deleterious effects on functional outcome. Removing obstacles, enhancing inter-facility communication, and creating acute stroke management processes and protocols are paramount strategies to enhance network efficiency. Inter-departmental CSC collaboration can significantly reduce door-to-treatment times. Streamlined stroke systems of care may result in higher treatment rates and better functional outcomes for AIS patients, simultaneously conserving healthcare dollars. Stroke systems of care should be structured regionally to minimize time to treatment. A proactive approach must be employed; a management plan incorporating stroke team prenotification and parallel processes between departments can save valuable time, maximize brain salvage, and reduce disability from stroke.

Indexed as

Brain IschemiaClinical ProtocolsDelivery of Health CareDelivery of Health Care, IntegratedHumansOutcome and Process Assessment, Health CareRegional Health PlanningStentsStrokeTime-to-TreatmentComprehensive stroke center (CSC)Endovascular stroke therapy (EST)Large vessel occlusion (LVO)Stroke imagingStroke networksStroke screening toolsStroke systems

Identifiers

PMID29063973
OpenAlexW2766186716

What OpenQuestion holds

Textmetadata
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.