Evidence map›Paper›PMID 29618623›Full record

Observational studyNeurology2018

Interfacility transfers for US ischemic stroke and TIA, 2006-2014.

Benjamin P George, Sara J Doyle, George P Albert, Ania Busza, Robert G Holloway, Kevin N Sheth, Adam G Kelly

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Review
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  8. Observational
  9. Article
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  11. Article
  12. Observational
  13. A Network Approach to Stroke Systems of Care.Circulation. Cardiovascular quality and outcomes · 2019
    Review
  14. Review
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Benjamin P GeorgeFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT. Benjamin_George@URMC.Rochester.edu.
Sara J DoyleFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
George P AlbertFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
Ania BuszaFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
Robert G HollowayFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
Kevin N ShethFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
Adam G KellyFrom the Department of Neurology (B.P.G., A.B., R.G.H., A.G.K.), University of Rochester Medical Center, NY; Department of Neurology (S.J.D.), Northwestern University School of Medicine, Chicago, IL; College of Arts & Sciences (G.P.A.), University of Rochester, NY; and Division of Neurocritical Care and Emergency Neurology, Department of Neurology (K.N.S.), Yale School of Medicine, New Haven, CT.
University of Rochester Medical Center · USFlorida State University · USNorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate changes in emergency department (ED) transfers for ischemic stroke (IS) and TIA.

methodsWe performed a retrospective observational study using the US Nationwide Emergency Department Sample to identify changes in interfacility ED transfers for IS and TIA from the perspective of the transferring ED (2006-2014). We calculated nationwide transfer rates and individual ED transfer rates for IS/TIA by diagnosis and hospital characteristics. Hospital-level fractional logistic regression examined changes in transfer rates over time.

resultsThe population-estimated number of transfers for IS/TIA increased from 22,576 patient visits in 2006 to 54,485 patient visits in 2014 (

conclusionsInterfacility ED transfers for IS/TIA more than doubled from 2006 to 2014. Further work should determine the necessity of IS/TIA transfers and seek to optimize the US stroke care system.

Indexed as

Patient TransferAgedFemaleHospitalsHumansIschemic Attack, TransientMaleRetrospective StudiesStrokeTime FactorsUnited States

Identifiers

PMID29618623
PMCPMC5931804
OpenAlexW2796314627

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.