ArticleJournal of the American Heart Association2020
Hospital Factors Associated With Interhospital Transfer Destination for Stroke in the Northeast United States.
Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- The Association of the Distance to the Hospital, Hospital Reputation, and Hospitalization Outcomes Among Patients with Stroke in China.Healthcare (Basel, Switzerland) · 2025Article
- A proposed method for identifying Interfacility transfers in Medicare claims data.Health services research · 2025Observational
- Differences in Interfacility Transfer from Emergency Department and Inpatient Services for Inpatient Neurologic Care.The Neurohospitalist · 2024Article
- Evaluating Transport Strategies and Local Hospital Impact on Stroke Outcomes: A RACECAT Trial Substudy.Stroke (Hoboken, N.J.) · 2024Article
- Racial and ethnic disparities in emergency department transfers to public hospitals.Health services research · 2024Article
- Insurance-Based Disparities in Stroke Center Access in California: A Network Science Approach.Circulation. Cardiovascular quality and outcomes · 2023Article
- A Conceptual Framework for Optimizing the Equity of Hospital-Based Emergency Care: The Structure of Hospital Transfer Networks.The Milbank quarterly · 2023Article
- Association of hospital centrality in inter-hospital patient-sharing networks with patient mortality and length of stay.PloS one · 2023Article
- Comparison of Factors Associated With Direct Versus Transferred-in Admission to Government-Designated Regional Centers Between Acute Ischemic Stroke and Myocardial Infarction in Korea.Journal of Korean medical science · 2022Article
- Ischemic Stroke Systems of Care in California: Evolution in the Organization During the Mechanical Thrombectomy Era.Stroke (Hoboken, N.J.) · 2022Article
- Strengthening the stroke chain of survival in community emergency departments.Journal of the American College of Emergency Physicians open · 2022Article
- The relationship between stroke system organization and disparities in access to stroke center care in California.Journal of the American College of Emergency Physicians open · 2022Article
- Rural Stroke Patients Have Higher Mortality: An Improvement Opportunity for Rural Emergency Medical Services Systems.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2022Article
- Observational
- Article
- Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks.JAMA network open · 2021Article
- Strategy for reliable identification of ischaemic stroke, thrombolytics and thrombectomy in large administrative databases.Stroke and vascular neurology · 2021Article
- Hospital Factors Associated With Interhospital Transfer Destination for Stroke in the Northeast United States.Journal of the American Heart Association · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background We aimed to determine if there is an association between hospital quality and the likelihood of a given hospital being a preferred transfer destination for stroke patients. Methods and Results Data from Medicare claims identified acute ischemic stroke transferred between 394 northeast US hospitals from 2007 to 2011. Hospitals were categorized as transferring (n=136), retaining (n=241), or receiving (n=17) hospitals based on the proportion of acute ischemic stroke encounters transferred or received. We identified all 6409 potential dyads of sending and receiving hospitals, and categorized dyads as connected if ≥5 patients were transferred between the hospitals annually (n=82). We used logistic regression to identify hospital characteristics associated with establishing a connected dyad, exploring the effect of adjusting for different quality measures and outcomes. We also adjusted for driving distance between hospitals, receiving hospital stroke volume, and the number of hospitals in the receiving hospital referral region. The odds of establishing a transfer connection increased when rate of alteplase administration increased at the receiving hospital or decreased at the sending hospital, however this finding did not hold after applying a potential strategy to adjust for clustering. Receiving hospital performance on 90-day home time was not associated with likelihood of transfer connection. Conclusions Among northeast US hospitals, we found that differences in hospital quality, specifically higher levels of alteplase administration, may be associated with increased likelihood of being a transfer destination. Further research is needed to better understand acute ischemic stroke transfer patterns to optimize stroke transfer systems.
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