ArticleJournal of Korean medical science2020
Routing to Endovascular Treatment of Ischemic Stroke in Korea: Recognition of Need for Process Improvement.
Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 20 citations in OpenAlex.
- Automated detection of large vessel occlusion using deep learning: a pivotal multicenter study and reader performance study.Journal of neurointerventional surgery · 2025Article
- Using a Deep Learning-Based Decision Support System to Predict Emergent Large Vessel Occlusion Using Non-Contrast Computed Tomography.Journal of clinical medicine · 2025Article
- A multicenter validation and calibration of automated software package for detecting anterior circulation large vessel occlusion on CT angiography.BMC neurology · 2025Article
- Automated identification of thrombectomy amenable vessel occlusion on computed tomography angiography using deep learning.Frontiers in neurology · 2024Article
- Interactive Direct Interhospital Transfer Network System for Acute Stroke in South Korea.Journal of clinical neurology (Seoul, Korea) · 2023Article
- Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 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
- Annual Case Volume and One-Year Mortality for Endovascular Treatment in Acute Ischemic Stroke.Journal of Korean medical science · 2022Article
- Emergency Cervical Carotid Artery Stenting After Intravenous Thrombolysis in Patients With Hyperacute Ischemic Stroke.Journal of Korean medical science · 2022Article
- Behavioral and Disease-Related Characteristics of Patients with Acute Stroke during the Coronavirus Disease Pandemic.Healthcare (Basel, Switzerland) · 2022Article
- The effects of socioeconomic and geographic factors on chronic phase long-term survival after stroke in South Korea.Scientific reports · 2022Article
- Sex and Economic Disparity Related to Reperfusion Therapies for Patients with Acute Ischemic Stroke in South Korea across a 10-Year Period: A Nationwide Population-Based Study Using the National Health Insurance Database.International journal of environmental research and public health · 2022Article
- Effect of Transport Time on the Use of Reperfusion Therapy for Patients with Acute Ischemic Stroke in Korea.Journal of Korean medical science · 2021Article
- Influence of interhospital transfer on endovascular thrombectomy outcome in acute ischemic stroke patients: an analysis of the TREAT-AIS registry.Frontiers in neurologyArticle
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Authors and funding
18 authors at 9 institutions in 4 countries.
Funding
Abstract
backgroundTo track triage, routing, and treatment status regarding access to endovascular treatment (EVT) after acute ischemic stroke (AIS) at a national level.
methodsFrom national stroke audit data, potential candidates for EVT arriving within 6 hours with National Institute of Health Stroke Scale score of ≥ 7 were identified. Acute care hospitals were classified as thrombectomy-capable hospitals (TCHs, ≥ 15 EVT cases/year) or primary stroke hospital (PSH, < 15 cases/year), and patients' initial routes and subsequent inter-hospital transfer were described. Impact of initial routing to TCHs vs. PSHs on EVT and clinical outcomes were analyzed using multilevel generalized mixed effect models.
resultsOut of 14,902 AIS patients, 2,180 (14.6%) were EVT candidates. Eighty-one percent of EVT candidates were transported by ambulance, but only one-third were taken initially to TCHs. Initial routing to TCHs was associated with greater chances of receiving EVT compared to initial routing to PSHs (33.3% vs 12.1%,
conclusionTwo-thirds of EVT candidates were initially routed to PSHs despite greater chance of receiving EVT and having favorable outcomes if routed to a TCH in Korea. Process improvement is needed to direct appropriate patients to TCHs.
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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.