ArticleJournal of Korean medical science2021
Effect of Transport Time on the Use of Reperfusion Therapy for Patients with Acute Ischemic Stroke in Korea.
Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Disparities in Timely Access to Certified Stroke Care Among US Census Tracts, by Prevalence of Health Risk Factors.Preventing chronic disease · 2025Article
- Segmentation of the Hyperdense Artery Sign on Noncontrast CT in Ischemic Stroke Using Artificial Intelligence.Journal of clinical neurology (Seoul, Korea) · 2025Article
- Community resilience and stroke outcomes in older adults: beyond rural-urban classifications.Frontiers in public health · 2025Article
- 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
- 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
- Combination of Radiological and Clinical Baseline Data for Outcome Prediction of Patients With an Acute Ischemic Stroke.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
17 authors.
Funding
Abstract
backgroundWe investigated the association between geographic proximity to hospitals and the administration rate of reperfusion therapy for acute ischemic stroke.
methodsWe identified patients with acute ischemic stroke who visited the hospital within 12 hours of symptom onset from a prospective nationwide multicenter stroke registry. Reperfusion therapy was classified as intravenous thrombolysis (IVT), endovascular therapy (EVT), or combined therapy. The association between the proportion of patients who were treated with reperfusion therapy and the ground transport time was evaluated using a spline regression analysis adjusted for patient-level characteristics. We also estimated the proportion of Korean population that lived within each 30-minute incremental service area from 67 stroke centers accredited by the Korean Stroke Society.
resultsOf 12,172 patients (mean age, 68 ± 13 years; men, 59.7%) who met the eligibility criteria, 96.5% lived within 90 minutes of ground transport time from the admitting hospital. The proportion of patients treated with IVT decreased significantly when stroke patients lived beyond 90 minutes of the transport time (
conclusionThe use of reperfusion therapy for acute stroke decreased when patients lived beyond 90 minutes of the ground transport time from the hospital. More than 95% of the South Korean population was accessible to 67 stroke centers within 90 minutes of the ground transport time.
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