ArticleJournal of the American College of Emergency Physicians open2022
An inventory of stroke centers in the United States.
Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Impact of Telemedicine Stroke Nurse Practitioner Care on Inpatient Management in Vascular Neurologist Underserved Primary Stroke Centers.Stroke (Hoboken, N.J.) · 2026Article
- Racial and ethnic disparities in access to acute stroke capabilities in California: Association with rurality and telestroke access.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026Article
- Hemorrhagic transformation during inter-hospital transfer for thrombectomy: Incidence, associated factors, and relationship with outcome.European stroke journal · 2026Article
- Factors Associated With Continuum of Acute to Postacute Care in Stroke.Stroke research and treatment · 2026Article
- Variation in Prehospital Routing Patterns for Patients With Suspected Stroke.Journal of the American Heart Association · 2025Article
- A PLAN to address the Parkinson pandemic.Journal of Parkinson's disease · 2025Review
- Varying Rates of Hospital Reperfusion Therapy for Stroke: Insights From Analysis of National Stroke Audit Data.Journal of stroke · 2025Article
- Disparities in Timely Access to Certified Stroke Care Among US Census Tracts, by Prevalence of Health Risk Factors.Preventing chronic disease · 2025Article
- Hemorrhagic transformation during inter-hospital transfer for thrombectomy: Incidence, associated factors, and relationship with outcome.European stroke journal · 2025Article
- Comparing Emergency Medicine and Neurology Residents in Assessing Stroke Severity Using the NIHSS.AEM education and training · 2025Article
- Lack of 24/7 Attending Physician Coverage in US Emergency Departments, 2022.Journal of the American College of Emergency Physicians open · 2025Article
- Opportunities in stroke care at safety net hospitals: A socioecological perspective.Equity neuroscience · 2025Article
- Detection of GFAP and D-Dimer in a Point-of-Care Test for Large Vessel Occlusion Ischemic Stroke.Stroke (Hoboken, N.J.) · 2025Article
- Review
- Enhancing patient-reported outcomes in stroke care: a path to improved well-being.Frontiers in neurology · 2025Article
- Bayesian modeling framework for optimizing pre-hospital stroke triage decisions.Journal of applied statistics · 2025Article
- Geographic Access to High-Volume Mechanical Thrombectomy Centers in Florida, 2019.Neurology. Clinical practice · 2024Article
- Prospective Validation of Glial Fibrillary Acidic Protein, d-Dimer, and Clinical Scales for Acute Large-Vessel Occlusion Ischemic Stroke Detection.Stroke (Hoboken, N.J.) · 2024Article
- Impact of Local Tailoring on Acute Stroke Care in 21 Disparate Emergency Departments: A Prospective Stepped Wedge Type III Hybrid Effectiveness-Implementation Study.Circulation. Cardiovascular quality and outcomes · 2024Article
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesStroke centers are essential for the optimal care of patients with acute stroke. However, there is no universally applied standard for stroke center certification/designation and no unified list of confirmed US stroke centers. Multiple national organizations, and some state governments, certify/designate hospitals as stroke centers of various levels, but discrepancies exist between these systems. We aimed to create a unified, easily accessible, national stroke center database.
methodsLists of confirmed stroke centers were obtained from national certifying bodies (The Joint Commission [TJC], Det Norske Veritas, and Healthcare Facilities Accreditation Program) and each state government. Lists were reconciled to a common standard based on TJC requirements and incorporated into the 2018 National Emergency Department Inventory-USA database, which includes all emergency departments (EDs).
resultsAmong 5533 US EDs, we confirmed 2446 (44%) as stroke centers, including 297 Comprehensive Stroke Centers, 14 Thrombectomy-capable Stroke Centers, 1459 Primary Stroke Centers, and 678 Acute Stroke Ready Hospitals. Compared with EDs without stroke centers, EDs with stroke centers had higher annual visit volumes, were more often academic, and were more often located in hospitals that had trauma or burn centers.
conclusionWe report the consolidation of multiple stroke center designation groups with varying criteria into a unified list of all confirmed US stroke centers linked to a comprehensive, national ED database. This data set will be valuable for future stroke systems research and improving access to emergency stroke care for patients. These data have the potential to further optimize the emergency care of patients with stroke.
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