ArticleJournal of the American Heart Association2025
Characteristics of High-Performance Low-Volume Hospitals in Acute Stroke Care.
Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Varying Rates of Hospital Reperfusion Therapy for Stroke: Insights From Analysis of National Stroke Audit Data.Journal of stroke · 2025Article
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Authors and funding
19 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh patient volumes are associated with better stroke management and outcomes. However, in sparsely populated regions, patients with stroke frequently rely on low-volume hospitals for acute care. This study evaluates the performance of high-performing hospitals among low-volume hospitals and identifies factors contributing to their high performance despite treating fewer stroke cases. METHODS AND
resultsWe analyzed data from the eighth Acute Stroke Quality Assessment Program in 2018, alongside reimbursement claims and death certificate records, to evaluate stroke care in 248 hospitals across South Korea, including all general and tertiary hospitals. The hospitals treating <100 patients with stroke annually were classified as low-volume. High performance among these hospitals was defined as achieving a defect-free care rate of >75%. The outcome measured was the poststroke 1-year mortality rate. Of 28 572 patients, 2521 (8.8%) were treated in low-volume hospitals, primarily general hospitals outside the capital area. The 1-year mortality rate was significantly higher in low-volume hospitals (24.8%) compared with their high-volume counterparts (17.6%, adjusted
conclusionsThis study highlights the status of low-volume hospitals in providing stroke care in areas with limited access to larger medical facilities. It suggests that enhancing acute stroke care performance, particularly through human resource investments, can significantly improve quality and patient outcomes at these hospitals.
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