ArticleFrontiers in neurology2025
The influence of direct transportation to neurosurgical-capable medical centers on the clinical outcomes of patients with spontaneous intracerebral hemorrhage in urban area: a two-center retrospective study.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Spontaneous intracranial hemorrhage (ICH) is one of the major causes of morbidity and mortality worldwide due to its poor clinical outcomes. Recent guidelines recommend transferring to medical centers with neurosurgical capabilities to improve outcomes, but it remains unclear whether centers that do not have such neurosurgical capabilities should be bypassed. The current study analyzed the effect of direct transportation to neurosurgical-capable centers on patients with spontaneous ICH in the urban area of Southeast China. Methods: We included 143 adult patients with spontaneous ICH admitted to two neurosurgical-capable centers from January 2022 to December 2024. Results: A total of 33 patients were transferred from local centers without neurosurgical capabilities, and 110 of them were admitted directly. The patients had similar baseline characteristics and initial status upon admission. Patients transferred from local centers had a shorter time interval between Emergency Medical Service (EMS) initiation and first computed tomography (CT) scan (0.9 ± 0.3 h vs. 1.7 ± 0.6 h, Discussion: In conclusion, the strategy of direct transportation to neurosurgical-capable centers in urban areas did not improve clinical outcomes among patients with ICH; therefore, transfer from local centers after primary diagnosis might be an acceptable strategy.
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