Access to Endovascular Treatment in Remote Areas: Analysis of the Reperfusion Treatment Registry of Catalonia. Pérez de la Ossa, N., Abilleira, S., Dorado, L., Urra, X., Ribó, M., Cardona, P., Giralt, E., Martí-Fàbregas, J., Purroy, F., Serena, J., Cánovas, D., Garcés, M., Krupinski, J., Pellisé, A., Saura, J., Molina, C., Dávalos, A., Gallofré, M., Catalan Stroke Code, & Consortium, R. Stroke; a Journal of Cerebral Circulation, 47(5):1381–1384, 2016. doi abstract bibtex BACKGROUND AND PURPOSE: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model. METHODS: We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups. RESULTS: Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245-435]) and 120 minutes longer in group C (350 minutes [284-408]) compared with group A (230 minutes [160-407]; P\textless0.001). CONCLUSIONS: Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.
@article{perez_de_la_ossa_access_2016,
title = {Access to {Endovascular} {Treatment} in {Remote} {Areas}: {Analysis} of the {Reperfusion} {Treatment} {Registry} of {Catalonia}},
volume = {47},
issn = {1524-4628},
shorttitle = {Access to {Endovascular} {Treatment} in {Remote} {Areas}},
doi = {10.1161/STROKEAHA.116.013069},
abstract = {BACKGROUND AND PURPOSE: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model.
METHODS: We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups.
RESULTS: Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245-435]) and 120 minutes longer in group C (350 minutes [284-408]) compared with group A (230 minutes [160-407]; P{\textless}0.001).
CONCLUSIONS: Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.},
language = {eng},
number = {5},
journal = {Stroke; a Journal of Cerebral Circulation},
author = {Pérez de la Ossa, Natalia and Abilleira, Sònia and Dorado, Laura and Urra, Xabier and Ribó, Marc and Cardona, Pere and Giralt, Eva and Martí-Fàbregas, Joan and Purroy, Francisco and Serena, Joaquín and Cánovas, David and Garcés, Moisés and Krupinski, Jurek and Pellisé, Anna and Saura, Júlia and Molina, Carlos and Dávalos, Antoni and Gallofré, Miquel and {Catalan Stroke Code and Reperfusion Consortium}},
year = {2016},
pmid = {27032445},
keywords = {Article, acute stroke, endovascular treatment, population rate, stroke care systems},
pages = {1381--1384},
}
Downloads: 0
{"_id":"86mH3Rw5CXeq6FY2N","bibbaseid":"prezdelaossa-abilleira-dorado-urra-rib-cardona-giralt-martfbregas-etal-accesstoendovasculartreatmentinremoteareasanalysisofthereperfusiontreatmentregistryofcatalonia-2016","downloads":0,"creationDate":"2018-10-11T03:50:30.730Z","title":"Access to Endovascular Treatment in Remote Areas: Analysis of the Reperfusion Treatment Registry of Catalonia","author_short":["Pérez de la Ossa, N.","Abilleira, S.","Dorado, L.","Urra, X.","Ribó, M.","Cardona, P.","Giralt, E.","Martí-Fàbregas, J.","Purroy, F.","Serena, J.","Cánovas, D.","Garcés, M.","Krupinski, J.","Pellisé, A.","Saura, J.","Molina, C.","Dávalos, A.","Gallofré, M.","Catalan Stroke Code","Consortium, R."],"year":2016,"bibtype":"article","biburl":"https://bibbase.org/zotero/Bibliotecacst","bibdata":{"bibtype":"article","type":"article","title":"Access to Endovascular Treatment in Remote Areas: Analysis of the Reperfusion Treatment Registry of Catalonia","volume":"47","issn":"1524-4628","shorttitle":"Access to Endovascular Treatment in Remote Areas","doi":"10.1161/STROKEAHA.116.013069","abstract":"BACKGROUND AND PURPOSE: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model. METHODS: We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups. RESULTS: Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245-435]) and 120 minutes longer in group C (350 minutes [284-408]) compared with group A (230 minutes [160-407]; P\\textless0.001). CONCLUSIONS: Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.","language":"eng","number":"5","journal":"Stroke; a Journal of Cerebral Circulation","author":[{"propositions":["Pérez","de","la"],"lastnames":["Ossa"],"firstnames":["Natalia"],"suffixes":[]},{"propositions":[],"lastnames":["Abilleira"],"firstnames":["Sònia"],"suffixes":[]},{"propositions":[],"lastnames":["Dorado"],"firstnames":["Laura"],"suffixes":[]},{"propositions":[],"lastnames":["Urra"],"firstnames":["Xabier"],"suffixes":[]},{"propositions":[],"lastnames":["Ribó"],"firstnames":["Marc"],"suffixes":[]},{"propositions":[],"lastnames":["Cardona"],"firstnames":["Pere"],"suffixes":[]},{"propositions":[],"lastnames":["Giralt"],"firstnames":["Eva"],"suffixes":[]},{"propositions":[],"lastnames":["Martí-Fàbregas"],"firstnames":["Joan"],"suffixes":[]},{"propositions":[],"lastnames":["Purroy"],"firstnames":["Francisco"],"suffixes":[]},{"propositions":[],"lastnames":["Serena"],"firstnames":["Joaquín"],"suffixes":[]},{"propositions":[],"lastnames":["Cánovas"],"firstnames":["David"],"suffixes":[]},{"propositions":[],"lastnames":["Garcés"],"firstnames":["Moisés"],"suffixes":[]},{"propositions":[],"lastnames":["Krupinski"],"firstnames":["Jurek"],"suffixes":[]},{"propositions":[],"lastnames":["Pellisé"],"firstnames":["Anna"],"suffixes":[]},{"propositions":[],"lastnames":["Saura"],"firstnames":["Júlia"],"suffixes":[]},{"propositions":[],"lastnames":["Molina"],"firstnames":["Carlos"],"suffixes":[]},{"propositions":[],"lastnames":["Dávalos"],"firstnames":["Antoni"],"suffixes":[]},{"propositions":[],"lastnames":["Gallofré"],"firstnames":["Miquel"],"suffixes":[]},{"firstnames":[],"propositions":[],"lastnames":["Catalan Stroke Code"],"suffixes":[]},{"firstnames":["Reperfusion"],"propositions":[],"lastnames":["Consortium"],"suffixes":[]}],"year":"2016","pmid":"27032445","keywords":"Article, acute stroke, endovascular treatment, population rate, stroke care systems","pages":"1381–1384","bibtex":"@article{perez_de_la_ossa_access_2016,\n\ttitle = {Access to {Endovascular} {Treatment} in {Remote} {Areas}: {Analysis} of the {Reperfusion} {Treatment} {Registry} of {Catalonia}},\n\tvolume = {47},\n\tissn = {1524-4628},\n\tshorttitle = {Access to {Endovascular} {Treatment} in {Remote} {Areas}},\n\tdoi = {10.1161/STROKEAHA.116.013069},\n\tabstract = {BACKGROUND AND PURPOSE: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model.\nMETHODS: We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups.\nRESULTS: Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245-435]) and 120 minutes longer in group C (350 minutes [284-408]) compared with group A (230 minutes [160-407]; P{\\textless}0.001).\nCONCLUSIONS: Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.},\n\tlanguage = {eng},\n\tnumber = {5},\n\tjournal = {Stroke; a Journal of Cerebral Circulation},\n\tauthor = {Pérez de la Ossa, Natalia and Abilleira, Sònia and Dorado, Laura and Urra, Xabier and Ribó, Marc and Cardona, Pere and Giralt, Eva and Martí-Fàbregas, Joan and Purroy, Francisco and Serena, Joaquín and Cánovas, David and Garcés, Moisés and Krupinski, Jurek and Pellisé, Anna and Saura, Júlia and Molina, Carlos and Dávalos, Antoni and Gallofré, Miquel and {Catalan Stroke Code and Reperfusion Consortium}},\n\tyear = {2016},\n\tpmid = {27032445},\n\tkeywords = {Article, acute stroke, endovascular treatment, population rate, stroke care systems},\n\tpages = {1381--1384},\n}\n\n","author_short":["Pérez de la Ossa, N.","Abilleira, S.","Dorado, L.","Urra, X.","Ribó, M.","Cardona, P.","Giralt, E.","Martí-Fàbregas, J.","Purroy, F.","Serena, J.","Cánovas, D.","Garcés, M.","Krupinski, J.","Pellisé, A.","Saura, J.","Molina, C.","Dávalos, A.","Gallofré, M.","Catalan Stroke Code","Consortium, R."],"key":"perez_de_la_ossa_access_2016","id":"perez_de_la_ossa_access_2016","bibbaseid":"prezdelaossa-abilleira-dorado-urra-rib-cardona-giralt-martfbregas-etal-accesstoendovasculartreatmentinremoteareasanalysisofthereperfusiontreatmentregistryofcatalonia-2016","role":"author","urls":{},"keyword":["Article","acute stroke","endovascular treatment","population rate","stroke care systems"],"downloads":0,"html":"","metadata":{"authorlinks":{}}},"search_terms":["access","endovascular","treatment","remote","areas","analysis","reperfusion","treatment","registry","catalonia","pérez de la ossa","abilleira","dorado","urra","ribó","cardona","giralt","martí-fàbregas","purroy","serena","cánovas","garcés","krupinski","pellisé","saura","molina","dávalos","gallofré","catalan stroke code","consortium"],"keywords":["article","acute stroke","endovascular treatment","population rate","stroke care systems"],"authorIDs":[],"dataSources":["TR9pX4mH5rDPr29Zo"]}