National implementation of reperfusion for acute ischaemic stroke in England: How should services be configured? A modelling study.
Michael AllenKerry PearnGary A FordPhilip M WhiteAnthony G RuddPeter McMeekinKen SteinMartin JamesPublished in: European stroke journal (2021)
Implementation of reperfusion for acute stroke based solely on achieving the maximum population benefit potentially leads to destabilisation of the emergency stroke care system. Careful planning is required to create a sustainable system, and modelling may be used to help planners maximise benefit from reperfusion while creating a sustainable emergency stroke care system.
Keyphrases
- healthcare
- cerebral ischemia
- quality improvement
- acute myocardial infarction
- subarachnoid hemorrhage
- primary care
- atrial fibrillation
- blood brain barrier
- brain injury
- acute ischemic stroke
- public health
- emergency department
- palliative care
- affordable care act
- liver failure
- respiratory failure
- mental health
- pain management
- health insurance
- left ventricular
- percutaneous coronary intervention
- emergency medical
- intensive care unit