Effect of routing paradigm on patient centered outcomes in acute ischemic stroke.
Minerva H ZhouAkash P KansagraPublished in: Journal of neurointerventional surgery (2019)
Routing paradigms that allow bypass of nearer hospitals for thrombectomy capable centers improve population level patient outcomes. Differences are more pronounced with increasing distance between hospitals; therefore, paradigm choice may be most impactful in rural settings. Selective bypass, as implemented in the Rhode Island and distributive paradigms, improves system efficiency with minimal impact on outcomes.