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Utilization of Endovascular Treatment for Stroke

J Stroke Cerebrovasc Dis; ePub 2017 Nov 3; Hussein, et al

Utilization of endovascular procedures for treatment of acute ischemic stroke (AIS) has been rapidly influenced by medical literature, according to a recent study. Minnesota Hospital Association database from 137 member hospitals was used to calculate the statewide utilization rates for 2 periods: prior to (calendar year 2014) and after (calendar year 2015) the publication of multiple randomized clinical trials showing the efficacy of endovascular therapy. Investigators found:

  • Of the 13,043 patients admitted with AIS, 434 patients (mean age 68.5 ± 15.5 years; 51.2% women) received endovascular treatment.
  • The number of procedures increased from 194 in 2014 to 240 in 2015.
  • Utilization rate was 3.4% in the first quarter of 2014, gradually declined to reach its lowest value (2.6%) the last quarter of 2014, then steadily increased to reach its peak (4%) in the last quarter of 2015.
  • Procedures performed at comprehensive stroke centers increased from 52% of total procedures in 2014 to 57.5% in 2015, whereas those performed at primary stroke centers decreased from 22.6% to 19.5%.

Citation:

Hussein HM, Saleem MA, Qureshi AI. Statewide trends in utilization and outcomes of endovascular treatment of acute ischemic stroke: Analysis of Minnesota Hospital Association data (2014 and 2015). [Published online ahead of print November 3, 2017]. J Stroke Cerebrovasc Dis. doi:10.1016/j.jstrokecerebrovasdis.2017.09.056.

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