Key PointsQuestionHow much does the increased risk of prolonged travel time offset benefits of specialized Primary Stroke Center (PSC) care? FindingsIn a retrospective cohort study of Medicare beneficiaries with stroke admitted to a hospital between 2010 and 2013, we found that admission to PSCs was associated with lower 7-day and 30-day case fatality. Receiving treatment in PSCs was associated with a 30-day survival benefit for patients traveling less than 90 minutes, but traveling at least 90 minutes offset any benefit of PSC care. MeaningTraveling at least 90 minutes to receive care offset the 30-day survival benefit of PSC admission.
JAMA Internal Medicine – American Medical Association
Published: Sep 25, 2016