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Primary Stroke Center Hospitalization for Elderly Patients With Stroke

Primary Stroke Center Hospitalization for Elderly Patients With Stroke 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Primary Stroke Center Hospitalization for Elderly Patients With Stroke

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Publisher
American Medical Association
Copyright
Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2016.3919
pmid
27455403
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

JAMA Internal MedicineAmerican Medical Association

Published: Sep 25, 2016

References