Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney
Background and purpose: The recent advances in stroke therapy have placed focus on delivering care within the first hour after stroke onset (golden hour), principally through the use of Mobile Stroke Unit (MSU) to bring the hospital to the patient. The aim of this project is to search the location o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2019-08-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2019.00810/full |
| _version_ | 1818521639939211264 |
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| author | Thanh G. Phan Thanh G. Phan Richard Beare Richard Beare Richard Beare Richard Beare Velandai Srikanth Velandai Srikanth Velandai Srikanth Velandai Srikanth Henry Ma Henry Ma |
| author_facet | Thanh G. Phan Thanh G. Phan Richard Beare Richard Beare Richard Beare Richard Beare Velandai Srikanth Velandai Srikanth Velandai Srikanth Velandai Srikanth Henry Ma Henry Ma |
| author_sort | Thanh G. Phan |
| collection | DOAJ |
| description | Background and purpose: The recent advances in stroke therapy have placed focus on delivering care within the first hour after stroke onset (golden hour), principally through the use of Mobile Stroke Unit (MSU) to bring the hospital to the patient. The aim of this project is to search the location of MSU hub in Sydney, Australia, optimizing for catchment, transport to nearest thrombolysis and endovascular clot retrieval (ECR)/thrombectomy capable hospital and population at risk.Methods: Traveling time was performed using ggmap package in R to interface with Google Maps application program interface (API). This analysis estimates the travel time from the centroids of each suburbs to five potential MSU hubs (Royal Prince Alfred, Prince of Wales, Royal North Shore, Liverpool, and Westmead hospitals) and eight thrombolysis capable hospitals. It is proposed that the MSU should be deployed at ECR hub to cover the suburbs, not well-covered by thrombolysis and ECR capable hospitals. This step was performed by assigning membership to hospitals within 30 min traveling time to the ECR hub. The base hub of the MSU was proposed as the closest hub (providing ECR) to the least well-served suburbs. The population serviceable by MSU was estimated using stroke incidence studies in Melbourne and Adelaide.Results: The largest population, serviceable by MSU within 30 min (4,606 cases), 45 min radius (8,918 cases), and 60 min (10,084 cases), was Royal North Shore followed by Royal Prince Alfred, Liverpool, Westmead, and Prince of Wales hospitals. Prince of Wales hospital has the smallest catchment within 30 min (3,078 cases), 45 min (7,721 cases), and 60 min (9,984 cases). Suburbs at the edge of metropolitan Sydney such as the Northern Suburbs are less well-served by thrombolysis and ECR capable hospitals. There are 10 suburbs within 30 min travel of one hospital. The remainders are within 30 min of two or more hospitals.Conclusions: Any of the five endovascular clot retrieval capable hospitals are capable of serving as a hub for MSU. We provide a method to identify the hub based on location of suburbs less well-served by other hospital. |
| first_indexed | 2024-12-11T01:54:02Z |
| format | Article |
| id | doaj.art-cabf4eb3dbf748ac882184d096c37af3 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-11T01:54:02Z |
| publishDate | 2019-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-cabf4eb3dbf748ac882184d096c37af32022-12-22T01:24:41ZengFrontiers Media S.A.Frontiers in Neurology1664-22952019-08-011010.3389/fneur.2019.00810462852Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan SydneyThanh G. Phan0Thanh G. Phan1Richard Beare2Richard Beare3Richard Beare4Richard Beare5Velandai Srikanth6Velandai Srikanth7Velandai Srikanth8Velandai Srikanth9Henry Ma10Henry Ma11Stroke Unit, Monash Health, Melbourne, VIC, AustraliaStroke and Aging Research Group, Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, AustraliaStroke and Aging Research Group, Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, AustraliaDepartment of Medicine, Frankston Hospital, Peninsula Health, Melbourne, VIC, AustraliaCentral Clinical School, Monash University, Melbourne, VIC, AustraliaDevelopmental Imaging, Murdoch Children Research Institute, Melbourne, VIC, AustraliaStroke Unit, Monash Health, Melbourne, VIC, AustraliaStroke and Aging Research Group, Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, AustraliaDepartment of Medicine, Frankston Hospital, Peninsula Health, Melbourne, VIC, AustraliaCentral Clinical School, Monash University, Melbourne, VIC, AustraliaStroke Unit, Monash Health, Melbourne, VIC, AustraliaStroke and Aging Research Group, Medicine, School of Clinical Sciences, Monash University, Melbourne, VIC, AustraliaBackground and purpose: The recent advances in stroke therapy have placed focus on delivering care within the first hour after stroke onset (golden hour), principally through the use of Mobile Stroke Unit (MSU) to bring the hospital to the patient. The aim of this project is to search the location of MSU hub in Sydney, Australia, optimizing for catchment, transport to nearest thrombolysis and endovascular clot retrieval (ECR)/thrombectomy capable hospital and population at risk.Methods: Traveling time was performed using ggmap package in R to interface with Google Maps application program interface (API). This analysis estimates the travel time from the centroids of each suburbs to five potential MSU hubs (Royal Prince Alfred, Prince of Wales, Royal North Shore, Liverpool, and Westmead hospitals) and eight thrombolysis capable hospitals. It is proposed that the MSU should be deployed at ECR hub to cover the suburbs, not well-covered by thrombolysis and ECR capable hospitals. This step was performed by assigning membership to hospitals within 30 min traveling time to the ECR hub. The base hub of the MSU was proposed as the closest hub (providing ECR) to the least well-served suburbs. The population serviceable by MSU was estimated using stroke incidence studies in Melbourne and Adelaide.Results: The largest population, serviceable by MSU within 30 min (4,606 cases), 45 min radius (8,918 cases), and 60 min (10,084 cases), was Royal North Shore followed by Royal Prince Alfred, Liverpool, Westmead, and Prince of Wales hospitals. Prince of Wales hospital has the smallest catchment within 30 min (3,078 cases), 45 min (7,721 cases), and 60 min (9,984 cases). Suburbs at the edge of metropolitan Sydney such as the Northern Suburbs are less well-served by thrombolysis and ECR capable hospitals. There are 10 suburbs within 30 min travel of one hospital. The remainders are within 30 min of two or more hospitals.Conclusions: Any of the five endovascular clot retrieval capable hospitals are capable of serving as a hub for MSU. We provide a method to identify the hub based on location of suburbs less well-served by other hospital.https://www.frontiersin.org/article/10.3389/fneur.2019.00810/fullstrokemobile stroke unitoptimizationgoogle mapsendovascular clot retrieval |
| spellingShingle | Thanh G. Phan Thanh G. Phan Richard Beare Richard Beare Richard Beare Richard Beare Velandai Srikanth Velandai Srikanth Velandai Srikanth Velandai Srikanth Henry Ma Henry Ma Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney Frontiers in Neurology stroke mobile stroke unit optimization google maps endovascular clot retrieval |
| title | Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney |
| title_full | Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney |
| title_fullStr | Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney |
| title_full_unstemmed | Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney |
| title_short | Googling Location for Operating Base of Mobile Stroke Unit in Metropolitan Sydney |
| title_sort | googling location for operating base of mobile stroke unit in metropolitan sydney |
| topic | stroke mobile stroke unit optimization google maps endovascular clot retrieval |
| url | https://www.frontiersin.org/article/10.3389/fneur.2019.00810/full |
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