An inventory of stroke centers in the United States
Abstract Objectives Stroke centers are essential for the optimal care of patients with acute stroke. However, there is no universally applied standard for stroke center certification/designation and no unified list of confirmed US stroke centers. Multiple national organizations, and some state gover...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-04-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12673 |
| _version_ | 1811303526188449792 |
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| author | Krislyn M. Boggs Brian T. Vogel Kori S. Zachrison Janice A. Espinola Mohammad K. Faridi Rebecca E. Cash Ashley F. Sullivan Carlos A. Camargo Jr. |
| author_facet | Krislyn M. Boggs Brian T. Vogel Kori S. Zachrison Janice A. Espinola Mohammad K. Faridi Rebecca E. Cash Ashley F. Sullivan Carlos A. Camargo Jr. |
| author_sort | Krislyn M. Boggs |
| collection | DOAJ |
| description | Abstract Objectives Stroke centers are essential for the optimal care of patients with acute stroke. However, there is no universally applied standard for stroke center certification/designation and no unified list of confirmed US stroke centers. Multiple national organizations, and some state governments, certify/designate hospitals as stroke centers of various levels, but discrepancies exist between these systems. We aimed to create a unified, easily accessible, national stroke center database. Methods Lists of confirmed stroke centers were obtained from national certifying bodies (The Joint Commission [TJC], Det Norske Veritas, and Healthcare Facilities Accreditation Program) and each state government. Lists were reconciled to a common standard based on TJC requirements and incorporated into the 2018 National Emergency Department Inventory–USA database, which includes all emergency departments (EDs). Results Among 5533 US EDs, we confirmed 2446 (44%) as stroke centers, including 297 Comprehensive Stroke Centers, 14 Thrombectomy‐capable Stroke Centers, 1459 Primary Stroke Centers, and 678 Acute Stroke Ready Hospitals. Compared with EDs without stroke centers, EDs with stroke centers had higher annual visit volumes, were more often academic, and were more often located in hospitals that had trauma or burn centers. Conclusion We report the consolidation of multiple stroke center designation groups with varying criteria into a unified list of all confirmed US stroke centers linked to a comprehensive, national ED database. This data set will be valuable for future stroke systems research and improving access to emergency stroke care for patients. These data have the potential to further optimize the emergency care of patients with stroke. |
| first_indexed | 2024-04-13T07:49:33Z |
| format | Article |
| id | doaj.art-d6d75ebed9364affb7726073866028b3 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-13T07:49:33Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-d6d75ebed9364affb7726073866028b32022-12-22T02:55:35ZengWileyJournal of the American College of Emergency Physicians Open2688-11522022-04-0132n/an/a10.1002/emp2.12673An inventory of stroke centers in the United StatesKrislyn M. Boggs0Brian T. Vogel1Kori S. Zachrison2Janice A. Espinola3Mohammad K. Faridi4Rebecca E. Cash5Ashley F. Sullivan6Carlos A. Camargo Jr.7Department of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USADepartment of Emergency Medicine Massachusetts General Hospital Boston Massachusetts USAAbstract Objectives Stroke centers are essential for the optimal care of patients with acute stroke. However, there is no universally applied standard for stroke center certification/designation and no unified list of confirmed US stroke centers. Multiple national organizations, and some state governments, certify/designate hospitals as stroke centers of various levels, but discrepancies exist between these systems. We aimed to create a unified, easily accessible, national stroke center database. Methods Lists of confirmed stroke centers were obtained from national certifying bodies (The Joint Commission [TJC], Det Norske Veritas, and Healthcare Facilities Accreditation Program) and each state government. Lists were reconciled to a common standard based on TJC requirements and incorporated into the 2018 National Emergency Department Inventory–USA database, which includes all emergency departments (EDs). Results Among 5533 US EDs, we confirmed 2446 (44%) as stroke centers, including 297 Comprehensive Stroke Centers, 14 Thrombectomy‐capable Stroke Centers, 1459 Primary Stroke Centers, and 678 Acute Stroke Ready Hospitals. Compared with EDs without stroke centers, EDs with stroke centers had higher annual visit volumes, were more often academic, and were more often located in hospitals that had trauma or burn centers. Conclusion We report the consolidation of multiple stroke center designation groups with varying criteria into a unified list of all confirmed US stroke centers linked to a comprehensive, national ED database. This data set will be valuable for future stroke systems research and improving access to emergency stroke care for patients. These data have the potential to further optimize the emergency care of patients with stroke.https://doi.org/10.1002/emp2.12673Acute Stroke Ready HospitalComprehensive Stroke CenterNational Emergency Department Inventory–USAPrimary Stroke CenterstrokeThrombectomy‐capable Stroke Center |
| spellingShingle | Krislyn M. Boggs Brian T. Vogel Kori S. Zachrison Janice A. Espinola Mohammad K. Faridi Rebecca E. Cash Ashley F. Sullivan Carlos A. Camargo Jr. An inventory of stroke centers in the United States Journal of the American College of Emergency Physicians Open Acute Stroke Ready Hospital Comprehensive Stroke Center National Emergency Department Inventory–USA Primary Stroke Center stroke Thrombectomy‐capable Stroke Center |
| title | An inventory of stroke centers in the United States |
| title_full | An inventory of stroke centers in the United States |
| title_fullStr | An inventory of stroke centers in the United States |
| title_full_unstemmed | An inventory of stroke centers in the United States |
| title_short | An inventory of stroke centers in the United States |
| title_sort | inventory of stroke centers in the united states |
| topic | Acute Stroke Ready Hospital Comprehensive Stroke Center National Emergency Department Inventory–USA Primary Stroke Center stroke Thrombectomy‐capable Stroke Center |
| url | https://doi.org/10.1002/emp2.12673 |
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