Does a long travel time to a primary stroke center (PSC) offset the potential benefits of this specialized care?
In an article published online by JAMA Internal Medicine, Kimon Bekelis, M.D., of Dartmouth-Hitchcock Medical Center, Lebanon, N.H., and coauthors analyzed data for a national group of Medicare beneficiaries and calculated travel time to evaluate the association of seven-day and 30-day death rates with receiving care in a PSC.
Stroke is a leading cause of death and long-term disability in the United States. To maximize patient outcomes, referral centers - PSCs certified by The Joint Commission are the backbone of this - have been established to ensure adherence to guidelines and the efficient delivery of disease-specific care.