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Risk and space: modelling the accessibility of stroke centers using day- & amp; nighttime population distribution and different transportation scenarios
CONCLUSIONS: In general, we reveal inequivalence of the risks in case of a stroke depending on locations and times of the day. The ability to drive at high average speeds is a crucial factor in emergency care. Further important factors are the different population distribution at day and night and the locations of health care facilities. With the increasing centralization of hospital locations, rural residents in particular will face a worse accessibility situation.PMID:34187473 | DOI:10.1186/s12942-021-00284-y
Source: Rural Remote Health - June 30, 2021 Category: Rural Health Authors: S Rauch H Taubenb öck C Knopp J Rauh Source Type: research

The "Flying Intervention Team": A Novel Stroke Care Concept for Rural Areas
Cerebrovasc Dis. 2021 Apr 13:1-8. doi: 10.1159/000514845. Online ahead of print.ABSTRACTBACKGROUND: Endovascular treatment of large vessel occlusion in acute ischemic stroke patients is difficult to establish in remote areas, and time dependency of treatment effect increases the urge to develop health care concepts for this population.SUMMARY: Current strategies include direct transportation of patients to a comprehensive stroke center (CSC) ("mothership model") or transportation to the nearest primary stroke center (PSC) and secondary transfer to the CSC ("drip-and-ship model"). Both have disadvantages. We propose the mod...
Source: Rural Remote Health - April 13, 2021 Category: Rural Health Authors: Gordian Jan Hubert Frank Kraus Christian Maegerlein Sabine Platen Benjamin Friedrich Hans-Ulrich Kain Thomas Witton-Davies Nikolai Dominik Hubert Claus Zimmer Philip M Bath Heinrich J Audebert Roman L Haberl Source Type: research