What question did this study set out to answer?

To characterize national trends in interfacility transfer for ischemic stroke and identify factors influencing transfer rates.

February 2, 2026Stroke

Abstract DP205: Acute Stroke Transfers Down Trending Since 2019 Despite Thrombectomy Increase

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Analysis of ischemic stroke transfers reveals a decline since 2019, despite increased thrombectomy use, with notable regional variations.

To characterize national trends in interfacility transfer for ischemic stroke and identify factors influencing transfer rates.
Analyzed Medicare claims data from 2016 to 2022 for patients with ischemic stroke over age 65.
Compared transfer status, tPA, EVT, and demographics using validated definitions.
Utilized descriptive statistics and logistic regression to analyze transfer predictors based on various variables.
Ischemic stroke transfers rose from 2016 to 2019 but declined through 2022.
EVT transfers increased significantly over the years; tPA transfers saw a slight decrease.
Older age and presence of dementia were strong predictors of transfer likelihood.
Significant regional differences in transfer practices were noted, with affluent areas transferring less.

Gusler et al. (2026) studied this question.

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