What question did this study set out to answer?

The aim is to establish a regional transfer model for stroke patients to enhance care quality in rural areas.

February 2, 2026Stroke

Abstract WP208: Strategic Regionalization of Stroke Transfers: Enhancing Patient-Centered Care Through Telestroke Networks

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A regionalization strategy improves stroke transfer efficiency in rural settings, suggesting better patient outcomes.

The aim is to establish a regional transfer model for stroke patients to enhance care quality in rural areas.
Identified a primary stroke center (rSTC) to facilitate regional transfer within a telestroke network.
Conducted stakeholder meetings to identify barriers and create workflows for efficient transfers.
Defined criteria for appropriate regional transfers, focusing on patient needs and conditions.
Implemented quarterly education sessions and maintained case logs for review.
Performed a retrospective chart review one year post-implementation.
73.7% of transferred patients were routed through the regional transfer center (rSTC).
Rural patients had a shorter average length of stay (LOS) of 2.1 days with no mortality.
Patients transferred to the comprehensive stroke center (CSC) had a longer LOS of 10.6 days and a 23.1% mortality rate.
Transfer times decreased significantly for rSTC patients (60 min compared to 188 min for CSC transfers).
Approximately 26.3% of CSC patients were overtriaged based on regional criteria.

Miller et al. (2026) studied this question.

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