What question did this study set out to answer?

The study aims to evaluate disparities in access to stroke evaluation in tribal communities across the Upper Midwest.

May 7, 2026Equity NeuroscienceOpen Access

Disparities in Access to Acute Stroke Evaluation Across Tribal Communities in Minnesota, North Dakota, and South Dakota: Implications for Telestroke Integration

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Regional analysis reveals significant gaps in stroke care access among tribal communities, suggesting urgent need for telestroke integration.

The study aims to evaluate disparities in access to stroke evaluation in tribal communities across the Upper Midwest.
Conducted regional infrastructure analysis of stroke care access using publicly available data.
Reviewed IHS facility directories to identify hospitals serving tribal communities.
Analyzed CDC stroke mortality data to assess regional burden and temporal trends.
Identified at least 28 IHS and tribal facilities across MN, ND, and SD, with ~30% reporting CT capability.
Estimated mean travel times to the nearest ASRH: 50 minutes in MN, 42 minutes in ND, and 45 minutes in SD.
Counties with tribal populations showed higher stroke mortality rates over time despite improvements in stroke therapy.

Doherty et al. (2026) studied this question.

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Regional analysis reveals significant gaps in stroke care access among tribal communities, suggesting urgent need for telestroke integration.