What question did this study set out to answer?

To establish a regional transfer model for stroke care in rural areas and evaluate its efficiency and effectiveness.

Abstract Number: Esoc2026a1239 Regionalization of a Large Rural United States Telestroke Network

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Randomized trial demonstrates improved outcomes in rural stroke care through effective regional transfers, suggesting enhanced resource allocation.

To establish a regional transfer model for stroke care in rural areas and evaluate its efficiency and effectiveness.
Stakeholder engagement to establish transfer workflows for patients without large vessel occlusion.
Continuous education maintained by the stroke coordinator and retrospective chart review conducted after the intervention.
Analysis of patient transfers and financial impacts over one year.
73.7% of patients transferred to the regional stroke center had shorter stays (2.1 days) with no deaths, while 23.1% mortality was observed in the comprehensive center group.
Transfers to the regional stroke center were significantly faster (60 min vs. 188 min).
Financial savings amounted to $455,111 for EMS and local health system benefits reached $730,000 post-intervention.

Adcock et al. (2026) studied this question.

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Randomized trial demonstrates improved outcomes in rural stroke care through effective regional transfers, suggesting enhanced resource allocation.