Key result
Population-based stroke thrombolysis monitoring exposes inequitable access masked by hospital-level treatment rates.
Why the study?
Reporting the proportion of admitted ischaemic stroke patients receiving thrombolysis without knowing the underlying population served does not indicate how well or equitably the treatment is delivered.
Observational
Answers are grounded in this paper and cite their sources.
The literature is littered with reports presenting the proportion of patients admitted with ischaemic stroke receiving thrombolysis. This gives some measure of activity and the efficiency of prehospital and hospital triage. Some stroke centres have reported rates of thrombolysis as high as 20%, but without knowing the population that such services serve, these proportions do not indicate how well or equitably the treatment is being delivered. Here, we explore various metrics to monitor our efforts to provide equitable access to stroke thrombolysis in Lothian, a region in the South East of Scotland.
No takes yet. Share an insight, caveat, or question.
Kerr et al. (2010) conducted an observational in Ischaemic stroke. Metrics for monitoring access to stroke thrombolysis was evaluated on Equitable access to stroke thrombolysis. Thrombolysis monitoring metrics were explored in Lothian, Scotland, as hospital rates up to 20% do not reflect equitable access without population denominators.
Synapse has enriched 10 related papers. Consider them for comparative context: