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Updated: Feb 12, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
12.7K
Evolution of a US County System for Acute Comprehensive Stroke Care
Radoslav I Raychev1,2, Dana Stradling3, Nirav Patel4
1From the Saddleback Memorial Medical Center, Laguna Hills, CA (R.I.R.).
Stroke
|April 8, 2018
Summary
Emergency Medical Services in Orange County improved acute stroke care, with reperfusion therapy reaching 29.2% of ischemic stroke patients. Endovascular treatment rates significantly increased over time, enhancing patient outcomes.
Area of Science:
- Neurology
- Emergency Medicine
- Public Health
Background:
- Orange County, California, utilizes a tiered stroke system (hubs/spokes) for acute stroke care.
- Stroke receiving centers are designated based on endovascular treatment capabilities.
Purpose of the Study:
- To examine stroke details, reperfusion therapies, and hospital transfers.
- To analyze changes in acute stroke care over time.
Main Methods:
- Evaluated patients with suspected acute stroke from January 1, 2013, to December 31, 2015.
- Assessed patients with 911 calls within 7 hours of stroke onset.
Main Results:
- 64% of suspected strokes were confirmed; 74% were ischemic.
- Reperfusion therapy was administered to 29.2% of ischemic stroke patients (21.7% IV tPA, 7.5% endovascular).
- Endovascular treatment rates more than doubled from 5.6% to 12.5% between 2013 and 2015.
Conclusions:
- The stroke care system demonstrates positive trends, with increased reperfusion and endovascular treatment rates.
- Ongoing optimization efforts should focus on improving access to advanced stroke therapies.
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