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. 2023 Jun;44(6):2033-2039.
doi: 10.1007/s10072-023-06662-7. Epub 2023 Feb 8.

Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021

Manuel Cappellari  1 , Bruno Bonetti  2 , Claudio Baracchini  3 , Maurizio Corbetta  3 , Antonella De Boni  4 , Adriana Critelli  5 , Simone Tonello  6 , Valentina Codemo  7 , Michela Marcon  8 , Emanuele Turinese  9 , Roberto Bombardi  10 , Anna Maria Basile  11 , Giampietro Ruzza  12 , Morena Cadaldini  13 , Edoardo Mampreso  14 , Sandro Zambito Marsala  15 , Roberta Padoan  16 , Bruno Marini  17 , Anna Gaudenzi  18 , Agnese Tonon  19 , Maela Masato  20 , Antonio Baldi  21 , Michelangelo Turazzini  22 , Giampietro Zanette  23 , Alessandro Adami  24 , Mario Saia  25 , Paolo Bovi  26
Affiliations

Current territorial organization for access to revascularization therapies for acute ischemic stroke in the Veneto region (Italy) from 2017 to 2021

Manuel Cappellari et al. Neurol Sci. 2023 Jun.

Erratum in

Abstract

Introduction: To evaluate the access to treatments with intravenous thrombolysis (IVT) and/or mechanical thrombectomy (MT) in acute ischemic stroke patients admitted to stroke units (SUs) of Veneto region (Italy) according to current "hub-and-spoke" model from 2017 to 2021.

Patients and methods: We retrospectively analyzed data on treatments with IVT and/or MT for stroke patients admitted to the 23 SUs (6 Hubs and 17 Spokes) of the 6 macro-areas including 9 local sanitary units (LSUs) and 2 hospitals.

Results: We reported 6093 treatments with IVT alone, 1114 with IVT plus MT, and 921 with MT alone. Number of stroke unit (SU) beds/100,000 inhabitants ranges from 2.3 to 2.8, and no difference was found among different macro-areas. Number of treatments/100,000 inhabitants/year ranges from 19 to 34 for IVT alone, from 2 to 7 for IVT plus MT, and from 2 to 5 for MT alone. Number of IVT alone/SU bed/year ranges from 9 to 21 in the Hub and from 6 to 12 in the Spokes. Rate of IVT plus MT in patients directly arrived in the same LSU's Hub ranges from 50 to 81%, likewise the one of MT alone ranges from 49 to 84%.

Conclusions: Treatment target rates of IVT and MT set by Action Plan for Stroke in Europe 2018-2030 has been globally exceeded in the Veneto region. However, the target rate of MT and access revascularization treatments is heterogeneous among different macro-areas. Further efforts should be made to homogenize the current territorial organization.

Keywords: Hub-and-spoke model; Stroke; Thrombectomy; Thrombolysis.

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Conflict of interest statement

The authors declare no competing interests.

References

    1. Aguiar de Sousa D, von Martial R, Abilleira S. Access to and delivery of acute ischaemic stroke treatments: a survey of national scientific societies and stroke experts in 44 European countries. Eur Stroke J. 2019;4:13–28. doi: 10.1177/2396987318786023. - DOI - PMC - PubMed
    1. Norrving B, Barrick J, Davalos A, et al. Action plan for stroke in Europe 2018–2030. Eur Stroke J. 2018;3:309–336. doi: 10.1177/2396987318808719. - DOI - PMC - PubMed
    1. Seabury S, Bognar K, Xu Y, et al. Regional disparities in the quality of stroke care. Am J Emerg Med. 2017;35:1234–1239. doi: 10.1016/j.ajem.2017.03.046. - DOI - PubMed
    1. Cappellari M, Bonetti B, Forlivesi S, et al. Acute revascularization treatments for ischemic stroke in the stroke units of Triveneto, northeast Italy: time to treatment and functional outcomes. J Thromb Thrombolysis. 2021;51:159–167. doi: 10.1007/s11239-020-02142-3. - DOI - PubMed
    1. Saver JL, Goyal M, van der Lugt A, et al. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis. JAMA. 2016;316:1279–1288. doi: 10.1001/jama.2016.13647. - DOI - PubMed

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