{"id":"https://openalex.org/W2897868083","doi":"https://doi.org/10.1161/str.49.suppl_1.wp276","title":"Abstract WP276: Trends in Acute Stroke Treatment Among Rural Hospitals in Minnesota: Utility of Acute Stroke Ready Hospital Designation","display_name":"Abstract WP276: Trends in Acute Stroke Treatment Among Rural Hospitals in Minnesota: Utility of Acute Stroke Ready Hospital Designation","publication_year":2018,"publication_date":"2018-01-22","ids":{"openalex":"https://openalex.org/W2897868083","doi":"https://doi.org/10.1161/str.49.suppl_1.wp276","mag":"2897868083"},"language":"en","primary_location":{"id":"doi:10.1161/str.49.suppl_1.wp276","doi":"https://doi.org/10.1161/str.49.suppl_1.wp276","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.49.suppl_1.wp276","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103823577","display_name":"Albert W. Tsai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144997","display_name":"Minnesota Department of Health","ror":"https://ror.org/04g43x563","country_code":"US","type":"government","lineage":["https://openalex.org/I4210144997"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Albert W Tsai","raw_affiliation_strings":["Minnesota Dept of Health, Saint Paul, MN","Albert W Tsai"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Minnesota Dept of Health, Saint Paul, MN","institution_ids":["https://openalex.org/I4210144997"]},{"raw_affiliation_string":"Albert W Tsai","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027561063","display_name":"Paula G. Lindgren","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144997","display_name":"Minnesota Department of Health","ror":"https://ror.org/04g43x563","country_code":"US","type":"government","lineage":["https://openalex.org/I4210144997"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paula G Lindgren","raw_affiliation_strings":["Minnesota Dept of Health, Saint Paul, MN","Paula G Lindgren"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Minnesota Dept of Health, Saint Paul, MN","institution_ids":["https://openalex.org/I4210144997"]},{"raw_affiliation_string":"Paula G Lindgren","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5091821970","display_name":"Ganesh Asaithambi","orcid":"https://orcid.org/0000-0002-6041-3662","observed_orcids":["https://orcid.org/0000-0002-6041-3662"]},"institutions":[{"id":"https://openalex.org/I1326929380","display_name":"Allina Health","ror":"https://ror.org/04esegk75","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1326929380"]},{"id":"https://openalex.org/I2799537240","display_name":"United Hospital","ror":"https://ror.org/02hc70w10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1326929380","https://openalex.org/I2799537240"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ganesh Asaithambi","raw_affiliation_strings":["John Nasseff Neuroscience Specialty Clinic and United Hosp, Allina Health, Saint Paul, MN","Ganesh Asaithambi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Nasseff Neuroscience Specialty Clinic and United Hosp, Allina Health, Saint Paul, MN","institution_ids":["https://openalex.org/I1326929380","https://openalex.org/I2799537240"]},{"raw_affiliation_string":"Ganesh Asaithambi","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"49","issue":"Suppl_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.0013000000035390258,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-stroke","display_name":"acute stroke","score":0.6240000128746033},{"id":"https://openalex.org/keywords/intravenous-alteplase","display_name":"intravenous alteplase","score":0.8730000257492065},{"id":"https://openalex.org/keywords/rural-hospitals","display_name":"rural hospitals","score":0.9620000123977661},{"id":"https://openalex.org/keywords/access-to-stroke-care","display_name":"access to stroke care","score":0.5059999823570251},{"id":"https://openalex.org/keywords/treatment-adoption","display_name":"treatment adoption","score":0.3610000014305115},{"id":"https://openalex.org/keywords/rural-health-care","display_name":"rural health care","score":0.46000000834465027},{"id":"https://openalex.org/keywords/health-system-redesign","display_name":"health system redesign","score":0.3409999907016754},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.30399999022483826},{"id":"https://openalex.org/keywords/health-workforce-shortage","display_name":"health workforce shortage","score":0.3540000021457672},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.36899998784065247}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9229721426963806},{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.7766057252883911},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.7176973819732666},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5892714262008667},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.47393184900283813},{"id":"https://openalex.org/C2909817843","wikidata":"https://www.wikidata.org/wiki/Q575222","display_name":"Fibrinolytic agent","level":3,"score":0.412925660610199},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.39843639731407166},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34650760889053345},{"id":"https://openalex.org/C2776572282","wikidata":"https://www.wikidata.org/wiki/Q416351","display_name":"Tissue plasminogen activator","level":2,"score":0.28334876894950867},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18523049354553223},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1161/str.49.suppl_1.wp276","doi":"https://doi.org/10.1161/str.49.suppl_1.wp276","is_oa":false,"landing_page_url":"https://doi.org/10.1161/str.49.suppl_1.wp276","pdf_url":null,"source":{"id":"https://openalex.org/S62532593","display_name":"Stroke","issn_l":"0039-2499","issn":["0039-2499","1524-4628"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Stroke","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2897997892","https://openalex.org/W2959680662","https://openalex.org/W2979863128","https://openalex.org/W1537530691","https://openalex.org/W7126043787","https://openalex.org/W3138275400","https://openalex.org/W3032705156","https://openalex.org/W2914197430","https://openalex.org/W4389466749","https://openalex.org/W2734626079"],"abstract_inverted_index":{"Background:":[0],"The":[1,20,39],"Minnesota":[2,40,69,91,108,112,152,182],"Stroke":[3,46,70,98,109],"System":[4,71],"was":[5,234,259,274],"launched":[6],"in":[7,84,135,145,161,181,244,262,269,282,295,298,326],"2013":[8,57],"to":[9,15,26,29,51,55,81,141,189,201,212,228],"organize":[10],"and":[11,33,72,95,131,163,185,204,250,317],"recognize":[12],"hospitals":[13,92,105,113,179],"able":[14],"deliver":[16],"acute":[17,30],"stroke":[18,31,37,171],"treatment.":[19],"goal":[21],"of":[22,42,67,76,170,307,311,315],"the":[23,56,68,73,107,241,245,251,257,263,299,305],"system":[24,310],"is":[25,320],"increase":[27,83],"access":[28],"treatment":[32,270,283,327],"improve":[34],"outcomes":[35],"for":[36,323],"patients.":[38],"Department":[41],"Health":[43],"designates":[44],"Acute":[45],"Ready":[47],"Hospitals":[48],"(ASRHs)":[49],"according":[50],"ten":[52],"criteria":[53],"corresponding":[54,74],"Brain":[58],"Attack":[59],"Coalition":[60],"recommendations.":[61],"This":[62,301],"analysis":[63,302],"explores":[64],"whether":[65],"implementation":[66,306],"adoption":[75,314],"standards":[77,316],"by":[78,104],"ASRHs":[79,207,225,297],"corresponded":[80],"an":[82],"intravenous":[85],"(IV)":[86],"alteplase":[87,137,175,196,218,238,273],"utilization":[88],"among":[89,176,205,222,276,285],"rural":[90,151,178],"between":[93,124,129,167,183],"2012":[94,140,184],"2017.":[96],"Methods:":[97],"patient":[99],"care":[100],"data":[101],"were":[102,114,143,159,165],"submitted":[103],"into":[106,116],"Registry.":[110],"Rural":[111],"grouped":[115],"three":[117],"categories:":[118],"early":[119,223,246,277,286],"adopters":[120,127,287],"that":[121,289,304],"became":[122],"designated":[123,160,166],"2014-2015;":[125],"late":[126,252],"(designated":[128],"2016-2017);":[130],"never-designated":[132,193,264],"hospitals.":[133],"Trends":[134,268],"IV":[136,174,195,217,237,272],"use":[138,197,208,219,239],"from":[139,187,199,210,226],"2017":[142,186],"examined":[144],"each":[146],"group.":[147],"Results:":[148],"Among":[149,192],"103":[150],"hospitals,":[153,194],"21":[154,158],"never":[155],"received":[156],"designation,":[157,319],"2016-2017,":[162],"61":[164],"2014-2015.":[168],"Treatment":[169],"patients":[172],"with":[173,236,271],"all":[177],"increased":[180,198,209,221],"12.9%":[188],"15.9%":[190],"(p<0.01).":[191],"12.5%":[200],"15.4%":[202],"(p=0.13),":[203],"late-adopting":[206,296],"10.1%":[211],"12.7%":[213],"(p=0.22).":[214],"In":[215],"contrast,":[216],"significantly":[220],"adopting":[224,247,253,278],"14.6%":[227],"20.5%":[229],"(p<0.0001).":[230],"A":[231],"significant":[232,261],"trend":[233,258],"noted":[235],"within":[240],"\u22643-hour":[242],"window":[243],"group":[248,254,265],"(p<0.0001)":[249],"(p=0.02),":[255],"but":[256],"not":[260],"(p=0.09).":[266],"Conclusions:":[267],"highest":[275],"ASRHs.":[279],"Sustained":[280],"increases":[281,291,325],"rates":[284],"suggests":[288,303],"similar":[290],"may":[292],"be":[293],"seen":[294],"future.":[300],"a":[308,321],"statewide":[309],"care,":[312],"namely":[313],"hospital":[318],"driver":[322],"sustained":[324],"rates.":[328]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2018-10-26T00:00:00"}
