Journal of neurointerventional surgery
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Multicenter Study Retracted Publication
Effect of routing paradigm on patient-centered outcomes in acute ischemic stroke.
To compare performance of routing paradigms for patients with acute ischemic stroke using clinical outcomes. ⋯ Routing paradigms that allow bypass of nearer hospitals for thrombectomy-capable centers improve population-level patient outcomes. Differences are more pronounced with increasing distance between hospitals; therefore, the choice of model may have greater effect in rural settings. Selective bypass, as implemented in Rhode Island and Distributive paradigms, improves system efficiency with minimal effect on outcomes.