Abstract 3255: Potential Synergy between Advanced Primary Stroke Centers and Level I or II Trauma Centers in United States
Objective: Emergency Medical Response, transport, and triage of stroke patients is very similar to more established trauma systems. Several institutions have used pre-existing trauma systems to develop effective stroke networks. Our goal is to determine the number of Primary Stroke Centers (PSC) that exist concurrently with designated higher level trauma centers (level I or level II) and associated characteristics.
Methods: We identified all the advanced PSCs certified in 2010, and concurrently, the advanced higher level trauma centers. We determined the number of PSCs located within higher level trauma centers and compared the characteristics of institutions with co-existing PSC-trauma center versus PSCs without associated trauma center. Additional data was collected on institutional bed numbers; total number of discharges, residency and fellowship training programs based in these centers, and existing affiliation with university were identified.
Results: Of 788 existing designated PSCs; co-existing PSC-trauma center was found in 252 (32%) centers with PSCs co-existing with level I trauma centers in 138 (17.5%) hospitals. The remaining 536 (68%) PSCs are based in hospitals without trauma centers. In a proof of concept analysis in one state, PSCs with level I trauma facility were found to have the highest rates of thrombolytic administration as compared to the PSC with level II and PSCs without trauma facility (12.8% vs. 3.8% vs. 4.9%).
Conclusions: Despite evidence of higher capability among institutions with co-existing PSC trauma center, two third of PSCs are in hospitals without advanced trauma systems. These findings have implications for establishing stroke systems in United States.
- © 2012 by American Heart Association, Inc.