National Inventory of Hospital Trauma Centers

MacKenzie, Ellen J.; Hoyt, David B.; Sacra, John C.; Jurkovich, Gregory J.; Carlini, Anthony R.; Teitelbaum, Sandra D.; Teter, Harry

doi:10.1001/jama.289.12.1515

Cited by 276 publications

(175 citation statements)

References 23 publications

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“…The number of level I trauma centers in the United States is 190. 62 Perhaps similar-level comprehensive stroke centers might be designated in the future. If each of these comprehensive stroke centers were staffed by 2 neurointerventionists, then the total number of required neurointerventionists would be approximately 400.…”

Section: Who Provides Care For Patients With Acute Ischemic Stroke?mentioning

confidence: 99%

Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force

Cloft

Rabinstein²,

Lanzino³

et al. 2009

AJNR Am J Neuroradiol

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SUMMARY: Intra-arterial therapy is currently applicable to a small subset of patients with ischemic stroke, but it will likely have an expanding role as new devices are introduced. This review evaluates the demand for such therapy and the physician work force available to provide such therapy in the United States. The available literature was reviewed to assess how many patients might need intra-arterial therapy annually and how many skilled neurointerventionalists are available to provide intra-arterial therapy for acute stroke. The number of acute ischemic strokes in the United States that will be amenable to intra-arterial therapy can only be crudely estimated, but it is certainly less than 126,000 per year and will quite likely be no more than 20,000 cases per year. The future demand for intra-arterial reperfusion techniques may change, but the number of patients who require intra-arterial thrombolysis is currently quite low. The overall number of neurointerventionists is currently adequate, though there might be local shortages.

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Section: Who Provides Care For Patients With Acute Ischemic Stroke?mentioning

confidence: 99%

Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force

Cloft

Rabinstein²,

Lanzino³

et al. 2009

AJNR Am J Neuroradiol

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“…11 Level I trauma centers operate 24 hours a day/7 days a week (24/7) to provide comprehensive trauma care, immediate availability of appropriate staff and equipment and are required to treat a pre-specified number of seriously injured patients per year. 12, 13 Level II trauma centers provide comprehensive trauma care 24/7 either as a supplement to a level I trauma center or as the lead hospital in less population-dense or rural areas. 14 Surgeons must be available at short notice but volume performance standards are not mandatory.…”

Section: Introductionmentioning

confidence: 99%

“…A general surgeon must be promptly available for major resuscitation. 12, 13 Level IV centers provide initial evaluation and assessment of injured patients in rural environments, require 24/7 coverage by a physician, but have no specific requirement for availability of surgeons or other specialists. Individual states designate the centers within their jurisdiction and the American College of Surgeons verifies that individual hospitals meet the requirements for a specific level of trauma center.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Different Health Care Contexts for Direct Transport to a Trauma Center versus Initial Secondary Center Care: A Systematic Review and Meta-analysis

Williams¹,

Finn²,

Fatovich³

et al. 2013

Prehospital Emergency Care

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“…13 The number of Level I trauma centers in the US is 190. 29 Comprehensive stroke centers are now being designated to serve a function analogous to trauma centers. If each of an estimated 200 comprehensive stroke centers treated 100 patients per year with intraarterial thrombolysis, 20,000 individuals would be treated annually in the US.…”

Section: The Supply Of Intraarterial Stroke Therapy Providersmentioning

confidence: 99%

Editorial: Workforce needs for endovascular acute ischemic stroke therapy: myth or reality?

Cloft¹

2014

FOC

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The acute ischemic strokes amenable to intraarterial therapy probably number no more than 20,000 per year in the United States. The future demand for intraarterial reperfusion techniques may change, but the fraction of patients who require intraarterial thrombolysis is currently rather low, and the number of neurointerventionists is adequate. Each hospital caring for patients with acute stroke will need to determine its own demand for intraarterial therapy and employ an adequate supply of qualified neurointerventionists available to meet demand. Comprehensive stroke centers are now being designated and hopefully will foster a rational, regionalized approach to the delivery of endovascular therapies for stroke.

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National Inventory of Hospital Trauma Centers

Cited by 276 publications

References 23 publications

Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force

Intra-Arterial Stroke Therapy: An Assessment of Demand and Available Work Force

Outcomes of Different Health Care Contexts for Direct Transport to a Trauma Center versus Initial Secondary Center Care: A Systematic Review and Meta-analysis

Editorial: Workforce needs for endovascular acute ischemic stroke therapy: myth or reality?

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