[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-507519-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-507519-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","access-to-endovascular-thrombectomy-driving-time-to-comprehensive-stroke-center-and-rurality-impact","Access to Endovascular Thrombectomy - Driving Time to Comprehensive Stroke Center and Rurality Impact","","Acute stroke care depends on time-critical interventions, yet access varies geographically. This retrospective cohort study used administrative data to evaluate how driving distance to the nearest comprehensive stroke center (CSC) and rurality influence thrombectomy and thrombolysis use for acute ischemic stroke in Ontario, Canada, from 2017 to 2022. Multivariable logistic regression assessed associations, adjusting baseline differences and modeling driving time with restricted cubic splines.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/access-to-endovascular-thrombectomy-driving-time-to-comprehensive-stroke-center-and-rurality-impact/507519/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/access-to-endovascular-thrombectomy-driving-time-to-comprehensive-stroke-center-and-rurality-impact/507519.png","ImageObject",300,407,{"name":42,"@type":43},"Bintang","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-07","2026-10-05",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",14,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How was driving time to a comprehensive stroke center calculated in the study?","Question",{"text":63,"@type":64},"Driving time from patients’ residences to the nearest CSC was calculated using the Ontario Road Network File and postal codes.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What was the main finding about driving time and thrombectomy access?",{"text":68,"@type":64},"Increased driving time was associated with lower thrombectomy use in a nonlinear pattern, with markedly reduced likelihood at longer travel times.",{"name":70,"@type":61,"acceptedAnswer":71},"Did driving time affect thrombolysis rates?",{"text":72,"@type":64},"No. Thrombolysis rates were not significantly affected by driving time, even for longer distances.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},507519,1791384977,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":111,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":118,"preview_page_count":4},962085564381,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","The Canadian Journal of Neurological Sciences (2025), 52, 926–933 doi:10.1017/cjn.2025.15  \nOriginal Article  \nAccess to Endovascular Thrombectomy: Does Driving Time to Comprehensive Stroke Center Matter More Than Rurality?  \nFoad Taghdiri1 , Manav V. Vyas1,2,3,4 , Moira K. Kapral3,4,5,6,7 , Lauren Lapointe-Shaw3,5,6, Peter C. Austin3,4,7, Peter Gozdyra3, Christine Hawkes1,7, Yue Chen3, Jiming Fang3 and Amy Y.X. Yu1,3,4,7   \n1Division of Neurology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada, 2St. Michael’s Research Institute, St. Michael’s Hospital-Unity Health Toronto, Toronto, Ontario, Canada, 3ICES, Toronto, ON, Canada, 4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 5Division of General Internal Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada, 6Toronto General Research Institute, University Health Network, Toronto, Ontario, Canada and 7Sunnybrook Research Institute, Toronto, ON, Canada  \n\n| ABSTRACT: Background: Acute stroke treatments are highly time-sensitive, with geographical disparities affecting access to care. This study examined the impact of driving distance to the nearest comprehensive stroke center(CSC)and rurality on the use of thrombectomy orthrombolysisin Ontario, Canada. Methods: This retrospective cohort study used administrative data to identify adults hospitalized with acute ischemic stroke between 2017 and 2022. Driving time from patients’ residences to the nearest CSC was calculated using the Ontario Road Network File and postal codes. Rurality was categorized using postal codes. Multivariable logistic regression, adjusted for baseline differences, estimated the association between driving distance and treatment with thrombectomy(primary outcome)orthrombolysis(secondary outcome). Driving time was modeled asa continuous variable using restricted cubic splines. Results: Data from 57,678 patients (median age 74 years, IQR 64–83) were analyzed. Increased driving time was negatively associated with thrombectomy in a nonlinear fashion. Patients living 120 minutes from a CSC were 20% less likely to receive thrombectomy(adjusted odds ratio[aOR]0.80,95%CI0.62–1.04), and those240minutes awaywere60%less likely(aOR0.41,95%CI0.28– 0.60). Driving time did not affect thrombolysis rates, even at 240 minutes (aOR 1.0, 95% CI 0.70–1.42). Thrombectomy use was similar in medium urban areas(aOR0.80,95%CI0.56–1.16)and small towns(aOR0.78,95%CI0.57–1.06)compared to large urban areas. Conclusion: Thrombolysis access is equitable across Ontario, but thrombectomy access decreases with increased driving distance to CSCs. A multifaceted approach, combining healthcare policy innovation and infrastructure development, is necessary for equitable thrombectomy delivery. |\n| --- |\n| RÉSUMÉ : Accès à la thrombectomie endovasculaire : le temps de conduite versun centre complet de traitement des accidents vasculaires cérébraux importe-t-il plus que la ruralité? Contexte : Le facteur de temps joueunrôletrès important dans letraitementdes accidents vasculaires cérébraux (AVC) aigus, et les disparités régionales ont des répercussions sur l’accès aux soins. L’étude ici présentée visait à examiner l’incidence dela distance de conduite vers le centre complet de traitement des AVC (CCTA) le plus proche et de la ruralité sur le recours à la thrombectomie ou à lathrombolyse en Ontario (Canada). Méthode : Les chercheurs de cette étude de cohorte, rétrospective ont utilisé des données administratives pour repérer des adultes hospitalisésayant subiunAVCischémique aigu, de2017à2022. Le temps de conduitedu lieud’habitation des patients au CCTAle plus proche a été calculé à l’aide de la base de données du Réseau routier de l’Ontario et des codes postaux. La ruralité est catégorisée à l’aide des codes postaux. Une régression logistique multivariable, rajustée pour tenir compte des différences initiales, a permis d’estimer l’association entre ","cbCaigmWBGXydEvg","https://ap.wps.com/l/cbCaigmWBGXydEvg","pdf",1112706,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion","[{\"question\":\"How was driving time to a comprehensive stroke center calculated in the study?\",\"answer\":\"Driving time from patients’ residences to the nearest CSC was calculated using the Ontario Road Network File and postal codes.\"},{\"question\":\"What was the main finding about driving time and thrombectomy access?\",\"answer\":\"Increased driving time was associated with lower thrombectomy use in a nonlinear pattern, with markedly reduced likelihood at longer travel times.\"},{\"question\":\"Did driving time affect thrombolysis rates?\",\"answer\":\"No. Thrombolysis rates were not significantly affected by driving time, even for longer distances.\"}]","Access to Endovascular Thrombectomy - Driving Time to Comprehensive Stroke Center and Rurality Impact | PDF",1791180263]