Abstract TP84: Mapping the Access to Acute Stroke Care in Oklahoma - Preliminary Results of the MAPSTROKE Project

• DOI: 10.1161/str.56.suppl_1.tp84
• Publication Date: 2025-01-30T10:04:27Z
• Authors: Camila Bonin Pinto; Leonardo Carbonera; Ana De Souza; Briana Liu; sophia lee; Ana Luyza Oliveir...; Leonardo Dorneles; MARCIO DORN; Mateus Boiani; Hyatt SALEH VELEZ; Daniel Vizcaya; Andriy Yabluchanskiy; Sheila Martins; Faddi Saleh Velez
• Keywords: Acute stroke; Stroke

Access to acute stroke care varies widely worldwide, with significant gaps in low- and middle-income countries rural areas. Ensuring equitable access requires a standardized approach identify current coverage potential sites for new centers. In the U.S., center distribution is inconsistent across states, around 77% of counties deemed "medical deserts" due lack healthcare services. Methods: We conducted comprehensive survey hospitals Oklahoma assess accessibility therapies. gathered data on availability critical resources like thrombolysis, computerized tomography (CT), neurology services at over 200 facilities. performed quantitative spatial analysis using geographic mapping tool analyze travel distances from each area nearest three capable providing reperfusion therapies regions limited access. Results: showed that while most offer emergency (82%), specialized markedly (Fig1). For instance, CT/radiology support available 24/7 80% hospitals, which crucial during alerts. However, there gap advanced interventions, specifically, only 4% mechanical thrombectomy (MT). Additionally, Neuro ICU in-person Neurology very limited, further emphasizing disparity statewide. Although thrombolysis their uneven, less densely populated areas, particularly southeastern region, facing challenges accessing timely care. these regions, patients face lengthy times one hour reach basic care, significantly delaying treatments (Fig2). Discussion Limited long were found some placing underserved areas higher risk poor outcomes delays. highlight need improved treatments, MT, better serve Oklahoma. Initiatives apply computational strategies analyzing actual coverage, MAPSTROKE project, can guide placement future units standardize locations address this issue