Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study

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KOLIVAND PIRHOSSEIN; FARAJI SABOKBAR HASSANALI; SABERIAN PEYMAN; Bahmanabadi Mahdi; Hasani Sharamin Parisa; BARATLOO ALIREZA

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Journal: Iranian Red Crescent Medical Journal Year:2020 | Volume:22 | Issue:7 Page(s): 0-0

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Title

Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study

Author(s)

Keywords

Emergency Medical Services

Geographic Information Systems

Health Services Accessibility

Stroke

Abstract

Objectives: We intended tomapthe geographical distribution of patients with acute Strokewhocalled the TehranEMScenter based on the geographic information of the incident location on a map. The distributions of these centers and patients’ access within a standard period were evaluated. Methods: A cross-sectional study based on the registered data was conducted on suspected acute Stroke patients > 18 years of age that were transferred by EMS. The analysis was performed based on pointing the patients’ locations and locating the hospitals in ArcGIS software plus a review of the polygons and focal points. Results: Totally, 1, 606 patients suspected to Stroke with a mean age of 64. 89 17. 48 years were evaluated, of whom 947 (58. 6%) were male. The mean time of arrival of an ambulance in the patient’ s location from the EMS station was 11. 94 6. 67 minutes, and the longest time was 69. 32 minutes. The mean time from the patient’ s location to the Stroke center was 17. 79 11. 42 minutes (range 2. 4-83. 70 minutes). Stroke centers in Tehran are not distributed in a balanced manner, and they are concentrated on the central and northern parts of Tehran, limiting access to hospital services. Conclusions: The multiplicity of hospitals in the west and center of Tehran led to an increase in access times in eastern Tehran. It emphasizes the necessity of revision of service locating, especially because the east of Tehran has a denser texture than the west.

Cites

The Geographical Distribution of Probable COVID-19 Patients Transferred by Tehran Emergency Medical Services; a Cross Sectional Study

References

Effects of telestroke on thrombolysis times and outcomes: a meta-analysis

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APA: Copy

KOLIVAND, PIRHOSSEIN, FARAJI SABOKBAR, HASSANALI, SABERIAN, PEYMAN, Bahmanabadi, Mahdi, Hasani Sharamin, Parisa, & BARATLOO, ALIREZA. (2020). Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), 22(7), 0-0. SID. https://sid.ir/paper/757911/en

Vancouver: Copy

KOLIVAND PIRHOSSEIN, FARAJI SABOKBAR HASSANALI, SABERIAN PEYMAN, Bahmanabadi Mahdi, Hasani Sharamin Parisa, BARATLOO ALIREZA. Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study. IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)[Internet]. 2020;22(7):0-0. Available from: https://sid.ir/paper/757911/en

IEEE: Copy

PIRHOSSEIN KOLIVAND, HASSANALI FARAJI SABOKBAR, PEYMAN SABERIAN, Mahdi Bahmanabadi, Parisa Hasani Sharamin, and ALIREZA BARATLOO, “Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study,” IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ), vol. 22, no. 7, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/757911/en

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