title: Access to Endovascular Treatment in Remote Areas: Analysis of the Reperfusion Treatment Registry of Catalonia.
abstract: Since demonstration of the benefit of endovascular treatment (EVT) in acute ischemic stroke patients with proximal arterial occlusion, stroke care systems need to be reorganized to deliver EVT in a timely and equitable way. We analyzed differences in the access to EVT by geographical areas in Catalonia, a territory with a highly decentralized stroke model.
  
  
  
  We studied 965 patients treated with EVT from a prospective multicenter population-based registry of stroke patients treated with reperfusion therapies in Catalonia, Spain (SONIIA). Three different areas were defined: (A) health areas primarily covered by Comprehensive Stroke Centers, (B) areas primarily covered by local stroke centers located less than hour away from a Comprehensive Stroke Center, and (C) areas primarily covered by local stroke centers located more than hour away from a Comprehensive Stroke Center. We compared the number of EVT×100 000 inhabitants/year and time from stroke onset to groin puncture between groups.
  
  
  
  Baseline characteristics were similar between groups. Throughout the study period, there were significant differences in the population rates of EVT across geographical areas. EVT rates by 100 000 in 2015 were 10.5 in A area, 3.7 in B, and 2.7 in C. Time from symptom onset to groin puncture was 82 minutes longer in group B (312 minutes [245-435]) and 120 minutes longer in group C (350 minutes [284-408]) compared with group A (230 minutes [160-407]; P<0.001).
  
  
  
  Accessibility to EVT from remote areas is hampered by lower rate and longer time to treatment compared with areas covered directly by Comprehensive Stroke Centers.
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.). natperezossa@gmail.com.
authors.forename: Natalia
authors.initials: N
authors.lastname: Pérez de la Ossa
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Sònia
authors.initials: S
authors.lastname: Abilleira
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Laura
authors.initials: L
authors.lastname: Dorado
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Xabier
authors.initials: X
authors.lastname: Urra
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Marc
authors.initials: M
authors.lastname: Ribó
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Pere
authors.initials: P
authors.lastname: Cardona
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Eva
authors.initials: E
authors.lastname: Giralt
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Joan
authors.initials: J
authors.lastname: Martí-Fàbregas
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Francisco
authors.initials: F
authors.lastname: Purroy
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Joaquín
authors.initials: J
authors.lastname: Serena
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: David
authors.initials: D
authors.lastname: Cánovas
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Moisés
authors.initials: M
authors.lastname: Garcés
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Jurek
authors.initials: J
authors.lastname: Krupinski
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Anna
authors.initials: A
authors.lastname: Pellisé
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Júlia
authors.initials: J
authors.lastname: Saura
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Carlos
authors.initials: C
authors.lastname: Molina
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Antoni
authors.initials: A
authors.lastname: Dávalos
authors.affiliation: From the Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (N.P.d.l.O.); Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (S.A.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (L.D.); Hospital Clínic, Barcelona, Spain (X.U.); Hospital Vall d'Hebrón, Barcelona, Spain (M.R.); Hospital Bellvitge, Barcelona, Spain (P.C.); Hospital del Mar, Barcelona, Spain (E.G.); Hospital Santa Creu i Sant Pau, Barcelona, Spain (J.M.-F.); Hospital Arnau de Vilanova, Lleida, Spain (F.P.); Hospital Josep Trueta, Girona, Spain (J. Serena); Hospital Parc Taulí, Sabadell, Spain (D.C.); Hospital Verge de la Cinta, Tortosa, Spain (M.G.); Hospital Terrassa, Terrassa, Spain (J.K.); Hospital Joan XXIII, Tarragona, Spain (A.P.); Hospital Althaia, Manresa, Spain (J. Saura); Hospital Vall d'Hebrón, Barcelona, Spain (C.M.); Hospital Germans Trias i Pujol, Badalona, Barcelona, Spain (A.D.); and Stroke Program/Agency for Health Quality and Assessment of Catalonia (CIBER Epidemiología y Salud Pública, CIBERESP) (M.G.).
authors.forename: Miquel
authors.initials: M
authors.lastname: Gallofré
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D057510:Endovascular Procedures / Q000706:statistics & numerical data*; D005260:Female; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012042:Registries / Q000706:statistics & numerical data*; D015424:Reperfusion / Q000706:statistics & numerical data*; D013030:Spain; D020521:Stroke / Q000628:therapy*; D015912:Thrombolytic Therapy / Q000706:statistics & numerical data*
keywords: acute stroke; endovascular treatment; population rate; stroke care systems