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US Geographic Distribution of rt-PA Utilization by Hospital for Acute Ischemic Stroke
Stroke, 10/05/09

Kleindorfer D et al. – The authors report the first description of US hospital rt–PA treatment rates by hospital. Unfortunately, we found that 64% of US hospitals did not report giving rt–PA at all within the MEDPAR database within a 2–year period. These tended to be hospitals that were smaller, located in less densely populated areas, or located in the South or Midwest. In addition, 40% of the US population resides in counties without a hospital that administered rt–PA to at least 2.4% of ischemic stroke patients, although distinguishing transferred patients is problematic within administrative datasets. Such national–based resource–utilization data is important for planning at the local and national level, especially for such initiatives as telemedicine, to reach underserved areas.

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