Affiliation:
1. School of Computer Science and Engineering, Soongsil University, Seoul 06978, Republic of Korea
Abstract
Effective inter-hospital coordination is crucial in improving the stroke treatment process and outcomes. The introduction of endovascular thrombectomy (EVT) further emphasized the importance of coordination. Although previous studies considered various clinical data besides stroke in terms of the network structure between hospitals, a majority of these studies performed only quantitative analyses instead of topological analyses. This study proposes a new framework (PatientFlow) for constructing a network based on stroke patient transfer data and performing exploratory analysis. The proposed framework can visualize the network structure among hospitals at the national level and analyze the detailed structure through dynamic queries. The hub-and-spoke structure for each cluster derived through community detection can be compared visually and analyzed quantitatively using network measures. Further, the relationship between regions can be analyzed by aggregating the transfer of patients by province. PatientFlow allows medical researchers to perform an exploratory analysis to understand the network at the national, provincial, and community levels with multiple coordinated views.
Funder
Soongsil University Research Fund (New Professor Support Research) of 2020
Subject
Fluid Flow and Transfer Processes,Computer Science Applications,Process Chemistry and Technology,General Engineering,Instrumentation,General Materials Science
Reference34 articles.
1. Ischemic Stroke Systems of Care in California: Evolution in the Organization During the Mechanical Thrombectomy Era;Zachrison;Stroke Vasc. Interv. Neurol.,2022
2. Geographic Access to Acute Stroke Care in the United States;Adeoye;Stroke,2014
3. A Randomized Trial of Intraarterial Treatment for Acute Ischemic Stroke;Berkhemer;N. Engl. J. Med.,2015
4. Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke;Goyal;N. Engl. J. Med.,2015
5. Ischemic Stroke Transfer Patterns in the Northeast United States;Zachrison;J. Stroke Cerebrovasc. Dis.,2019