P142 The brain gain: how Örebro is turning the tide on stroke care in Sweden

<h3>Introduction</h3> Central Sweden has faced significant stroke care disparities. The Örebro Comprehensive Stroke Center was established to address these challenges, transforming regional care pathways, and influencing national stroke care approaches. This study evaluates the center‘s success, particularly the implementation of parallel information flow pathways. <h3>Aim of Study</h3> <h3>Methods</h3> A retrospective analysis was conducted using data from the Swedish Stroke Registry and The Swedish Endovascular Stroke Registry, covering June 2021 to March 2024. This study assessed the impact of a new stroke care pathway in Örebro, featuring enhanced parallel information flows for faster data access and decision-making. The analysis focused on changes in transport times, thrombectomy rates, and clinical outcomes. <h3>Results</h3> Previously, Örebro was the most conservative center in the country, sending only 2% of all stroke patients for thrombectomy. Post-intervention, this rate increased to 21%, making Örebro a leader in national rankings and gaining international recognition. These improvements led to significantly better clinical outcomes for the first 500 treated stroke patients. Success is largely attributed to strong administrative support and the rapid implementation of efficient information flow among healthcare stakeholders. <h3>Conclusion</h3> The Örebro Comprehensive Stroke Center has significantly reduced regional disparities and serves as a potential blueprint for national healthcare strategies. Its innovative approach and dramatic increase in thrombectomy rates demonstrate a promising direction for the evolution of stroke care across Sweden. <h3>Disclosure of Interest</h3> no.