Does bypassing nearby hospitals for high-quality care reduce case fatality among inpatients who had a stroke? A retrospective study of 328 206 cases

Bypassing a nearby hospital to seek care at a distant tertiary hospital was associated with a lower stroke case fatality rate. Favourable outcomes were observed when tertiary hospitals were reachable within 30 min for ischaemic stroke and within 60 min for haemorrhagic stroke.

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Publication Details

Journal
BMJ Quality & Safety
Published
2026-03-09
DOI
https://doi.org/10.1136/bmjqs-2025-019330
Primary Topic
Hospital Admissions and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Does bypassing nearby hospitals for high-quality care reduce case fatality among inpatients who had a stroke? A retrospective study of 328 206 cases

Xiang Yan, Kun Tan, Lu Ao, Jay Pan et al.
BMJ Quality & Safety
Hospital Admissions and Outcomes
article

Does bypassing nearby hospitals for high-quality care reduce case fatality among inpatients who had a stroke? A retrospective study of 328 206 cases

Xiang Yan, Kun Tan, Lu Ao, Jay Pan, Qingyu Wang
article en

Abstract

Bypassing a nearby hospital to seek care at a distant tertiary hospital was associated with a lower stroke case fatality rate. Favourable outcomes were observed when tertiary hospitals were reachable within 30 min for ischaemic stroke and within 60 min for haemorrhagic stroke.

BMJ Quality & Safety
Sichuan University (CN), Shanghai Medical Information Center (CN), Key Laboratory of Guangdong Province (CN), Beijing University of Civil Engineering and Architecture (CN)
Good health and well-being
Openalex Percentile: Top 33%
Hospital Admissions and Outcomes
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