Inclusion of Hospital Performance in Prehospital Stroke Routing: A Simulation Study

The authors aimed to determine how the inclusion of actual hospital performance data affects prehospital routing decisions for patients with suspected strokes compared to existing guidelines and a base model without such data. Their simulation study revealed that incorporating real hospital performance metrics led to different routing recommendations in over 63% of scenarios, suggesting that using actual treatment times could optimize patient outcomes by directing them to hospitals with faster reperfusion times. This highlights the potential benefits of integrating hospital-specific performance data into prehospital decision-making processes.