Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study
Vol. 22 No. 7 (2020), Research articles
Vol. 22 No. 7 (2020)

Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study

Research articles
Published 2020-07-27
Pir-Hossein Kolivand
1. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran 2. Shefa Neuroscience Research Center, Khatam-al-Anbya Hospital, Tehran, Iran
Hassanali Faraji Sabokbar
Faculty of Geography, University of Tehran, Tehran, Iran
Peyman Saberian
1. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran 2. Anesthesiology Department, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
Mahdi Bahmanabadi
Tehran Emergency Medical Service Center, Tehran, Iran
Parisa Hasani-Sharamin
Tehran Emergency Medical Service Center, Tehran, Iran
Alireza Baratloo
1. Prehospital and Hospital Emergency Research Center, Tehran University of Medical Sciences, Tehran, Iran 2. Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Keywords

Emergency Medical Services
Geographic Information Systems
Health Services Accessibility
Stroke

How to Cite

Kolivand, P.-H. ., Faraji Sabokbar, H. ., Saberian, P. ., Bahmanabadi , M. ., Hasani-Sharamin, P. ., & Baratloo, A. . (2020). Spatial Analysis of Geographic Distribution and Accessibility of Suspected Acute Stroke Patients Transferred to Acute Stroke Centers by Emergency Medical Services in Tehran, Iran: A Cross-Sectional Study. Iranian Red Crescent Medical Journal, 22(7). Retrieved from https://ircmj.com/index.php/IRCMJ/article/view/693
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Abstract

Objectives: We intended to map the geographical distribution of patients with acute stroke who called the Tehran EMS center based on the geographic information of the incident location on a map. The distributions of these centers and patients’ access within a standard period were evaluated.

Methods: A cross-sectional study based on the registered data was conducted on suspected acute stroke patients > 18 years of age that were transferred by EMS. The analysis was performed based on pointing the patients’ locations and locating the hospitals in ArcGIS software plus a review of the polygons and focal points.

Results: Totally, 1,606 patients suspected to stroke with a mean age of 64.89 ± 17.48 years were evaluated, of whom 947 (58.6%) were

male. The mean time of arrival of an ambulance in the patient’s location from the EMS station was 11.94 ± 6.67 minutes, and the longest time was 69.32 minutes. The mean time from the patient’s location to the stroke center was 17.79 ± 11.42 minutes (range 2.4 - 83.70 minutes). Stroke centers in Tehran are not distributed in a balanced manner, and they are concentrated on the central and northern parts of Tehran, limiting access to hospital services.

Conclusions: The multiplicity of hospitals in the west and center of Tehran led to an increase in access times in eastern Tehran. It

emphasizes the necessity of revision of service locating, especially because the east of Tehran has a denser texture than the west.

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