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dc.contributor.authorWheaton, Ashlee Paige
dc.date.accessioned2021-04-21T11:48:07Z
dc.date.available2021-04-21T11:48:07Z
dc.date.issued2021-04-21T11:48:07Z
dc.identifier.urihttp://hdl.handle.net/10222/80409
dc.description.abstractThere are two treatments for ischemic stroke: medical treatment (tPA) and endovascular therapy (EVT). EVT can only be used to treat ischemic strokes caused by a large vessel occlusion (LVO). EVT is only offered at hospitals with sufficient resources. A previously published model predicts the outcome of patient’s who screen positive for an LVO based on how they were transported, Drip and Ship (tPA only facility first, then EVT facility) or Mothership (direct to EVT facility). Both patient outcome and transport cost functions were developed for these strategies. The addition of rotary wing transportation was conditionally applied to inter-facility transfer scenarios where it provided a time advantage. In most regions, both outcome and cost can be optimized to indicate whether Drip and Ship or Mothership is preferred. Regions exist where outcome and cost are divergent however, the difference between Mothership and Drip and Ship in these regions is marginal.en_US
dc.language.isoenen_US
dc.subjectIschemic Strokeen_US
dc.subjectEndovascular Therapyen_US
dc.subjectPatient Outcomesen_US
dc.subjectPre-hospital Transporten_US
dc.subjectHealthcare Optimizationen_US
dc.subjectTransport Costen_US
dc.subjectAir ambulance inter-facility transferen_US
dc.titleOptimal Transport Scenario for Access to EVT with Consideration of Patient Outcomes and Costen_US
dc.date.defence2021-04-12
dc.contributor.departmentDepartment of Industrial Engineeringen_US
dc.contributor.degreeMaster of Applied Scienceen_US
dc.contributor.external-examinerDr. David Voldersen_US
dc.contributor.graduate-coordinatorDr. Ahmed Saifen_US
dc.contributor.thesis-readerDr. Claver Dialloen_US
dc.contributor.thesis-supervisorDr. Peter VanBerkelen_US
dc.contributor.thesis-supervisorDr. Noreen Kamalen_US
dc.contributor.ethics-approvalNot Applicableen_US
dc.contributor.manuscriptsNot Applicableen_US
dc.contributor.copyright-releaseNot Applicableen_US
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