This title appears in the Scientific Report :
2014
Please use the identifier:
http://dx.doi.org/10.1055/s-0033-1350496 in citations.
Thrombolysis for acute stroke – A nationwide analysis of regional medical care
Thrombolysis for acute stroke – A nationwide analysis of regional medical care
Background: This study aims at investigating ischaemic stroke therapy in Germany by using secondary data. The focus lies on the performance of thrombolysis.Methods: Statutory quality report data for 2010 were obtained. All hospitals (n = 1302) treating patients suffering from an ischaemic stroke eit...
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Personal Name(s): | Scholten, N. (Corresponding Author) |
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Pfaff, H. / Lehmann, H. C. / Fink, G. R. / Karbach, U. | |
Contributing Institute: |
Kognitive Neurowissenschaften; INM-3 |
Published in: | Fortschritte der Neurologie, Psychiatrie, 81 (2013) 10, S. 579 - 585 |
Imprint: |
Stuttgart [u.a.]
Thieme
2013
|
DOI: |
10.1055/s-0033-1350496 |
Document Type: |
Journal Article |
Research Program: |
(Dys-)function and Plasticity Pathophysiological Mechanisms of Neurological and Psychiatric Diseases |
Publikationsportal JuSER |
Background: This study aims at investigating ischaemic stroke therapy in Germany by using secondary data. The focus lies on the performance of thrombolysis.Methods: Statutory quality report data for 2010 were obtained. All hospitals (n = 1302) treating patients suffering from an ischaemic stroke either on a neurological, internal, geriatric or intensive care unit were analysed. The treatment situation, defined as the experience in performing thrombolysis, was displayed cartographically. Potential variables that may influence the thrombolysis rate were analysed.Results: 78 % of the 198,500 ischaemic stroke cases were treated on a ward specialised in the stroke treatment (i. e., a stroke unit). The mean thrombolysis rate in neurological departments was 9.1 %. Thrombolysis rates between departments ranged from 0 to 38 %. Significant factors influencing the thrombolysis rate were the total number of ischaemic strokes treated as well as the existence of a stroke unit.Discussion: In Germany, to date regional differences in the treatment of ischaemic stroke exist. Experience in the treatment of ischaemic stroke patients and the availability of a stroke unit both increase the thrombolysis rate. Data suggest that in Germany there is still room for improvement of appropriate ischaemic stroke treatment. |