This title appears in the Scientific Report : 2014 

Thrombolysis for acute stroke – A nationwide analysis of regional medical care
Scholten, N. (Corresponding Author)
Pfaff, H. / Lehmann, H. C. / Fink, G. R. / Karbach, U.
Kognitive Neurowissenschaften; INM-3
Fortschritte der Neurologie, Psychiatrie, 81 (2013) 10, S. 579 - 585
Stuttgart [u.a.] Thieme 2013
10.1055/s-0033-1350496
Journal Article
(Dys-)function and Plasticity
Pathophysiological Mechanisms of Neurological and Psychiatric Diseases
Please use the identifier: http://dx.doi.org/10.1055/s-0033-1350496 in citations.
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.