Suchergebnisse

Organized stroke care systems improve stroke outcomes, but require resources and quality-improvement programs. This study was aimed at understanding the current status of stroke care services and stroke units in Korea. An on-line survey to investigate stroke services was conducted using a structured questionnaire for physicians who were in charge of stroke services or neurology departments of Korean hospitals that had neurology resident training programs. Of the 86 neurology training hospitals in Korea, 67 (78쨌0%) participated in this study. Brain computed tomography and computed tomography angiography were available 24 h a day and seven days a week (24/7) in all hospitals. More than 95% of hospitals offered transcranial Doppler, carotid duplex sonography, echocardiography, and conventional catheter angiography. Intravenous thrombolysis and hemicraniectomy for ischemic brain edema were provided 24/7 in all hospitals, and 50 hospitals (74쨌6%) were capable of intra-arterial thrombolysis. Stent or angioplasty was more frequently performed than endarterectomy. Performance measures were monitored in 57 hospitals (85쨌1%). Twenty-nine (43쨌3%) hospitals had stroke units. Stroke units were more common as the number of beds in the hospital increased (P��=��0쨌001). When compared with hospitals without stroke units, stroke coordinators, use of general management protocol and education program for stroke team were more frequently available in the hospitals with stroke units. Most neurology training hospitals in Korea offered competent acute stroke care services. However, stroke units have not been widely implemented. Encouragement and support at the government or national stroke society level would promote the implementation of stroke units with little additional effort. ; open

Organized stroke care systems improve stroke outcomes, but require resources and quality-improvement programs. This study was aimed at understanding the current status of stroke care services and stroke units in Korea. An on-line survey to investigate stroke services was conducted using a structured questionnaire for physicians who were in charge of stroke services or neurology departments of Korean hospitals that had neurology resident training programs. Of the 86 neurology training hospitals in Korea, 67 (78·0%) participated in this study. Brain computed tomography and computed tomography angiography were available 24 h a day and seven days a week (24/7) in all hospitals. More than 95% of hospitals offered transcranial Doppler, carotid duplex sonography, echocardiography, and conventional catheter angiography. Intravenous thrombolysis and hemicraniectomy for ischemic brain edema were provided 24/7 in all hospitals, and 50 hospitals (74·6%) were capable of intra-arterial thrombolysis. Stent or angioplasty was more frequently performed than endarterectomy. Performance measures were monitored in 57 hospitals (85·1%). Twenty-nine (43·3%) hospitals had stroke units. Stroke units were more common as the number of beds in the hospital increased ( P = 0·001). When compared with hospitals without stroke units, stroke coordinators, use of general management protocol and education program for stroke team were more frequently available in the hospitals with stroke units. Most neurology training hospitals in Korea offered competent acute stroke care services. However, stroke units have not been widely implemented. Encouragement and support at the government or national stroke society level would promote the implementation of stroke units with little additional effort. [ FROM AUTHOR] ; restriction

Beginnend mit der Stroke Unit werden aktuelle Aspekte der Versorgung von Schlaganfallpatienten im interdisziplinären Kontext des Pflege- und Behandlungsteams dargestellt. Das Buch bietet wichtiges Wissen über Entstehung und Prophylaxe des ischämischen Schlaganfalls sowie zur kompetenten Pflege und Beratung von Betroffenen über die gesamte Krankheitsdauer. Neben medizinischen Grundlagen werden verschiedene Facetten der Pflege bei sichtbaren und unsichtbaren Einschränkungen behandelt. Informationen zu sozialrechtlichen Fragen und zur Rehabilitation in der Altenpflege runden das Buch ab. Die 2. Auflage wurde überarbeitet und um ein Kapitel zum Neglect aus Sicht der Ergotherapie ergänzt. Prof. Dr. phil. Anne-Kathrin Cassier-Woidasky, Dipl.-Pflegepädagogin, DHBW Stuttgart. Jörg Nahrwold, Dipl.-Berufspädagoge (FH), Johannes-Wesling-Klinikum Minden. Dr. med. Joerg Glahn, Facharzt für Neurologie und Intensivmedizin, Vorsitzender der DSG-Kommission 'Pflegefortbildung auf der Stroke-Unit', Johannes-Wesling-Klinikum Minden.

Das Bundessozialgericht (BSG) hat mit Urteil vom 29. August 2023 (Aktenzeichen B 1 KR 15/22 R) die Voraussetzungen für die stationäre Aufnahme bei Notfallbehandlungen in einem Schockraum oder auf einer Schlaganfallstation (Stroke Unit) abgesenkt.

Background and aim: In the scientific literature, there is unanimous consensus that hospitalization in stroke unit (SU) is the most important treatment for stroke patients. In this regard, the Act number 70/2015 by the Italian government identified specific skills that contribute to a classification of SU and outlined a "hub and spoke" stroke network. The aim of our study was to check the coverage of requirements of first and second level SU in the national territory and to shed light on any deficit or misdistribution of resources. Material and methods: In 2019, a survey on the current situation related to stroke care in Italy was carried out by the Italian Society of Neurology (SIN), The Italian Stroke Organization (ISO), and the Association for the Fight against Stroke (A.L.I.Ce). Results: First level SU was found to be 58 against a requirement, according to the Act 70/2015, of 240. Second level SU was found to be 52 compared with an expected requirement of 60. Neurointerventionists were 280 nationally, with a requirement of 240. A misdistribution of resources within individual regions was often seen. Conclusions: The survey demonstrated a severe shortage of beds dedicated to cerebrovascular diseases, mainly because of lack of first level SU, especially in central and southern Italy. It also suggests that the current hub and spoke system is not yet fully implemented across the country and that resources should be better distributed in order to ensure uniform and fair care for all stroke patients on the whole territory.