Universität zu Köln

Scholten, N., Pfaff, H., Lehmann, H. C., Fink, G. R. and Karbach, U. (2013). Thrombolysis for Acute Stroke - A Nationwide Analysis of Regional Medical Care. Forschritte Neurol. Psychiatr., 81 (10). S. 579 - 586. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-3522

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Abstract

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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Scholten, N. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pfaff, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Lehmann, H. C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fink, G. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Karbach, U. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-475330
DOI:	10.1055/s-0033-1350496
Journal or Publication Title:	Forschritte Neurol. Psychiatr.
Volume:	81
Number:	10
Page Range:	S. 579 - 586
Date:	2013
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-3522
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ACUTE ISCHEMIC-STROKE; PLASMINOGEN-ACTIVATOR; ALTEPLASE; FREQUENCY; THERAPY; RATES Multiple languages Clinical Neurology; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47533