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Stroke units and stroke care services in Korea.

Authors
 Hye-Yeon Choi  ;  Myoung-Jin Cha '  ;  Hyo Suk Nam  ;  Young Dae Kim  ;  Keun Sik Hong  ;  Ji Hoe Heo 
Citation
 INTERNATIONAL JOURNAL OF STROKE, Vol.7(4) : 336-340, 2012 
Journal Title
 INTERNATIONAL JOURNAL OF STROKE 
ISSN
 1747-4930 
Issue Date
2012
MeSH
Diagnostic Imaging/statistics & numerical data ; Health Facility Size/statistics & numerical data ; Hospital Units/standards ; Hospital Units/supply & distribution* ; Hospitalization ; Humans ; Medical Staff, Hospital/supply & distribution ; Quality Improvement ; Republic of Korea ; Stroke/therapy*
Keywords
organized stroke care ; stroke care service ; stroke management ; stroke unit ; stroke
Abstract
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1747-4949.2012.00788.x/abstract
DOI
22510228
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Young Dae(김영대) ORCID logo https://orcid.org/0000-0001-5750-2616
Nam, Hyo Suk(남효석) ORCID logo https://orcid.org/0000-0002-4415-3995
Cha, Myoung Jin(차명진)
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90549
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