%0 Journal Article
%A Scholten, N.
%A Pfaff, H.
%A Lehmann, H. C.
%A Fink, G. R.
%A Karbach, U.
%T Thrombolysis for acute stroke – A nationwide analysis of regional medical care
%J Fortschritte der Neurologie, Psychiatrie
%V 81
%N 10
%@ 1439-3522
%C Stuttgart [u.a.]
%I Thieme
%M FZJ-2014-04130
%P 579 - 585
%D 2013
%X  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.
%F PUB:(DE-HGF)16
%9 Journal Article
%U <Go to ISI:>//WOS:000325139300005
%R 10.1055/s-0033-1350496
%U https://juser.fz-juelich.de/record/154900