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000154900 1001_ $$0P:(DE-HGF)0$$aScholten, N.$$b0$$eCorresponding Author
000154900 245__ $$aThrombolysis for acute stroke – A nationwide analysis of regional medical care
000154900 260__ $$aStuttgart [u.a.]$$bThieme$$c2013
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000154900 520__ $$a Background: This study aims at investigating ischaemic stroke therapy in Germany by using secondary data. The focus lies on the performance of thrombolysis.Methods: Statutory quality report data for 2010 were obtained. All hospitals (n = 1302) treating patients suffering from an ischaemic stroke either on a neurological, internal, geriatric or intensive care unit were analysed. The treatment situation, defined as the experience in performing thrombolysis, was displayed cartographically. Potential variables that may influence the thrombolysis rate were analysed.Results: 78 % of the 198,500 ischaemic stroke cases were treated on a ward specialised in the stroke treatment (i. e., a stroke unit). The mean thrombolysis rate in neurological departments was 9.1 %. Thrombolysis rates between departments ranged from 0 to 38 %. Significant factors influencing the thrombolysis rate were the total number of ischaemic strokes treated as well as the existence of a stroke unit.Discussion: In Germany, to date regional differences in the treatment of ischaemic stroke exist. Experience in the treatment of ischaemic stroke patients and the availability of a stroke unit both increase the thrombolysis rate. Data suggest that in Germany there is still room for improvement of appropriate ischaemic stroke treatment.
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000154900 7001_ $$0P:(DE-HGF)0$$aPfaff, H.$$b1
000154900 7001_ $$0P:(DE-HGF)0$$aLehmann, H. C.$$b2
000154900 7001_ $$0P:(DE-Juel1)131720$$aFink, G. R.$$b3$$ufzj
000154900 7001_ $$0P:(DE-HGF)0$$aKarbach, U.$$b4
000154900 773__ $$0PERI:(DE-600)2037701-0$$a10.1055/s-0033-1350496$$n10$$p579 - 585$$tFortschritte der Neurologie, Psychiatrie$$v81$$x1439-3522$$y2013
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