TY  - JOUR
AU  - Scholten, N.
AU  - Pfaff, H.
AU  - Lehmann, H. C.
AU  - Fink, G. R.
AU  - Karbach, U.
TI  - Thrombolysis for acute stroke – A nationwide analysis of regional medical care
JO  - Fortschritte der Neurologie, Psychiatrie
VL  - 81
IS  - 10
SN  - 1439-3522
CY  - Stuttgart [u.a.]
PB  - Thieme
M1  - FZJ-2014-04130
SP  - 579 - 585
PY  - 2013
AB  -  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.
LB  - PUB:(DE-HGF)16
UR  - <Go to ISI:>//WOS:000325139300005
DO  - DOI:10.1055/s-0033-1350496
UR  - https://juser.fz-juelich.de/record/154900
ER  -