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@ARTICLE{Scholten:154900,
      author       = {Scholten, N. and Pfaff, H. and Lehmann, H. C. and Fink, G.
                      R. and Karbach, U.},
      title        = {{T}hrombolysis for acute stroke – {A} nationwide analysis
                      of regional medical care},
      journal      = {Fortschritte der Neurologie, Psychiatrie},
      volume       = {81},
      number       = {10},
      issn         = {1439-3522},
      address      = {Stuttgart [u.a.]},
      publisher    = {Thieme},
      reportid     = {FZJ-2014-04130},
      pages        = {579 - 585},
      year         = {2013},
      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.},
      cin          = {INM-3},
      ddc          = {610},
      cid          = {I:(DE-Juel1)INM-3-20090406},
      pnm          = {333 - Pathophysiological Mechanisms of Neurological and
                      Psychiatric Diseases (POF2-333) / 89572 - (Dys-)function and
                      Plasticity (POF2-89572)},
      pid          = {G:(DE-HGF)POF2-333 / G:(DE-HGF)POF2-89572},
      typ          = {PUB:(DE-HGF)16},
      UT           = {WOS:000325139300005},
      doi          = {10.1055/s-0033-1350496},
      url          = {https://juser.fz-juelich.de/record/154900},
}