A Consecutive and Prospective Stroke Database Covers the State of Baden-Wuerttemberg with 10.8 Million Inhabitants in Germany

被引：21

作者：

Gumbinger, C. ^{[1
]}

Reuter, B. ^{[2
]}

Wiethoelter, H. ^{[3
]}

Bruder, I. ^{[4
]}

Rode, S. ^{[4
]}

Drewitz, E. ^{[3
]}

Habscheid, W. ^{[5
]}

Daffertshofer, M. ^{[6
]}

Diehm, C. ^{[7
]}

Neumaier, S. ^{[8
]}

Kern, R. ^{[2
]}

Ringleb, P. A. ^{[1
]}

Hacke, W. ^{[1
]}

Hennerici, M. G. ^{[2
]}

机构：

[1] Heidelberg Univ, Dept Neurol, Heidelberg, Germany

[2] Univ Clin Mannheim, Dept Neurol, Mannheim, Germany

[3] Klinikum Stuttgart, Dept Neurol, Stuttgart, Germany

[4] Hosp Federat Baden Wuerttemberg, Reg Off Qual Assurance Hosp GeQiK, Stuttgart, Germany

[5] Paracelsus Krankenhaus Ruit, Dept Internal Med, Ostfildern, Germany

[6] Stadtklin Baden Baden, Dept Neurol, Baden Baden, Germany

[7] Klinikum Karlsbad, Dept Internal Med, Karlsbad, Germany

[8] Med Serv & Hlth Insurance, Freiburg, Germany

来源：

NEUROEPIDEMIOLOGY | 2013年 / 41卷 / 3-4期

关键词：

Stroke database; Quality of stroke care; Epidemiology of stroke; Stroke unit concept; CASE-FATALITY; RIKS-STROKE; QUALITY; CARE; IMPLEMENTATION; THROMBOLYSIS; INDICATORS; REGISTER; BURDEN; UNITS;

D O I：

10.1159/000354356

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: In 1998 Baden-Wuerttemberg (BW), a federal state in southwest Germany with 10.8 million inhabitants, implemented a structured medical concept for the treatment of acute stroke. Methods: Since 2004 participation in the BW stroke database is mandatory for all hospitals in BW involved in acute stroke care. The stroke database includes all inpatients 8 years of age who have suffered an ischemic or hemorrhagic stroke within 7 days before hospitalization. This article presents methodological aspects and first results of the BW stroke database in the time period from 2007 to 2011. Results: Annual inclusion numbers increased continuously (29,422 vs. 35,724, p < 0.001). Median age of stroke onset was stable over time. The proportion of stroke patients years increased from 36.9 to 38.8% (p < 0.001). Rates of patients treated in neurology departments rose from 50.7 to 60.9% (p < 0.001) and numbers of patients treated in stroke units rose from 59.1 to 68.4% (p < 0.001). Admission via emergency medical systems increased from 42.8 to 49.7% (p < 0.001) and arrival within 3 h increased from 29.8 to 34.4% (p < 0.001). Conclusion: We present results from a large, prospective and consecutive stroke patient database. This first analysis demonstrates a continuous increase of absolute and relative numbers of stroke patients who arrive within 3 h after onset, are hospitalized in neurology departments and treated in stroke units, and are aged >= 80 years. Copyright (C) 2013 S. Karger AG, Basel

引用

页码：161 / 168

页数：8

共 33 条

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