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Regional differences in the care of acute stroke patients

Date:
September 9, 2011
Source:
Deutsches Aerzteblatt International
Summary:
Considerable regional differences exist in the treatment of patients with acute cerebral infarction.

Considerable regional differences exist in the treatment of patients with acute cerebral infarction. This is the finding presented by Erwin Stolz and his co-authors in the current issue of Deutsches Ärzteblatt International.

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The prognosis for patients with stroke largely depends on a rapid, standardized first response. Across the German federal state of Hesse, there are great differences in the time interval between symptom onset and admission to hospital or transfer to a specialist stroke unit. Percentages of patients who receive treatment with drugs that break down the blood clot (thrombolysis) also vary greatly, more than was expected. The average thrombolysis rate in patients admitted to hospital within 3 hours after the stroke was 19%, but rates varied regionally between 6% and 35%.

The authors base their study on data from the mandatory quality assurance program for stroke in Hesse. They argue that improvement is needed; in particular, they believe that treatment paths and care structures within individual hospitals must be analyzed more closely.

Because of its political sensitivity, this report is accompanied by an editorial by Klaus Berger, in which he ascribes the apparently obvious regional differences to a multitude of influencing factors.


Story Source:

The above story is based on materials provided by Deutsches Aerzteblatt International. Note: Materials may be edited for content and length.


Journal Reference:

  1. Stolz E, Hamann GF, Kaps M, Misselwitz B. Local differences in acute stroke admission and thrombolysis rates in the German federal state of Hesse. Dtsch Arztebl Int, 2011; 108(36): 607%u201311 DOI: 10.3238/arztebl.2011.0607

Cite This Page:

Deutsches Aerzteblatt International. "Regional differences in the care of acute stroke patients." ScienceDaily. ScienceDaily, 9 September 2011. <www.sciencedaily.com/releases/2011/09/110909115740.htm>.
Deutsches Aerzteblatt International. (2011, September 9). Regional differences in the care of acute stroke patients. ScienceDaily. Retrieved November 28, 2014 from www.sciencedaily.com/releases/2011/09/110909115740.htm
Deutsches Aerzteblatt International. "Regional differences in the care of acute stroke patients." ScienceDaily. www.sciencedaily.com/releases/2011/09/110909115740.htm (accessed November 28, 2014).

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