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논문 기본 정보

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학술저널
저자정보
Kim, Tackeun (Department of Neurosurgery, Seoul National University Bundang Hospital) Oh, Chang Wan (Department of Neurosurgery, Seoul National University Bundang Hospital) Park, Hyeon Seon (Department of Neurosurgery, Inha University Hospital) Lee, Kunsei (Department of Preventive Medicine, School of Medicine, Konkuk University) Lee, Won Kyung (Department of Social and Preventive Medicine, Inha University School of Medicine) Lee, Heeyoung (Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital)
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대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제61권 제4호
발행연도
2018.1
수록면
478 - 484 (7page)

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Objective : Cerebrovascular disease (CVD) was the third most common cause of death in South Korea in 2014. Evidence from abroad suggests that comprehensive stroke centers play an important role in improving the mortality rate of stroke. However, surgical treatment for CVD is currently slightly neglected by national policy, and there is still regional imbalance in this regard. For this reason, we conducted a survey on the necessity of, and the requirements for, establishing regional comprehensive cerebrovascular surgery centers (CCVSCs). Methods : This investigation was performed using the questionnaire survey method. The questionnaire was consisted with two sections. The first concerned the respondent's opinion regarding the current status of demand and the regional imbalance of cerebrovascular surgery in South Korea. The second section asked about the requirements for establishing regional CCVSCs. We sent the questionnaire to 100 board members of the Korean Society of Cerebrovascular Surgeons. Results : Most experts agreed that cerebrovascular surgery patients were concentrated in large hospitals in the capital area, and 83.6% of respondents agreed that it was necessary to alleviate the regional imbalance of cerebrovascular surgery. With regards to personnel, over 90% of respondents answered that at least two neuro-vascular surgeons and two neuro-interventionists are necessary to establish a CCVSC. Regarding facilities, almost all respondents stated that each CCVSC would require a neuro-intensive care unit and hybrid operating room. The survey asked the respondents about 13 specific neurovascular surgical procedures and whether they were necessary for a regional CCVSC. In the questions about the necessity of cerebrovascular surgical equipment, all seven pieces of equipment were considered essential by all respondents. A further five pieces of equipment were considered necessary on site: computed tomographic angiography, magnetic resonance angiography, conventional angiography, surgical microscope, and surgical navigation. Our results may provide a basis for future policy regarding treatment of cerebrovascular disease, including surgery. Conclusion : Raising the comprehensiveness of treatment at a regional level would lower the national disease burden. Policies should be drafted regarding comprehensive treatment including surgery for cerebrovascular disease, and related support plans should be implemented.
#Cerebrovascular disorders #Patient transfer #Health resources

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참고문헌 (7)

참고문헌 신청
Alberts MJ / 2005 / Recommendations for comprehensive stroke centers: a consensus statement from the Brain Attack Coalition / Stroke 36:1597~1616 Crossref Iihara K / 2014 / Effects of comprehensive stroke care capabilities on in-hospital mortality of patients with ischemic and hemorrhagic stroke: J-ASPECT study / PLoS One 9:e96819 Crossref Korean Statistical Information Service / 0000 / Mortality statistics 2014 google schola Langhorne P / 2013 / Stroke unit care benefits patients with intracerebral hemorrhage: systematic review and meta-analysis / Stroke 44:3044~3049 Crossref Ministry of Health and Welfare / National Health Plan 2020 google schola

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