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논문 기본 정보

자료유형
학술저널
저자정보
Jun Yup Kim (Department of Neurology Stroke Center Seoul National University Bundang Hospital Seongnam Korea) Keon-Joo Lee (Department of Neurology Seoul National University Bundang HospitalSeongnam Korea) Jihoon Kang (Department of Neurology Stroke Center Seoul National University Bundang Hospital Seongnam Korea) Beom Joon Kim (Department of Neurology Seoul National University Bundang Hospital Seongnam Korea) 김성은 (Department of Neurology Seoul National University Bundang HospitalSeongnam Korea) Hyunji Oh (Seoul National University Bundang Hospital) Hong-Kyun Park (Department of Neurology Inje University Ilsan Paik HospitalGoyang Korea) Yong Jin Cho (College of Medicine Inje University Ilsan Baek Hospital) Jong-Moo Park (Department of Neurology Eulji General Hospital Eulji University Seoul Korea) Kwang-Yeol Park (Chung-Ang University College of Medicine) Kyung Bok Lee (Departments of Neurology Soonchunhyang University Seoul Hospital Soonchunhyang University School of) Soo Joo Lee (Daejeon Eulji Medical Center Eulji University School of Medicine Daejeon Korea) Tackeun Kim (Department of Neurosurgery Seoul National University Bundang Hospital) Ji Sung Lee (Clinical Research Center Asan Institute for Life Sciences Asan Medical Center Seoul Korea) Juneyoung Lee (Department of Biostatistics College of Medicine Korea University Seoul Korea) Ki Hwa Yang (Health Insurance Review and Assessment Service) Ah Rum Choi (Health Insurance Review and Assessment Service) Mi Yeon Kang (Health Insurance Review and Assessment Service) 배희준 (서울대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.20
발행연도
2020.1
수록면
1 - 13 (13page)

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Background: This study aimed to describe the current status of acute stroke care in Korea and explore disparities among hospitals and regions. Methods: The 2013 and 2014 national stroke audit data and the national health insurance claims data were linked and used for this study. Stroke patients hospitalized via emergency rooms within 7 days of stroke onset were selected. Results: A total of 19,608 patients treated in 216 hospitals were analyzed. Among them 76% had ischemic stroke; 15%, intracerebral hemorrhage (ICH); and 9%, subarachnoid hemorrhage (SAH). Of the hospitals, 31% provided inpatient stroke unit care. Ambulances were used in 56% of cases, and the median interval from onset to arrival was 4.5 hours. One-quarter of patients were referred from other hospitals. Intravenous thrombolysis (IVT) and endovascular treatment (EVT) rates were 11% and 4%, respectively. Three-quarters of the analyzed hospitals provided IVT and/or EVT, whereas 47% of hospitals providing IVT and 67% of hospitals providing EVT had less than one case per month. Decompressive surgery was performed on 28% of ICH patients, and clipping and coiling were performed in 17.2% and 14.3% of SAH patients, respectively. There were noticeable regional disparities between the various interventions, ambulance use, arrival time, and stroke unit availability. Conclusion: This study describes the current status of acute stroke care in Korea. Despite quite acceptable quality of stroke care, it suggests regional and hospital disparities. Expansion of stroke units, stroke center certification or accreditation, and connections between stroke centers and emergency medical services are highly recommended.

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