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논문 기본 정보

자료유형
학술저널
저자정보
Choi Jay Chol (Department of Neurology Jeju National University Hospital Jeju National University College of Medic) Kim Joong-Goo (Department of Neurology Jeju National University Hospital Jeju National University College of Medic) Kang Chul-Hoo (Department of Neurology Jeju National University Hospital Jeju National University College of Medic) Bae Hee-Joon (Department of Neurology Seoul National University Bundang Hospital Seoul National University Colleg) Kang Jihoon (Department of Neurology Seoul National University Bundang Hospital Seoul National University Colleg) Lee Soo-Joo (Department of Neurology Eulji University Hospital Daejeon Korea.) Park Jong-Moo (Department of Neurology Eulji General Hospital Eulji University Seoul Korea.) Park Tai Hwan (Department of Neurology Seoul Medical Center Seoul Korea.) Cho Yong-Jin (Department of Neurology Ilsan Paik Hospital Inje University Goyang Korea.) Lee Kyung Bok (Department of Neurology Soonchunhyang University College of Medicine Seoul Korea.) Lee Jun (Department of Neurology Yeungnam University Hospital Daegu Korea.) Kim Dong-Eog (Department of Neurology Dongguk University Ilsan Hospital Goyang Korea.) Cha Jae-Kwan (Department of Neurology Dong-A University College of Medicine Busan Korea.) Kim Joon-Tae (Department of Neurology Chonnam National University Hospital Chonnam National University Medical Sc) Lee Byung-Chul (Department of Neurology Hallym University Sacred Heart Hospital Anyang Korea.) Lee Ji-Sung (Clinical Research Center Asan Medical Center Seoul Korea.) Kim Anthony S. (Department of Neurology University of California San Francisco San Francisco CA USA.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.11
발행연도
2021.1
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1 - 12 (12page)

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Background: We investigated the association between geographic proximity to hospitals and the administration rate of reperfusion therapy for acute ischemic stroke. Methods: We identified patients with acute ischemic stroke who visited the hospital within 12 hours of symptom onset from a prospective nationwide multicenter stroke registry. Reperfusion therapy was classified as intravenous thrombolysis (IVT), endovascular therapy (EVT), or combined therapy. The association between the proportion of patients who were treated with reperfusion therapy and the ground transport time was evaluated using a spline regression analysis adjusted for patient-level characteristics. We also estimated the proportion of Korean population that lived within each 30-minute incremental service area from 67 stroke centers accredited by the Korean Stroke Society. Results: Of 12,172 patients (mean age, 68 ± 13 years; men, 59.7%) who met the eligibility criteria, 96.5% lived within 90 minutes of ground transport time from the admitting hospital. The proportion of patients treated with IVT decreased significantly when stroke patients lived beyond 90 minutes of the transport time (P = 0.006). The proportion treated with EVT also showed a similar trend with the transport time. Based on the residential area, 98.4% of Korean population was accessible to 67 stroke centers within 90 minutes. Conclusion: The use of reperfusion therapy for acute stroke decreased when patients lived beyond 90 minutes of the ground transport time from the hospital. More than 95% of the South Korean population was accessible to 67 stroke centers within 90 minutes of the ground transport time.

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