뇌졸중센터 인증 현황 및 향후 중증뇌졸중센터 인증을 위한 연관 학회 권고안
Current Status of Stroke Center Certification Accreditation Recommendations for Comprehensive Stroke Centers Certification: A Consensus Statement from the Stroke Associated Korean Societies
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing. However, there are many obstacles in selecting optimal hospitals for paramedics or stroke patients. This has led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.
Abstract
Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing. However, there are many obstacles in selecting optimal hospitals for paramedics or stroke patients. This has led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.
참고문헌 (22)
- 통계청 인구동향과, "Statistical analysis of the cause of death in Korea in 2019", 대한의사협회지, 65(11), pp.748~757 (2022), 대한의사협회[DOI]
- Cheon S, "The lifetime burden following stroke : long term impact of stroke on survival and quality of life", Int J Stroke, pp.17474930231165607~ (2023)
- Jung H, "Cardiovascular risk factors and quality of life among stroke survivors in Korea from 2013 to 2018 : a cross-sectional cohort study", Health Qual Life Outcomes, 20, pp.101~ (2022)
- Powers WJ, "Guidelines for the early management of patients with acute ischemic stroke : 2019 update to the 2018 guidelines for the early management of acute ischemic stroke : a guideline for healthcare professionals from the American Heart Association", American Stroke Association, 2019, pp.50, e344~e418
- Lip GY, "Integrated care for optimizing the management of stroke and associated heart disease : a position paper of the European Society of Cardiology Council on Stroke", Eur Heart J, 43, pp.2442~2460 (2022)
- Herpich F, "Management of acute ischemic stroke", Crit Care Med, 48, pp.1654~ (2020)
- Meretoja A, "Effectiveness of primary and comprehensive stroke centers : PERFECT stroke : a nationwide observational study from Finland", Stroke, 41, pp.1102~1107 (2010)
- Philip B. Gorelick, "Primary and Comprehensive Stroke Centers:History, Value and Certification Criteria", 대한뇌졸중영문학회지, 15(2), pp.78~89 (2013), 대한뇌졸중학회[DOI]
- Dusenbury W, "Ideal foundational requirements for stroke program development and growth : a scientific statement from the American Heart Association", Stroke, 54, pp.e175~e187 (2023)
- Boggs KM, "An inventory of stroke centers in the United States", J Am Coll Emerg Physicians Open, 3, pp.e12673~ (2022)
- Waje-Andreassen U, "European Stroke Organisation certification of stroke units and stroke centres", Eur Stroke J, 3, pp.220~226 (2018)
- Demeestere J, "Review of perfusion imaging in acute ischemic stroke : from time to tissue", Stroke, 51, pp.1017~1024 (2020)
- Saver JL, "Cryptogenic stroke", N Engl J Med, 374, pp.2065~2074 (2016)
- Ramos A, "Prehospital stroke triage", Neurology, 97, pp.S25~S33 (2021)
- Jun Yup Kim, "Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society", 대한뇌졸중영문학회지, 21(1), pp.42~59 (2019), 대한뇌졸중학회[DOI]
- Jun Yup Kim, "Acute Stroke Care in Korea in 2013–2014: National Averages and Disparities", Journal of Korean Medical Science, 35(20), pp.1~13 (2020), 대한의학회[DOI]
- Sun Y, "A systematic review and meta-analysis of acute stroke unit care : what’s beyond the statistical significance?", BMC Med Res Methodol, 13, pp.1~11 (2013)
- Rao CPV, "Management of stroke in the neurocritical care unit", CONTINUUM : Lifelong Learning in Neurology, 24, pp.1658~1682 (2018)
- Alberts MJ, "Recommendations for comprehensive stroke centers : a consensus statement from the Brain Attack Coalition", Stroke, 36, pp.1597~1616 (2005)
- Ringelstein EB, "European Stroke Organisation recommendations to establish a stroke unit and stroke center", Stroke, 44, pp.828~840 (2013)
- Duncan PW, "Comprehensive stroke care and outcomes : time for a paradigm shift", Stroke, 52, pp.385~393 (2021)
- Kim DY, "Clinical practice guideline for stroke rehabilitation in Korea 2016", Brain Neurorehabil, 10(Suppl 1), pp.e11~ (2017)