선진국의 뇌졸중집중치료서비스 모형과 실제
Models and Actual Status of Stroke Unit Services in Developed Countries
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Background: It has been reported that organized inpatient (stroke unit) care reduces the mortality rate, and the need for institutional care or dependent living after stroke. Based on this evidence, stroke units have becomes popular among large-scale hospitals in developed countries. The aim of this study was to provide perspective regarding the efficacy of stroke units and their current status in developed countries. Methods and Results: An electronic search was conducted using the Cochrane Database, PubMed, and other online databases, in addition to a manual search. The efficacy of stroke-unit care compared to general-ward care was summarized and is presented with respect to death, death or institutional care, and death or dependency by the end of the scheduled follow-up. Current concepts and the status of stroke-unit services among developed countries were reviewed and compared with each other. The desirable models of stroke-unit services are discussed in terms of the stroke center. Conclusions: Stroke is the second leading cause of death in Korea and there that stroke-unit care is effective at improving the outcome of stroke patients. The expeditious development and realization of organized inpatient care for stroke victims should be a Government priority.
Abstract
Background: It has been reported that organized inpatient (stroke unit) care reduces the mortality rate, and the need for institutional care or dependent living after stroke. Based on this evidence, stroke units have becomes popular among large-scale hospitals in developed countries. The aim of this study was to provide perspective regarding the efficacy of stroke units and their current status in developed countries. Methods and Results: An electronic search was conducted using the Cochrane Database, PubMed, and other online databases, in addition to a manual search. The efficacy of stroke-unit care compared to general-ward care was summarized and is presented with respect to death, death or institutional care, and death or dependency by the end of the scheduled follow-up. Current concepts and the status of stroke-unit services among developed countries were reviewed and compared with each other. The desirable models of stroke-unit services are discussed in terms of the stroke center. Conclusions: Stroke is the second leading cause of death in Korea and there that stroke-unit care is effective at improving the outcome of stroke patients. The expeditious development and realization of organized inpatient care for stroke victims should be a Government priority.
참고문헌 (36)
- 통계청, "사망원인통계연보(2006년)" (2007), 통계청
- 우리나라 보건의료실태분석결과: OECD Health Data 2008, "보건복지가족부", 보건복지가족부, ~ (2008)
- 정은경, "순환기질환 등 주요만성질환 국가중점관리를 위한 중장기 전략목표수립 및 사업체계 개발" (2004), 질병관리본부 보건복지가족부
- Sandercock P, "Cochrane Stroke Group 10 years on: progress to date and future challenges", Stroke, 34, pp.2537~2539 (2003)
- SB Ko, "Acute Stroke Treatment", J Korean Neurol Assoc, 25(3), pp.359~368 (2007)
- Stroke Unit Trialists’ Collaboration, "Organised inpatient (stroke unit) care for stroke", Cochrane Database Syst Rev, 17, pp.CD000197~ (2007)
- Langhorne P, "Do stroke units save lives?", Lancet, 342, pp.395~398 (1993)
- Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke, "Stroke Unit Trialists’ Collaboration", BMJ, 315, pp.1151~1159 (1997)
- Organised inpatient (stroke unit) care for stroke, "Stroke Unit Trialists’ Collaboration", Cochrane Database Syst Rev, pp.CD000197~ (2000)
- Stroke Unit Trialists’ Collaboration, "Organised inpatient(stroke unit) care for stroke", Cochrane Database Syst Rev, pp.CD000197~ (2002)
- Tissue plasminogen activator for acute ischemic stroke, "The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group", N Engl J Med, 333, pp.1581~1587 (1995)
- Mohammad YM, "Primary stroke center: basic components and recommendations", South Med J, 99, pp.749~752 (2006)
- "How do stroke units improve patient outcomes? A collaborative systematic review of the randomized trials", Stroke Unit Trialists’ Collaboration Stroke, 28, pp.2139~3144 (1997)
- Alberts MJ, "Recommendations for the establishment of primary stroke centers", JAMA, 283, pp.3102~3109 (2000)
- Alberts MJ, "Recommendations for comprehensive stroke centers. a consensus statement from the Brain Attack Coalition", Stroke, 36, pp.1597~1616 (2005)
- "Disease-Specific Care certification program: stroke performance measurement implementation guide. 2nd ed. JCAHO", ~ (2008)
- "Full list: Is there a primary stroke center you? USA, TODAY"[URL]
- "U, S, CENSUS, BUREAU. National and state population estimates"[URL]
- Norrving B, "Organized stroke care", Stroke, 37, pp.326~328 (2006)
- Okon NJ, "Availability of diagnostic and treatment services for acute stroke in frontier counties in Montana and Northern Wyoming", J Rural Health, 22, pp.237~241 (2006)
- Camilo O, "Statewide assessment of hospital-based stroke prevention and treatment services in North Carolina: changes over the last 5 years", Stroke, 34, pp.2945~2950 (2003)
- Schwamm LH, "Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association’s Task Force on the Development of Stroke Systems", Circulation, 111, pp.1078~1091 (2005)
- Park S, "Organizing regional stroke systems of care", Curr Opin Neurol, 21, pp.43~55 (2008)
- Langhorne P, "Stroke Unit Trialists’ Collaboration. What are the components of effective stroke unit care?", Age Ageing, 31, pp.365~371 (2002)
- Langhorne P, "Stroke units: the next 10 years", Lancet, 363, pp.834~835 (2004)
- Asplund K, "Riks-stroke - a Swedish national quality register for stroke care", Cerebrovasc Dis, 15(1), pp.5~7 (2003)
- Busse O, "Stroke units and stroke services in Germany", Cerebrovasc Dis, 15(1), pp.8~10 (2003)
- Indredavik B, "Stroke units - the Norwegian experience", Cerebrovasc Dis, 15(1), pp.19~20 (2003)
- Dennis M, "Stroke services in Scotland", Cerebrovasc Dis, 15(1), pp.26~28 (2003)
- Sterzi R, "PROSIT Collaborators, Assessment of regional acute stroke unit care in Italy: the PROSIT study", Cerebrovasc Dis, 15(1), pp.16~18 (2003)
- "Guidelines for Management of Ischemic Stroke 2008"[URL]
- Leys D, "European Stoke Initiative Excutive Committee. The main components of stroke unit care: results of a European expert survey", Cerebrovasc Dis, 23, pp.344~352 (2007)
- Leys D, "Executive Committee of the European Stroke Initiative. Facilities available in European hospitals treating stroke patients", Stroke, 38, pp.2985~2991 (2007)
- Short R, "UK government to spend 105m pounds sterling to improve stroke services", BMJ, 335, pp.1231~ (2007)
- Norrving B, "Organized stroke care: the core of effective stroke care provision", Stroke, 36, pp.1616~1618 (2005)
- Langhorne P, "The main components of stroke unit care: what is the question?", Cerebrovasc Dis, 23, pp.464~ (2007)