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Statements

Subject Item
n2:RIV%2F00216208%3A11140%2F10%3A10128563%21RIV13-MSM-11140___
rdf:type
n8:Vysledek skos:Concept
rdfs:seeAlso
http://download.springer.com/static/pdf/658/art%253A10.1007%252Fs00415-009-5259-3.pdf?auth66=1361354778_9f8fa43048d484fb95bf21d55fc1c1fe&ext=.pdf
dcterms:description
The SITS (Safe Implementation of Thrombolysis in Stroke)-EAST project was launched in 2007 to support evidence-based stroke treatments, including thrombolytic treatments (TLTs), in Central and Eastern Europe. The aim of this study was to detail the topography, efficacy, and specific characteristics of stroke centers in the Czech Republic (CZ), the country with the highest rate of TLT. The nationwide study was performed between September and November 2007 through a questionnaire sent to all centers registered in SITS. The questionnaire contained 25 questions addressing how centers met recommendations for primary and comprehensive stroke centers in 2006. Center characteristics predicting the number of TLTs were identified by multiple regression analysis. Altogether, data were obtained from 42 centers (88% response rate) with the following characteristics [median (min-max)]: catchment area population 150,000 (90,000-750,000); number of strokes/year 420 (150-1,589); number of TLTs 7.5 (2-45); number of physicians specialized in stroke 3 (1-7). Centers treated 4.3% of the patients with ischemic strokes with tissue plasminogen activator. A stroke unit was present in 32 (78%) departments. Rescue interventional therapies were performed in 11 (26%). Financial problems restricted TLT in 14 (35%) centers. Fourteen factors were associated with the number of TLTs in univariate regression analysis, but in multiple regression analysis, only the catchment area population (p\0.001),[3 physicians specialized in stroke (p\0.001), and the presence of an acute interventional program (p\0.006) remained significant. This study provides the fundamental stroke treatment network data that are essential for certification and further SITS-EAST TLT expansion. The SITS (Safe Implementation of Thrombolysis in Stroke)-EAST project was launched in 2007 to support evidence-based stroke treatments, including thrombolytic treatments (TLTs), in Central and Eastern Europe. The aim of this study was to detail the topography, efficacy, and specific characteristics of stroke centers in the Czech Republic (CZ), the country with the highest rate of TLT. The nationwide study was performed between September and November 2007 through a questionnaire sent to all centers registered in SITS. The questionnaire contained 25 questions addressing how centers met recommendations for primary and comprehensive stroke centers in 2006. Center characteristics predicting the number of TLTs were identified by multiple regression analysis. Altogether, data were obtained from 42 centers (88% response rate) with the following characteristics [median (min-max)]: catchment area population 150,000 (90,000-750,000); number of strokes/year 420 (150-1,589); number of TLTs 7.5 (2-45); number of physicians specialized in stroke 3 (1-7). Centers treated 4.3% of the patients with ischemic strokes with tissue plasminogen activator. A stroke unit was present in 32 (78%) departments. Rescue interventional therapies were performed in 11 (26%). Financial problems restricted TLT in 14 (35%) centers. Fourteen factors were associated with the number of TLTs in univariate regression analysis, but in multiple regression analysis, only the catchment area population (p\0.001),[3 physicians specialized in stroke (p\0.001), and the presence of an acute interventional program (p\0.006) remained significant. This study provides the fundamental stroke treatment network data that are essential for certification and further SITS-EAST TLT expansion.
dcterms:title
A nationwide study on topography and efficacy of the stroke treatment network in the Czech republic A nationwide study on topography and efficacy of the stroke treatment network in the Czech republic
skos:prefLabel
A nationwide study on topography and efficacy of the stroke treatment network in the Czech republic A nationwide study on topography and efficacy of the stroke treatment network in the Czech republic
skos:notation
RIV/00216208:11140/10:10128563!RIV13-MSM-11140___
n3:aktivita
n12:Z n12:P
n3:aktivity
P(NS10100), Z(MSM0021620819)
n3:cisloPeriodika
1
n3:dodaniDat
n10:2013
n3:domaciTvurceVysledku
n4:1648349
n3:druhVysledku
n14:J
n3:duvernostUdaju
n9:S
n3:entitaPredkladatele
n16:predkladatel
n3:idSjednocenehoVysledku
244719
n3:idVysledku
RIV/00216208:11140/10:10128563
n3:jazykVysledku
n15:eng
n3:klicovaSlova
republic; Czech; network; treatment; stroke; efficacy; topography; study; nationwide
n3:klicoveSlovo
n6:efficacy n6:network n6:republic n6:treatment n6:topography n6:study n6:nationwide n6:stroke n6:Czech
n3:kodStatuVydavatele
DE - Spolková republika Německo
n3:kontrolniKodProRIV
[C616F1F91F59]
n3:nazevZdroje
Journal of Neurology
n3:obor
n18:FH
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
7
n3:projekt
n13:NS10100
n3:rokUplatneniVysledku
n10:2010
n3:svazekPeriodika
257
n3:tvurceVysledku
Václavík, Daniel Bar, Michal Ševčík, Petr Wahlgren, Nils Kalita, Zbyněk Mikulík, Robert Šaňák, Daniel
n3:wos
000273033900005
n3:zamer
n20:MSM0021620819
s:issn
0340-5354
s:numberOfPages
7
n19:doi
10.1007/s00415-009-5259-3
n21:organizacniJednotka
11140