Past & Future of Stroke Care in Europe

J 2017

Past & Future of Stroke Care in Europe

MIKULÍK, Robert, Valeria CASO and Nils WAHLGREN

Basic information

Original name

Past & Future of Stroke Care in Europe

Authors

MIKULÍK, Robert (203 Czech Republic, guarantor, belonging to the institution), Valeria CASO (380 Italy) and Nils WAHLGREN (752 Sweden)

Edition

Oruen - The CNS Journal, [S.l.], Oruen Limited, 2017, 2059-2442

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/17:00099250

Organization unit

Faculty of Medicine

Keywords in English

Stroke; Registries; Continuous Quality Improvement; European Stroke Organisation; tPA; stroke unit; quality; disparities; thrombolysis; ESO-EAST

Abstract

V originále

Cardiovascular diseases, including stroke, are the leading cause of death in the European Union (EU), responsible for more than 4 million deaths in 2013 and accounting for 45% of all deaths. Coronary heart disease (CHD) and stroke account for the majority CVD-related deaths, with 1.8 million deaths from CHD and 1 million from stroke annually. In the past 20 years, there have been significant advances in the prevention and treatment of primary and secondary stroke. Yet there are wide disparities in the incidence of stroke and stroke-related morbidity and mortality throughout the EU, with quality dependent on a region’s uptake of these best practices. Imbalances include the percentage of patients who receive thrombolysis, are treated in stroke units, and have access to mechanical thrombectomy. To address these disparities, several organizations throughout the EU are implementing the use of registries as part of continuous quality improvement efforts designed to improve the quality of stroke care. Registries include those from the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST), which contains data on 6,500 stroke patients; the European Stroke Organisation’s registry, which sets criteria hospitals must meet to receive enhanced levels of care designation; and the Registry of Stroke Care Quality (RES-Q), a multinational, registry-based study to document the impact of improving the uptake of evidence-based interventions shown to improve the quality of stroke care and outcomes. These and other efforts to improve stroke care in the EU face numerous challenges, however, particularly the diversity of resources and health system structures in member countries. Overcoming these barriers will require that representatives of various countries learn to work together towards the common goal of reducing strokes and improving outcomes.

Citovat

MIKULÍK, Robert, Valeria CASO and Nils WAHLGREN. Past & Future of Stroke Care in Europe. Oruen - The CNS Journal. [S.l.]: Oruen Limited, 2017, vol. 2, No 2, p. 19-26. ISSN 2059-2442.

@article{1402763,
   author = {Mikulík, Robert and Caso, Valeria and Wahlgren, Nils},
   article_location = {[S.l.]},
   article_number = {2},
   keywords = {Stroke; Registries; Continuous Quality Improvement; European Stroke Organisation; tPA; stroke unit; quality; disparities; thrombolysis; ESO-EAST},
   language = {eng},
   issn = {2059-2442},
   journal = {Oruen - The CNS Journal},
   title = {Past & Future of Stroke Care in Europe},
   volume = {2},
   year = {2017}
}

TY  - JOUR
ID  - 1402763
AU  - Mikulík, Robert - Caso, Valeria - Wahlgren, Nils
PY  - 2017
TI  - Past & Future of Stroke Care in Europe
JF  - Oruen - The CNS Journal
VL  - 2
IS  - 2
SP  - 19-26
EP  - 19-26
PB  - Oruen Limited
SN  - 20592442
KW  - Stroke
KW  - Registries
KW  - Continuous Quality Improvement
KW  - European Stroke Organisation
KW  - tPA
KW  - stroke unit
KW  - quality
KW  - disparities
KW  - thrombolysis
KW  - ESO-EAST
N2  - Cardiovascular diseases, including stroke, are the leading cause of death in the European Union (EU), responsible for more than 4 million deaths in 2013 and accounting for 45% of all deaths. Coronary heart disease (CHD) and stroke account for the majority CVD-related deaths, with 1.8 million deaths from CHD and 1 million from stroke annually. In the past 20 years, there have been significant advances in the prevention and treatment of primary and secondary stroke. Yet there are wide disparities in the incidence of stroke and stroke-related morbidity and mortality throughout the EU, with quality dependent on a region’s uptake of these best practices. Imbalances include the percentage of patients who receive thrombolysis, are treated in stroke units, and have access to mechanical thrombectomy. To address these disparities, several organizations throughout the EU are implementing the use of registries as part of continuous quality improvement efforts designed to improve the quality of stroke care. Registries include those from the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST), which contains data on 6,500 stroke patients; the European Stroke Organisation’s registry, which sets criteria hospitals must meet to receive enhanced levels of care designation; and the Registry of Stroke Care Quality (RES-Q), a multinational, registry-based study to document the impact of improving the uptake of evidence-based interventions shown to improve the quality of stroke care and outcomes. These and other efforts to improve stroke care in the EU face numerous challenges, however, particularly the diversity of resources and health system structures in member countries. Overcoming these barriers will require that representatives of various countries learn to work together towards the common goal of reducing strokes and improving outcomes.
ER  -

MIKULÍK, Robert, Valeria CASO and Nils WAHLGREN. Past \&{} Future of Stroke Care in Europe. \textit{Oruen - The CNS Journal}. [S.l.]: Oruen Limited, 2017, vol.~2, No~2, p.~19-26. ISSN~2059-2442.

Detailed Information on Publication Record