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Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care
DC Field | Value | Language |
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dc.contributor.author | Park, Eun Hye | - |
dc.contributor.author | Hwang, Seung-Sik | - |
dc.contributor.author | Oh, Juhwan | - |
dc.contributor.author | Kim, Beom-Joon | - |
dc.contributor.author | Bae, Hee-Joon | - |
dc.contributor.author | Yang, Ki-Hwa | - |
dc.contributor.author | Choi, Ah-Rum | - |
dc.contributor.author | Kang, Mi-Yeon | - |
dc.contributor.author | Subramanian, S.V. | - |
dc.date.accessioned | 2024-08-08T01:21:08Z | - |
dc.date.available | 2024-08-08T01:21:08Z | - |
dc.date.created | 2023-04-28 | - |
dc.date.created | 2023-04-28 | - |
dc.date.issued | 2023-03 | - |
dc.identifier.citation | 예방의학회지, Vol.56 No.2, pp.145-153 | - |
dc.identifier.issn | 1975-8375 | - |
dc.identifier.uri | https://hdl.handle.net/10371/205309 | - |
dc.description.abstract | OBJECTIVES: Although it is difficult to define the quality of stroke care, acute ischemic stroke (AIS) patients with moderate-to-severe neurological deficits may benefit from thrombectomy-capable hospitals (TCHs) that have a stroke unit, stroke specialists, and a substantial endovascular thrombectomy (EVT) case volume. METHODS: From national audit data collected between 2013 and 2016, potential EVT candidates arriving within 24 hours with a baseline National Institutes of Health Stroke Scale score ≥6 were identified. Hospitals were classified as TCHs (≥15 EVT case/y, stroke unit, and stroke specialists), primary stroke hospitals (PSHs) without EVT (PSHs-without-EVT, 0 case/y), and PSHs-with-EVT. Thirty-day and 1-year case-fatality rates (CFRs) were analyzed using random intercept multilevel logistic regression. RESULTS: Out of 35 004 AIS patients, 7954 (22.7%) EVT candidates were included in this study. The average 30-day CFR was 16.3% in PSHs-without-EVT, 14.8% in PSHs-with-EVT, and 11.0% in TCHs. The average 1-year CFR was 37.5% in PSHs-without-EVT, 31.3% in PSHs-with-EVT, and 26.2% in TCHs. In TCHs, a significant reduction was not found in the 30-day CFR (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.76 to 1.12), but was found in the 1-year CFR (OR, 0.84; 95% CI, 0.73 to 0.96). CONCLUSIONS: The 1-year CFR was significantly reduced when EVT candidates were treated at TCHs. TCHs are not defined based solely on the number of EVTs, but also based on the presence of a stroke unit and stroke specialists. This supports the need for TCH certification in Korea and suggests that annual EVT case volume could be used to qualify TCHs. | - |
dc.language | 영어 | - |
dc.publisher | 대한예방의학회 | - |
dc.title | Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care | - |
dc.type | Article | - |
dc.identifier.doi | 10.3961/jpmph.22.318 | - |
dc.citation.journaltitle | 예방의학회지 | - |
dc.identifier.wosid | 001100692300004 | - |
dc.identifier.scopusid | 2-s2.0-85152439918 | - |
dc.citation.endpage | 153 | - |
dc.citation.number | 2 | - |
dc.citation.startpage | 145 | - |
dc.citation.volume | 56 | - |
dc.identifier.kciid | ART002948039 | - |
dc.description.isOpenAccess | Y | - |
dc.contributor.affiliatedAuthor | Hwang, Seung-Sik | - |
dc.contributor.affiliatedAuthor | Bae, Hee-Joon | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | ACUTE ISCHEMIC-STROKE | - |
dc.subject.keywordPlus | RECANALIZATION THERAPY | - |
dc.subject.keywordPlus | 2019 UPDATE | - |
dc.subject.keywordPlus | QUALITY | - |
dc.subject.keywordPlus | GUIDELINES | - |
dc.subject.keywordPlus | SYSTEMS | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | Cerebral infarction | - |
dc.subject.keywordAuthor | Endovascular procedures | - |
dc.subject.keywordAuthor | Epidemiology | - |
dc.subject.keywordAuthor | Quality of healthcare | - |
dc.subject.keywordAuthor | Stroke | - |
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