Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea
| Autor: | Joon-Tae Kim, Jae Guk Kim, Beom Joon Kim, Young-Chai Ko, Keun-Sik Hong, Sang-Soon Park, Dae-Hyun Kim, Mi Sun Oh, Kyusik Kang, Min Ju Yeo, Dong Ick Shin, Kyung Ho Yu, Juneyoung Lee, Jong-Moo Park, Jay Chol Choi, Wook-Joo Kim, Byung-Chul Lee, Jae Kwan Cha, Dong-Eog Kim, Tai Hwan Park, Sung Il Sohn, Hee-Joon Bae, Kyung Bok Lee, Jun Lee, Hyun Wook Nah, Ji Sung Lee, Wi Sun Ryu, Soo Joo Lee, Moon Ku Han, Yong-Jin Cho, Jeong-Ho Hong, Byung Woo Yoon, Ki-Hyun Cho |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Stroke registry
medicine.medical_specialty Pediatrics thrombolysis lcsh:Diseases of the circulatory (Cardiovascular) system Neurology medicine.medical_treatment Review Recurrent stroke Epidemiology medicine case profile Stroke hyperacute treatment business.industry Stroke scale stroke registry Thrombolysis medicine.disease Clinical research recurrent event lcsh:RC666-701 outcome Neurology (clinical) south korea Erratum Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Stroke, Vol 17, Iss 1, Pp 38-53 (2015) Journal of Stroke |
| ISSN: | 2287-6405 2287-6391 |
| Popis: | Characteristics of stroke cases, acute stroke care, and outcomes after stroke differ according to geographical and cultural background. To provide epidemiological and clinical data on stroke care in South Korea, we analyzed a prospective multicenter clinical stroke registry, the Clinical Research Center for Stroke-Fifth Division (CRCS-5). Patients were 58% male with a mean age of 67.2±12.9 years and median National Institutes of Health Stroke Scale score of 3 [1-8] points. Over the 6 years of operation, temporal trends were documented including increasing utilization of recanalization treatment with shorter onset-to-arrival delay and decremental length of stay. Acute recanalization treatment was performed in 12.7% of cases with endovascular treatment utilized in 36%, but the proportion of endovascular recanalization varied across centers. Door-to-IV alteplase delay had a median of 45 [33-68] min. The rate of symptomatic hemorrhagic transformation (HT) was 7%, and that of any HT was 27% among recanalization-treated cases. Early neurological deterioration occurred in 15% of cases and were associated with longer length of stay and poorer 3-month outcomes. The proportion of mRS scores of 0-1 was 42% on discharge, 50% at 3 months, and 55% at 1 year after the index stroke. Recurrent stroke up to 1 year occurred in 4.5% of patients; the rate was higher among older individuals and those with neurologically severe deficits. The above findings will be compared with other Asian and US registry data in this article. |
| Databáze: | OpenAIRE |
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