Evolution of Stroke Emergency System in Tokushima University Hospital

DOI 3 References
  • Kageji Teruyoshi
    Department of Neurosurgery, The University of Tokushima
  • Nagahiro Shinji
    Department of Neurosurgery, The University of Tokushima Tokushima University Hospital Stroke Center
  • Satomi Jyunichiro
    Department of Neurosurgery, The University of Tokushima Tokushima University Hospital Stroke Center
  • Terasawa Yuka
    Tokushima University Hospital Stroke Center Department of Neurology, The University of Tokushima
  • Harada Masafumi
    Tokushima University Hospital Stroke Center Department of Radiology, The University of Tokushima

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  • 徳島大学病院における脳卒中救急システムの進化

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We established the stroke care unit (SCU) for stroke emergency system in Tokushima University Hospital. There were 3,452 patients admitted with acute stroke from 1999 to 2013 in our institute, and 131 patients with acute ischemic stroke were treated with rt-PA (recombinant tissue-type plasminogen activator) intravenous infusion therapy. Revascularization therapy for acute ischemic stroke was done in 20% of patients and rt-PA intravenous infusion therapy in 10.6% of patients. SCU was on track since 2008 and the implementation rate of therapy during this period was 12.8%. The activity of stroke center in our institute promotes improvement of stroke medical level in the region, increase of convalescence rehabilitation facility, and increase in the hospital medical fees. As a result, the stroke center has contributed to medical students and young doctors for the education of stroke. Challenge for the future is the establishment of the treatment system for acute stroke in the medical depopulated area.

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