| Titre : | Facilities for acute stroke patients care in the Czech Republic : Nationwide epidemiological study. (2003) |
| Auteurs : | R. HERZIG ; JANOUT (V.) : CZE. Department of Preventive Medicine. Medical Faculty. Palacky University. Olomouc. ; B. KRUPKA ; J. MARES ; K. URBANEK ; I. VLACHOVA ; Stroke Center. Clinic of Neurology. Faculty Hospital. Palacky University. Olomouc. CZE |
| Type de document : | Article |
| Dans : | European journal of epidemiology (vol. 18, n° 1, 2003) |
| Pagination : | 19-26 |
| Langues: | Anglais |
| Mots-clés : | Accident cérébrovasculaire ; Thérapeutique ; Homme ; République tchèque ; Europe ; Epidémiologie ; Système nerveux [pathologie] ; Vaisseau sanguin encéphale [pathologie] ; Appareil circulatoire [pathologie] ; Vaisseau sanguin [pathologie] |
| Résumé : | [BDSP. Notice produite par INIST-CNRS vfCGbR0x. Diffusion soumise à autorisation]. Background and purpose : Stroke is the third most common cause of death in the Czech Republic (CR). Specialized in-patient stroke unit care improves the outcome of stroke patients. The aim of the study was to chart and improve the current facilities. Methods : Neurological in-patient departments exist in 75% of the districts in the CR, and in the capital Prague. Questionnaires were sent to all 79 neurological in-patient departments. A X2 test was used for the evaluation of statistical significance. Results : There is better access to intensive/intermediary care beds (statistically not significant) and to angiography (statistically significant) in the districts with a population density of over 151 inhabitants per km2 than in districts with a lower population density (p=0.09 and p=0.008). Stroke patients have access within 1 hour to computed tomography of the brain in all but one, and to laboratory tests in all districts with a neurological in-patient department (s). There is no statistically significant difference in the availability of ultrasound examination of extracranial brain arteries between the sparse, and more populated districts (p=0.715). Conclusions : Facilities for the establishment of stroke units are quite good in the majority of highly populated areas ; however, they are worse in some of the larger towns. The results of the study must be used to further improve the development of stroke care in the CR. |
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