Hospital resources for urokinase/recombinant tissue-type plasminogen activator therapy for acute stroke in Beijing

Surgical Neurology
Yilong WangYongjun Wang

Abstract

We focus on the current resource level for UK/rt-PA therapy in hospitals in Beijing to design strategies for improving treatment for stroke patients. The data were collected through surveys of 124 grade II or higher hospitals in Bejing, which provide stroke treatment, from July to September 2006. Of the surveyed hospitals, 50% and 92.6% were capable in providing intravenous UK/rt-PA treatment and head CT service, respectively. Eight (7.4%) hospitals have specialized stroke units and 106 (98.1%) hospitals have EDs. We found significant differences between hospitals that can provide UK/rt-PA therapy and the hospitals that cannot in the levels of specialists and clinical care capacity as follows: CT (100% vs 85.2%; P = 0.01), CTA (46.3% vs 22.2%; P = .014), MRI (66.7% vs 22.2%; P = .000), MRA (57.4% vs 20.4%; P = .000), DWI (48.1% vs 9.3%; P = .000), PWI (31.5% vs 5.6%; P = .001), DSA (63.0% vs 25.9%; P = .000), neurologists (100% vs 79.6%; P = .001), neurosurgeons (75.9% vs 44.4%; P = .002), carotid stenting (33.3% vs 5.6%; P = .000), stroke unit (14.8% vs 0%; P = .01), and acute stroke care system (31.5% vs 0%; P = .000). The thrombolysis treatment facilities in Beijing are not sufficient. Hospitals in Beijing should organize st...Continue Reading

References

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Citations

Jun 18, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Vijay K SharmaHock L Teoh
Nov 25, 2011·International Journal of Stroke : Official Journal of the International Stroke Society·Vijay K SharmaBernard P L Chan
Dec 17, 2009·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Demudu Babu BodduSubhash Kaul
Feb 1, 2012·Expert Review of Neurotherapeutics·Vijay K SharmaBernard Pl Chan

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