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Rates of intravenous thrombolysis and endovascular therapy for acute ischaemic stroke in China between 2019 and 2020.

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机构: [1]Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. [2]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China. [3]Department of Neurology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. [4]Department of Neurology, Tianjin Huanhu Hospital, Tianjin, China. [5]Department of Neurology, Linyi People's Hospital, Shandong, China. [6]Department of Neurology, The Second Affiliated Hospital, Harbin Medical University, Harbin, China. [7]Department of Neurology and Neuroscience, Shenyang First People's Hospital, Liaoning, China. [8]Department of Neurointervention, Zhangzhou affiliated Hospital of Fujian Medical University, Fujian, China. [9]Department of Neurology, Nanyang Central Hospital, Nanyang, China. [10]Department of Neurology, The First Hospital of Jilin University, Jilin, China. [11]Department of Neurology, Zhengzhou Central Hospital, Zhengzhou, China. [12]Department of Neurosurgery, Liaocheng People's Hospital, Shandong, China. [13]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China. [14]Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. [15]School of Public Health, Peking University, Beijing, China.
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关键词: Intravenous thrombolysis rate Endovascular therapy rate Acute ischaemic stroke Tertiary hospitals Secondary hospitals Bigdata Observatory platform for Stroke of China

摘要:
In recent years, a series of initiatives have been launched to promote intravenous thrombolysis (IVT) and endovascular therapy (EVT) for acute ischaemic stroke (AIS) in China. We aimed to update the rates of IVT and EVT in China between 2019 and 2020 and to evaluate the current IVT and EVT according to hospital grades.Cross-sectional data on patients receiving IVT/EVT were derived from the Bigdata Observatory platform for Stroke of China (BOSC). The monthly number of discharged patients with a principal diagnosis of AIS was derived from the first pages of medical records of each hospital. The rates and information of IVT and EVT were analysed according to hospital grades.During this period, 938 tertiary hospitals and 786 secondary hospitals from 31 provinces continuously reported data to the BOSC. The overall IVT rate for AIS was 5·64%, and the EVT rate was 1·45%. The IVT rate in secondary hospitals was higher than that in tertiary hospitals (6·39% vs. 5·39%, P < 0·001), whereas the EVT rate in secondary hospitals was much lower than that in tertiary hospitals (0·29% vs. 1·84%, P < 0·001). Significant differences in demographic and clinical characteristics of patients receiving IVT/EVT were also shown between tertiary and secondary hospitals.The rates of IVT and EVT for AIS have greatly increased in China, but there is still a large gap compared with developed countries. Hospital inhomogeneity in IVT and EVT suggests the importance of developing a region-specific network for stroke treatment.None.© 2022 The Author(s).

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大类 | 1 区 医学
小类 | 1 区 卫生保健与服务 1 区 公共卫生、环境卫生与职业卫生
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Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 HEALTH CARE SCIENCES & SERVICES

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

第一作者:
第一作者机构: [1]Department of Neurology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. [2]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China.
通讯作者:
通讯机构: [2]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, Beijing, China. [3]Department of Neurology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, Beijing, China. [15]School of Public Health, Peking University, Beijing, China. [*1]Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Science, No. 1, Shuaifuyuan, Wangfujing, Beijing 100730, China. [*2]The General Office of Stroke Prevention Project Committee, National Health Commission of the People's Republic of China, No. 118, Guang'anmen Inner Street, Beijing 100053, China
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