Jei Kim1, Yang-Ha Hwang2, Joon-Tae Kim2, Nack-Cheon Choi2, Sa-Yoon Kang2, Jae-Kwan Cha2, Yeon Soo Ha2, Dong-Ick Shin2, Seongheon Kim2, Byeong-Hoon Lim2. 1. From the Daejeon-Chungnam Regional Cerebrovascular Center, Daejeon, South Korea (J.K.); Daegu-Gyeongbuk Regional Cerebrovascular Center, Daegu, South Korea (Y.-H.H.); Gwangju-Jeonnam Regional Cerebrovascular Center, Gwangju, South Korea (J.-T.K.); Gyeongnam Regional Cerebrovascular Center, Jinju, South Korea (N.-C.C., B.-H.L.); Jeju Regional Cerebrovascular Center, Jeju, South Korea (S.-Y.K.); Busan-Ulsan Regional Cerebrovascular Center, Busan, South Korea (J.-K.C.); Jeonbuk Regional Cerebrovascular Center, Iksan, South Korea (Y.S.H.); Chungbuk Regional Cerebrovascular Center, Cheongju, South Korea (D.-I.S.); and Gangwon Regional Cerebrovascular Center, Chuncheon, South Korea (S.K.). jeikim@cnu.ac.kr. 2. From the Daejeon-Chungnam Regional Cerebrovascular Center, Daejeon, South Korea (J.K.); Daegu-Gyeongbuk Regional Cerebrovascular Center, Daegu, South Korea (Y.-H.H.); Gwangju-Jeonnam Regional Cerebrovascular Center, Gwangju, South Korea (J.-T.K.); Gyeongnam Regional Cerebrovascular Center, Jinju, South Korea (N.-C.C., B.-H.L.); Jeju Regional Cerebrovascular Center, Jeju, South Korea (S.-Y.K.); Busan-Ulsan Regional Cerebrovascular Center, Busan, South Korea (J.-K.C.); Jeonbuk Regional Cerebrovascular Center, Iksan, South Korea (Y.S.H.); Chungbuk Regional Cerebrovascular Center, Cheongju, South Korea (D.-I.S.); and Gangwon Regional Cerebrovascular Center, Chuncheon, South Korea (S.K.).
Abstract
BACKGROUND AND PURPOSE: In 2008, the Ministry of Health and Welfare of South Korea initiated the Regional Comprehensive Stroke Center (CSC) program to decrease the incidence and mortality of stroke nationwide. We evaluated the performance of acute ischemic stroke management after the Regional CSC program was introduced. METHODS: The Ministry of Health and Welfare established 9 Regional CSCs in different provinces from 2008 to 2010. All Regional CSCs have been able to execute the critical processes independently for stroke management since 2011. The Ministry of Health and Welfare was responsible for program development and financial support, the Regional CSC for program execution, and the Korea Centers for Disease Control and Prevention for auditing the execution. We analyzed prospectively collected data on the required indices from 2011 and repeated the analysis the following year for comparison. RESULTS: After the Regional CSCs were established, the first brain image was taken within 1 hour from arrival at the emergency room for all patients with stroke; the length of hospital stay decreased from 14 to 12 days; for the rapid execution of thrombolysis, the first brain image was taken within 12 minutes; intravenous and intra-arterial thrombolysis were started within 40 and 110 minutes, respectively, after emergency room arrival; and the hospital stay of thrombolytic patients decreased from 19 to 15 days. CONCLUSIONS: The Regional CSC program has improved the performance of acute stroke management in South Korea and can be used as a model for rapidly improving stroke management.
BACKGROUND AND PURPOSE: In 2008, the Ministry of Health and Welfare of South Korea initiated the Regional Comprehensive Stroke Center (CSC) program to decrease the incidence and mortality of stroke nationwide. We evaluated the performance of acute ischemic stroke management after the Regional CSC program was introduced. METHODS: The Ministry of Health and Welfare established 9 Regional CSCs in different provinces from 2008 to 2010. All Regional CSCs have been able to execute the critical processes independently for stroke management since 2011. The Ministry of Health and Welfare was responsible for program development and financial support, the Regional CSC for program execution, and the Korea Centers for Disease Control and Prevention for auditing the execution. We analyzed prospectively collected data on the required indices from 2011 and repeated the analysis the following year for comparison. RESULTS: After the Regional CSCs were established, the first brain image was taken within 1 hour from arrival at the emergency room for all patients with stroke; the length of hospital stay decreased from 14 to 12 days; for the rapid execution of thrombolysis, the first brain image was taken within 12 minutes; intravenous and intra-arterial thrombolysis were started within 40 and 110 minutes, respectively, after emergency room arrival; and the hospital stay of thrombolytic patients decreased from 19 to 15 days. CONCLUSIONS: The Regional CSC program has improved the performance of acute stroke management in South Korea and can be used as a model for rapidly improving stroke management.
Authors: Gyung Jae Oh; Jiyoung Moon; Yu Mi Lee; Hyeung Keun Park; Ki Soo Park; Yong Woon Yun; Gilwon Kang; Byoung Gwon Kim; Jae Hee Seo; Heeyoung Lee; Won Kyung Lee; Kun Sei Lee; Hee Sook Kim; Young Hoon Lee Journal: J Korean Med Sci Date: 2016-11 Impact factor: 2.153
Authors: Kyu Ho Lee; Min Kyun Sohn; Hye Seon Jeong; Hee Jung Song; Jei Kim; Hyon Jo Kwon; Hyeon Song Koh; Sungju Jee Journal: J Korean Med Sci Date: 2018-03-12 Impact factor: 2.153
Authors: Hee Won Yang; Miji Lee; Jong Wook Shin; Hye Seon Jeong; Jei Kim; Jeong Lan Kim Journal: Psychiatry Investig Date: 2019-10-28 Impact factor: 2.505