Construction and Implementation of Stroke Center in West China Hospital of Sichuan University_Chinese Journal of Evidence-Based Medicine

Authors：

XIAO Li ,  HE Li , ZHENG Hongbo , YANG Jie , WU Hongtao , ZHOU Hongyu , LIU Ling , ZHANG Shihong , ZHOU Dong , LIU Ming

Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

HE Li, Email: heli2003new@126.com

Keywords：

Stroke Center; Stroke Unit; Construction and implementation

DOI：

10.7507/1672-2531.20080178

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective　 We aimed to evaluate the current status of the construction and practice of the stroke center in West China Hospital of Sichuan University and develope a future strategy to promote the standardized developement of inpatients care and evidence practice.
Methods　 The current status of the Stroke Center in West China Hospital of Sichuan University was assessed. The procedure of diagnosis and treatment was inspected in detail, including triage, thrombolytic therapy, antithrombotic medication and anticoagulant, primary and secondary prevention, filter of risk factors, rehabilitation and education for patients. After that, new plans were made on the basis of the assessment and experiences acquired from practices in the Stroke Center in West China Hospital.
Results　 The primary Stroke Center had been constructed in West China Hospital. The practice in West China Hospital showed that the Stroke Center significantly reduced the mortality and shortened the length of hospital stay of the patients with stroke.
Conclusion　 It is proved that construction and implementation of the Stroke Center in West China Hospital are feasible.

Citation： XIAO Li,HE Li,ZHENG Hongbo,YANG Jie,WU Hongtao,ZHOU Hongyu,LIU Ling,ZHANG Shihong,ZHOU Dong,LIU Ming. Construction and Implementation of Stroke Center in West China Hospital of Sichuan University. Chinese Journal of Evidence-Based Medicine, 2008, 08(9): 793-796. doi: 10.7507/1672-2531.20080178 Copy

1.	Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke, 2007, 38(5): 1655-1711.
2.	Evers SM, Goosens ME, Ament AJ, et al. Economic evaluation in stroke research. Cerebrovasc Dis, 2001, 11(2): 82-91.
3.	Gubiz G, Sandercock P, Counsell C. Antiplatelet therapy for acute ischaemic stroke . Cochrane Database Syst Rev. 2000, (2): CD000029.
4.	Roll ins G. Combined stroke trial data confirms that early treatment with thrombolytics improves outcomes. Rep Med Guidel Outcomes Res, 2004, 15(7): 8-9.
5.	Solomon R, Hoffman J. tPA for acute ischemic stroke: the standard of care? ACEP News, 2001.
6.	California Acute Stroke Pilot Registry (CASPR) Investigators. Prioritizing interventions to improve rates of thrombolysis for ischemic stroke. Neurology, 2005, 64(4): 654-659.
7.	马锐华, 王拥军. 卒中中心的研究进展. 中国康复医学杂志, 2005, 20(4): 307-308.
8.	张微微, 张茁, 王拥军. 2005AHA/ASA国际卒中会议纪要. 北京医学, 2005, 27(4): 252-253.
9.	Alberts MJ, Hademenos G, Latchaw RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA, 2000, 283(23): 3102-3109.
10.	Alberts MJ, Latchaw RE, Selman WR, et al. Recommendations for comprehensive stroke centers: a consensus statement from the Brain Attack Coalition. Brain Attack Coalition. Stroke, 2005, 36(7): 1597-1616.
11.	Lattimore SU, Chalela J, Davis L, et al. Impact of establishing a primary stroke center at a community hospital on the use of thrombolytic therapy: the NINDS Suburban Hospital Stroke Center experience. Stroke, 2003, 34(6): e55-e57.
12.	Douglas VC, Tong DC, Gillum LA, et al. Do the Brain Attack Coalition’s criteria for stroke centers improve care for ischemic stroke? Neurology, 2005, 64(3): 422-427.
13.	Rymer MM, Thurtchley D, Summers D, et al. Expanded modes of tissue plasminogen activator delivery in a comprehensive stroke center increases regional acute stroke interventions. Stroke, 2003, 34(6): e58-e60.
14.	Frey JL, Jahnke HK, Goslar PW, et al. tPA by telephone: extending the benefits of a comprehensive stroke center. Neurology, 2005, 64(1): 154-156.
15.	Gillum LA, Johnston SC. Characteristics of academic medical centers and ischemic stroke outcomes. Stroke, 2001, 32 (9): 2137-2142.
16.	Rymer MM, Thrutchley DE, For the Stroke Team at the Mid America Brain and Stroke Institute. Organizing regional networks to increase acute stroke intervention. Neurol Res, 2005, 27(suppl 1): S9-S16.
17.	Dion JE. Management of ischemic stroke in the next decade: stroke centers of excellence. J Vasc Interv Radiol, 2004, 5(1 pt 2 ): S133-S141.
18.	Silverman IE, Beland DK, Bohannon RW, et al. Expanding the range of therapies for acute ischemic stroke: the early experience of the Regional Stroke Center at Hartford Hospital. Conn Med, 2004, 68(7): 419-429.

1. Adams HP Jr, del Zoppo G, Alberts MJ, et al. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke, 2007, 38(5): 1655-1711.
2. Evers SM, Goosens ME, Ament AJ, et al. Economic evaluation in stroke research. Cerebrovasc Dis, 2001, 11(2): 82-91.
3. Gubiz G, Sandercock P, Counsell C. Antiplatelet therapy for acute ischaemic stroke . Cochrane Database Syst Rev. 2000, (2): CD000029.
4. Roll ins G. Combined stroke trial data confirms that early treatment with thrombolytics improves outcomes. Rep Med Guidel Outcomes Res, 2004, 15(7): 8-9.
5. Solomon R, Hoffman J. tPA for acute ischemic stroke: the standard of care? ACEP News, 2001.
6. California Acute Stroke Pilot Registry (CASPR) Investigators. Prioritizing interventions to improve rates of thrombolysis for ischemic stroke. Neurology, 2005, 64(4): 654-659.
7. 马锐华, 王拥军. 卒中中心的研究进展. 中国康复医学杂志, 2005, 20(4): 307-308.
8. 张微微, 张茁, 王拥军. 2005AHA/ASA国际卒中会议纪要. 北京医学, 2005, 27(4): 252-253.
9. Alberts MJ, Hademenos G, Latchaw RE, et al. Recommendations for the establishment of primary stroke centers. Brain Attack Coalition. JAMA, 2000, 283(23): 3102-3109.
10. Alberts MJ, Latchaw RE, Selman WR, et al. Recommendations for comprehensive stroke centers: a consensus statement from the Brain Attack Coalition. Brain Attack Coalition. Stroke, 2005, 36(7): 1597-1616.
11. Lattimore SU, Chalela J, Davis L, et al. Impact of establishing a primary stroke center at a community hospital on the use of thrombolytic therapy: the NINDS Suburban Hospital Stroke Center experience. Stroke, 2003, 34(6): e55-e57.
12. Douglas VC, Tong DC, Gillum LA, et al. Do the Brain Attack Coalition’s criteria for stroke centers improve care for ischemic stroke? Neurology, 2005, 64(3): 422-427.
13. Rymer MM, Thurtchley D, Summers D, et al. Expanded modes of tissue plasminogen activator delivery in a comprehensive stroke center increases regional acute stroke interventions. Stroke, 2003, 34(6): e58-e60.
14. Frey JL, Jahnke HK, Goslar PW, et al. tPA by telephone: extending the benefits of a comprehensive stroke center. Neurology, 2005, 64(1): 154-156.
15. Gillum LA, Johnston SC. Characteristics of academic medical centers and ischemic stroke outcomes. Stroke, 2001, 32 (9): 2137-2142.
16. Rymer MM, Thrutchley DE, For the Stroke Team at the Mid America Brain and Stroke Institute. Organizing regional networks to increase acute stroke intervention. Neurol Res, 2005, 27(suppl 1): S9-S16.
17. Dion JE. Management of ischemic stroke in the next decade: stroke centers of excellence. J Vasc Interv Radiol, 2004, 5(1 pt 2 ): S133-S141.
18. Silverman IE, Beland DK, Bohannon RW, et al. Expanding the range of therapies for acute ischemic stroke: the early experience of the Regional Stroke Center at Hartford Hospital. Conn Med, 2004, 68(7): 419-429.

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