North Carolina stroke prevention and treatment facilities survey - Statewide availability of programs and services
North Carolina stroke prevention and treatment facilities survey - Statewide availability of programs and services
复制标题
DOI：
10.1161/01.str.31.1.66
复制
发表时间：
2000-01-01
期刊：
影响因子：
8.3
通讯作者：
Laney, R
中科院分区：
文献类型：
--
作者：
Goldstein, LB;Hey, L;Laney, R
背景/目的-本研究的目的是确定全州范围内中风预防和治疗的设施和项目的可用性，以确定服务不足的地区和目标教育efforts. Methods-一个单页的调查被邮寄给北卡罗来纳州的每个住院医疗设施的主任。收集的数据包括选定的诊断测试、程序和服务的可用性。设施分为提供基本（急诊科、脑CT、rtPA治疗、经胸超声心动图、颈动脉超声检查、脑血管造影、颈动脉内膜切除术）或高级（基本服务：加上脑MRI、MR血管造影、经食管超声心动图、经颅多普勒超声检查、介入放射学）服务。其他项目和服务的可用性，包括有神经科医生的工作人员，有组织的抗凝治疗诊所，住院康复服务，弥散加权MRT，社区意识和快速中风识别程序，中风团队，中风急性护理单位或同等，并使用中风护理地图，也determined.Results-Complete响应，从所有的国家的125住院医疗设施。总体而言，该州97%的人口居住在拥有医院的县，这些医院至少提供一些中风预防或治疗程序或服务。位于该州100个县中的19个县的23个设施提供了全面的基本服务，按居住县计算，该州52%的人口可获得这些服务;位于7个县的8个设施提供了高级服务，按居住县计算，该州26%的人口可获得这些服务; 83%的基础或高级中心使用了卒中护理地图，而其他医院仅为23%（P
Background/Purpose-The aim of this study was to determine the statewide availability, of facilities and programs for stroke prevention and treatment to identify underserved regions and target educational efforts.Methods-A single-page survey was mailed to the directors of each inpatient medical facility in North Carolina. Data collected included the availability of selected diagnostic tests, programs, and Services. Facilities were categorized as providing basic (emergency department, brain CT, treatment with rtPA, transthoracic echocardiography, carotid ultrasonography, cerebral angiography, carotid endarterectomy) or advanced (basic services:plus brain MRI, MR angiography, transesophageal echocardiography, transcranial Doppler ultrasonography, interventional radiology) services. The availability of other programs and services,including having a neurologist on staff, organized anticoagulation clinics, inpatient rehabilitative services, diffusion-weighted MRT, community awareness and rapid stroke identification programs, stroke teams, stroke acute care units or an equivalent, and the use of stroke-care maps, were also determined.Results-Complete responses were obtained from all of the state's 125 inpatient medical facilities. Overall, 97% of the state's population resided in counties with a hospital providing at least some stroke prevention or treatment procedures or services. Full basic services were provided by 23 facilities located in 19 of the state's 100 counties and were available to 52% of the state's population based on county of residence; advanced services were provided by 8 facilities located in 7 counties and were available to 26% of the state's population based on county Of residence; Stroke-care maps were used in 83% of basic or advanced centers versus 23% of other hospitals (P