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Management of stroke patients and stroke registry in Austria Milan R. Vosko, MD, PhD Head of the Stroke Unit AKH Linz, Austria.

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Präsentation zum Thema: "Management of stroke patients and stroke registry in Austria Milan R. Vosko, MD, PhD Head of the Stroke Unit AKH Linz, Austria."—  Präsentation transkript:

1 Management of stroke patients and stroke registry in Austria Milan R. Vosko, MD, PhD Head of the Stroke Unit AKH Linz, Austria

2 Austria - facts Inhabitantsca 6 Mio Inhabitantsca 6 Mio Strokes20.000/y Strokes20.000/y 2003 – Stroke units establishment 2003 – Stroke units establishment

3 Austrian Stroke Unit Register Organisation ÖGSF - Austrian Society of Stroke Research Prim. Univ. Prof. Dr. Wilfried Lang Wien Univ-Prof. Prim. Dr. Michael Brainin Gugging Administration by ÖBIG/ÖGSF Expert committee (interim analyses, discussion of data, decisions,…) Gesundheit Österreich GmbH BIQG Dr. Christine Hofer Vienna

4 Austrian Stroke Unit Register Established Stroke Units per 5/2007 Planned Stroke Units 2003 3238 Participating in the registry: 25

5 Austrian Stroke Unit Register Data from 2003-2007, 17.790 Datasets of stroke patients Data from 2003-2007, 17.790 Datasets of stroke patients 16.300 Datasets of stroke patients with valid discharge date 16.300 Datasets of stroke patients with valid discharge date AKH Linz AKH Linz BKH Kufstein BKH Kufstein Christian-Doppler-Klinik Salzburg Christian-Doppler-Klinik Salzburg KH Barmherzige Brüder Linz KH Barmherzige Brüder Linz KH Barmherzige Brüder Wien KH Barmherzige Brüder Wien KH Göttlicher Heiland Wien KH Göttlicher Heiland Wien KH Hietzing Wien KH Hietzing Wien KH Oberwart KH Oberwart KH Rudolfstiftung Wien KH Rudolfstiftung Wien KH Wiener Neustadt KH Wiener Neustadt LK Donauregion Gugging LK Donauregion Gugging LK Mostviertel Amstetten LK Mostviertel Amstetten LK Waldviertel Horn LK Waldviertel Horn LK Weinviertel Mistelbach LK Weinviertel Mistelbach LKH Vöcklabruck LKH Vöcklabruck LKH Klagenfurt LKH Klagenfurt LNK Sigmund Freud Graz LNK Sigmund Freud Graz LNK Wagner-Jauregg Linz LNK Wagner-Jauregg Linz Med. Universität Innsbruck Med. Universität Innsbruck Neurol. Zentrum Rosenhügel Wien I. Neurol. Zentrum Rosenhügel Wien I. Neurol. Zentrum Rosenhügel Wien II. Neurol. Zentrum Rosenhügel Wien II. Otto Wagner Spital Wien Otto Wagner Spital Wien Universitätsklinikum Graz Universitätsklinikum Graz Wilhelminenspital Wilhelminenspital Gesundheit Österreich GmbH/Geschäftsbereich BIQG Gesundheit Österreich GmbH/Geschäftsbereich BIQG Expertengremium an der GÖG/BIQG Expertengremium an der GÖG/BIQG

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7 Overview of dataset ADMISSIONDISCHARGEFOLLOW UP admission datarisk factorspatient status NIHSS, BI, mRStherapysocial situation SyndromeNIH, BI, mRSBI, mRS dg and monitoringadditional dg.sec. prevention complications preliminary classif. sec. prevention

8 Registry - benchmarking Functions for participitaing centres Functions for participitaing centres –Full view of patient data –Follow up reminder –Follow up reminder –Data collection of the centre –Statistics – benchmarking, austrian wide standard analysis Duration of hospitalisation in days - SU Thrombolysis rate in %

9 NIHSS at admission NIHSS at admission for patients with stroke (numbers in %) YearNr. of cases included 20031472 20043306 20053889 20065422 20072155

10 Age Age of patients with stroke (numbers in %) YearNr. of cases included 20031475 20043310 20053890 20065001 20072072

11 Time – event to hospital Patients with stroke with known event time (numbers in %) YearNr. of cases included 2003978 20042055 20052345 20063247 20071351

12 Time – admission to imaging Stroke patients with imaging after hospital admission CCT, MRI (numbers in %) YearNr. of cases included 20031196 20042852 20053560 20064921 20071934

13 YearNr. of cases included 20031350 20042961 20053473 20064887 20071932 Rate of thrombolysis IV, IA Left:without lysis, Right: with lysis %

14 Stroke program AKH Linz Dept of Neurology 108 beds Dept of Neurology 108 beds NICU (8), SU (4) NICU (8), SU (4) Ideal cooperation with radiology Ideal cooperation with radiology –87% acute strokes get MRI Frequency of tx-treatment: Frequency of tx-treatment: 2006 2004 2005 11 44 8585 2007 8585

15 Stroke program AKH Linz 2006 2007 total strokes (isch, ich, tia)570590 ischem. strokes381428 thrombolysis (nr. of pts)8585 lysis rate (isch. stroke) 22%20%

16 WELCOME TO EURO 2008


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