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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 Participating in the registry: 25

5 Austrian Stroke Unit Register Data from , Datasets of stroke patients Data from , Datasets of stroke patients Datasets of stroke patients with valid discharge date 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

6

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

10 Age Age of patients with stroke (numbers in %) YearNr. of cases included

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

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

13 YearNr. of cases included 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:

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

16 WELCOME TO EURO 2008


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