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

Austria - facts Inhabitants ca 6 Mio Strokes 20.000/y 2003 – Stroke units establishment

Austrian Stroke Unit Register Organisation Gesundheit Österreich GmbH BIQG Dr. Christine Hofer Vienna 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,…)

Austrian Stroke Unit Register Planned Stroke Units 2003 Established Stroke Units per 5/2007 38 32 Participating in the registry: 25

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

Overview of dataset ADMISSION DISCHARGE FOLLOW UP admission data risk factors patient status NIHSS, BI, mRS therapy social situation Syndrome NIH, BI, mRS BI, mRS dg and monitoring additional dg. sec. prevention complications preliminary classif. sec. prevention

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

NIHSS at admission NIHSS at admission for patients with stroke (numbers in %) Year Nr. of cases included 2003 1472 2004 3306 2005 3889 2006 5422 2007 2155

Age Age of patients with stroke (numbers in %) Year Nr. of cases included 2003 1475 2004 3310 2005 3890 2006 5001 2007 2072

Time – event to hospital Patients with stroke with known event time (numbers in %) Year Nr. of cases included 2003 978 2004 2055 2005 2345 2006 3247 2007 1351

Time – admission to imaging Stroke patients with imaging after hospital admission CCT, MRI (numbers in %) Year Nr. of cases included 2003 1196 2004 2852 2005 3560 2006 4921 2007 1934

Rate of thrombolysis IV, IA Left:without lysis, Right: with lysis % Year Nr. of cases included 2003 1350 2004 2961 2005 3473 2006 4887 2007 1932

Stroke program AKH Linz Dept of Neurology 108 beds NICU (8), SU (4) Ideal cooperation with radiology 87% acute strokes get MRI Frequency of tx-treatment: 2006 2004 2005 11 44 85 2007

Stroke program AKH Linz 2006 2007 total strokes (isch, ich, tia) 570 590 ischem. strokes 381 428 thrombolysis (nr. of pts) 85 85 lysis rate (isch. stroke) 22% 20%

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