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    뇌졸중센터 인증 현황 및 향후 중증뇌졸중센터 인증을 위한 연관 학회 권고안 = Current Status of Stroke Center Certification Accreditation Recommendations for Comprehensive Stroke Centers Certification: A Consensus Statement from the Stroke Associated Korean Societies

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    https://www.riss.kr/link?id=A108817327

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing.
    However, there are many obstacles in selecting optimal hospitals for paramedics or stroke patients. This has led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.
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    Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing. However, there are many obstacles in selecting optimal hospitals for...

    Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing.
    However, there are many obstacles in selecting optimal hospitals for paramedics or stroke patients. This has led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.

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    참고문헌 (Reference)

    1 Cheon S, "The lifetime burden following stroke : long term impact of stroke on survival and quality of life" 17474930231165607-, 2023

    2 통계청 인구동향과 ; 노형준 ; 서주희 ; 이석민 ; 이나리 ; 박상희 ; 허선, "Statistical analysis of the cause of death in Korea in 2019" 대한의사협회 65 (65): 748-757, 2022

    3 Demeestere J, "Review of perfusion imaging in acute ischemic stroke : from time to tissue" 51 : 1017-1024, 2020

    4 Alberts MJ, "Recommendations for comprehensive stroke centers : a consensus statement from the Brain Attack Coalition" 36 : 1597-1616, 2005

    5 Philip B. Gorelick, "Primary and Comprehensive Stroke Centers:History, Value and Certification Criteria" 대한뇌졸중학회 15 (15): 78-89, 2013

    6 Ramos A, "Prehospital stroke triage" 97 : S25-S33, 2021

    7 Rao CPV, "Management of stroke in the neurocritical care unit" 24 : 1658-1682, 2018

    8 Herpich F, "Management of acute ischemic stroke" 48 : 1654-, 2020

    9 Lip GY, "Integrated care for optimizing the management of stroke and associated heart disease : a position paper of the European Society of Cardiology Council on Stroke" 43 : 2442-2460, 2022

    10 Dusenbury W, "Ideal foundational requirements for stroke program development and growth : a scientific statement from the American Heart Association" 54 : e175-e187, 2023

    1 Cheon S, "The lifetime burden following stroke : long term impact of stroke on survival and quality of life" 17474930231165607-, 2023

    2 통계청 인구동향과 ; 노형준 ; 서주희 ; 이석민 ; 이나리 ; 박상희 ; 허선, "Statistical analysis of the cause of death in Korea in 2019" 대한의사협회 65 (65): 748-757, 2022

    3 Demeestere J, "Review of perfusion imaging in acute ischemic stroke : from time to tissue" 51 : 1017-1024, 2020

    4 Alberts MJ, "Recommendations for comprehensive stroke centers : a consensus statement from the Brain Attack Coalition" 36 : 1597-1616, 2005

    5 Philip B. Gorelick, "Primary and Comprehensive Stroke Centers:History, Value and Certification Criteria" 대한뇌졸중학회 15 (15): 78-89, 2013

    6 Ramos A, "Prehospital stroke triage" 97 : S25-S33, 2021

    7 Rao CPV, "Management of stroke in the neurocritical care unit" 24 : 1658-1682, 2018

    8 Herpich F, "Management of acute ischemic stroke" 48 : 1654-, 2020

    9 Lip GY, "Integrated care for optimizing the management of stroke and associated heart disease : a position paper of the European Society of Cardiology Council on Stroke" 43 : 2442-2460, 2022

    10 Dusenbury W, "Ideal foundational requirements for stroke program development and growth : a scientific statement from the American Heart Association" 54 : e175-e187, 2023

    11 Powers WJ, "Guidelines for the early management of patients with acute ischemic stroke : 2019 update to the 2018 guidelines for the early management of acute ischemic stroke : a guideline for healthcare professionals from the American Heart Association/American Stroke Association" 50 : e344-e418, 2019

    12 Jun Yup Kim ; Kyusik Kang ; Jihoon Kang ; Jaseong Koo ; Dae Hyun Kim ; Beom Joon Kim ; Wook-Joo Kim ; Eung-Gyu Kim ; Jae Guk Kim ; Jeong-Min Kim ; Joon-Tae Kim ; Chulho Kim ; Hyun-Wook Nah ; Kwang-Yeol Park ; Moo-Seok Park ; Jong-Moo Park ; Jong-Ho Park ; Tai Hwan Park ; Hong-Kyun Park ; Woo-Keun Seo ; Jung Hwa Seo ; Tae Jin Song ; Seong Hwan Ahn ; 오미선 ; Hyung Geun Oh ; Sungwook Yu ; Keon-Joo Lee ; Kyung Bok Lee ; Kijeong Lee ; Sang-Hwa Lee ; Soo Joo Lee ; Min Uk Jang ; Jong-Won Chung ; Yong-Jin Cho ; Kang-Ho Choi ; Jay Chol Choi ; Keun-Sik Hong ; Yang-Ha Hwang ; Seong-Eun Kim ; Ji Sung Lee ; Jimi Choi ; Min Sun Kim ; Ye Jin Kim ; Jinmi Seok ; Sujung Jang ; Seokwan Han ; Hee Won Han ; Jin Hyuk Hong ; Hyori Yun ; Juneyoung Lee ; Hee-Joon Bae, "Executive Summary of Stroke Statistics in Korea 2018: A Report from the Epidemiology Research Council of the Korean Stroke Society" 대한뇌졸중학회 21 (21): 42-59, 2019

    13 Ringelstein EB, "European Stroke Organisation recommendations to establish a stroke unit and stroke center" 44 : 828-840, 2013

    14 Waje-Andreassen U, "European Stroke Organisation certification of stroke units and stroke centres" 3 : 220-226, 2018

    15 Meretoja A, "Effectiveness of primary and comprehensive stroke centers : PERFECT stroke : a nationwide observational study from Finland" 41 : 1102-1107, 2010

    16 Saver JL, "Cryptogenic stroke" 374 : 2065-2074, 2016

    17 Duncan PW, "Comprehensive stroke care and outcomes : time for a paradigm shift" 52 : 385-393, 2021

    18 Kim DY, "Clinical practice guideline for stroke rehabilitation in Korea 2016" 10 (10): e11-, 2017

    19 Jung H, "Cardiovascular risk factors and quality of life among stroke survivors in Korea from 2013 to 2018 : a cross-sectional cohort study" 20 : 101-, 2022

    20 Boggs KM, "An inventory of stroke centers in the United States" 3 : e12673-, 2022

    21 Jun Yup Kim ; Keon-Joo Lee ; Jihoon Kang ; Beom Joon Kim ; 김성은 ; Hyunji Oh ; Hong-Kyun Park ; Yong Jin Cho ; Jong-Moo Park ; Kwang-Yeol Park ; Kyung Bok Lee ; Soo Joo Lee ; Tackeun Kim ; Ji Sung Lee ; Juneyoung Lee ; Ki Hwa Yang ; Ah Rum Choi ; Mi Yeon Kang ; 배희준, "Acute Stroke Care in Korea in 2013–2014: National Averages and Disparities" 대한의학회 35 (35): 1-13, 2020

    22 Sun Y, "A systematic review and meta-analysis of acute stroke unit care : what’s beyond the statistical significance?" 13 : 1-11, 2013

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