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Management of stroke patients and stroke registry in Austria

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.

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Management of stroke patients and stroke registry in Austria

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  1. Management ofstrokepatientsandstrokeregistry in Austria Milan R. Vosko, MD, PhD Head of the Stroke Unit AKH Linz, Austria

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

  3. Austrian Stroke Unit RegisterOrganisation Gesundheit Österreich GmbH BIQG Dr. Christine Hofer Vienna ÖGSF - Austrian Society ofStroke Research Prim. Univ. Prof. Dr. Wilfried LangWien Univ-Prof. Prim. Dr. Michael BraininGugging • Administration by ÖBIG/ÖGSF • Expert committee (interimanalyses, discussionofdata, decisions,…)

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

  5. 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

  6. Overviewofdataset 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

  7. Registry - benchmarking • Functionsforparticipitaingcentres • Fullviewofpatientdata • Follow upreminder • Data collectionofthecentre • Statistics – benchmarking, austrianwidestandardanalysis • Duration ofhospitalisation in days - SU • Thrombolysis rate in %

  8. NIHSS atadmissionNIHSS at admission for patients with stroke (numbers in %)

  9. AgeAge ofpatientswithstroke (numbers in %)

  10. Time – eventtohospitalPatients with stroke with known event time (numbers in %)

  11. Time – admissiontoimagingStroke patients with imaging after hospital admission CCT, MRI (numbers in %)

  12. Rate ofthrombolysis IV, IALeft:withoutlysis, Right: with lysis %

  13. Strokeprogram AKH Linz • DeptofNeurology 108 beds • NICU (8), SU (4) • Ideal cooperationwithradiology • 87% acutestrokesget MRI • Frequencyoftx-treatment: 85 85 44 11 2005 2006 2007 2004

  14. Strokeprogram AKH Linz 2006 2007 total strokes (isch, ich, tia) 570 590 ischem. strokes 381 428 thrombolysis (nr. ofpts) 85 85 lysis rate (isch. stroke) 22% 20%

  15. WELCOME TO EURO 2008

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