Członkowska A, Sarzyńska-Długosz I, Niewada M, Kobayashi A
2nd Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland.
Eur J Neurol. 2006 Mar;13(3):220-4. doi: 10.1111/j.1468-1331.2006.01171.x.
Systemic thrombolysis treatment was approved in Poland in 2003 and should be performed in specialist stroke units (SU). We performed a survey to determine stroke service preparedness for thrombolysis treatment in Poland. We sent a questionnaire evaluating the neurological departments in Poland, where stroke patients are treated. We divided them into four categories: (i) class A SU (fulfilling criteria of the National Program for Stroke Prevention and Therapy and European Stroke Initiative guidelines), (ii) class B (conditionally fulfilling criteria), (iii) class C (not fulfilling criteria), and (iv) departments without SU. Only class A units are eligible for implementing thrombolysis. We obtained response from 194 of 222 (87.4%) departments; 90 (46.4%) declared having an SU. According to criteria, 20 class A, 56 class B, 14 class C. During one year, 71 208 patients were admitted to hospitals; 69,982 (98.2%) to neurological departments. A total of 10,959 (15.4%) were treated in class A SU, 23,650 (33.2%) in class B, 5153 (7.2%) in class C, whereas 30,220 (42.4%) in neurological departments without SU. Our survey showed that only 15.4% stroke patients in Poland are admitted to high-quality SU, where thrombolysis may potentially be administered. Improvement of SU quality in Poland is necessary for wide implementation of new methods of stroke therapy.
全身溶栓治疗于2003年在波兰获得批准，应在专业的卒中单元（SU）进行。我们进行了一项调查，以确定波兰卒中服务机构对溶栓治疗的准备情况。我们发送了一份问卷，对波兰治疗卒中患者的神经科进行评估。我们将它们分为四类：（i）A类卒中单元（符合国家卒中预防与治疗计划及欧洲卒中倡议指南的标准），（ii）B类（有条件符合标准），（iii）C类（不符合标准），以及（iv）没有卒中单元的科室。只有A类单位有资格实施溶栓治疗。我们收到了222个科室中194个（87.4%）的回复；90个（46.4%）宣称有卒中单元。根据标准，有20个A类、56个B类、14个C类。在一年时间里，71208名患者入院治疗；69982名（98.2%）入住神经科。共有10959名（15.4%）在A类卒中单元接受治疗，23650名（33.2%）在B类，5153名（7.2%）在C类，而30220名（42.4%）在没有卒中单元的神经科。我们的调查显示，波兰只有15.4%的卒中患者入住高质量的卒中单元，在那里可能进行溶栓治疗。提高波兰卒中单元的质量对于广泛实施新的卒中治疗方法是必要的。
