Sarzyńska-Długosz Iwona, Skowrońska Marta, Członkowska Anna
2nd Department of Neurology, Institute of Psychiatry and Neurology, Warsaw, Poland.
Neurol Neurochir Pol. 2007 Mar-Apr;41(2):107-12.
According to the World Health Organization establishments and European Stroke Initiative recommendations, every patient with stroke should be treated by a specialized stroke team or in a specialized stroke unit. We aimed to evaluate the development of the stroke unit network in Poland and accessibility of stroke units in 2005.
Questionnaires evaluating structure and staff of neurological departments were sent to all neurological departments in Poland in the second quarter of 2005. We divided departments into the following categories: those having a class A stroke unit (fulfilling criteria of experts of the National Programme of Prevention and Treatment of Stroke) class B stroke unit (conditionally fulfilling those criteria), class C stroke units (not fulfilling the criteria), and departments without stroke units. The classification was presented to the chief consultant in neurology of each voivodship in December 2005 for verification of the data.
We received enquiries from 180 out of 220 (81.8%) departments. Consultants included data of a further 8 departments which did not respond to the questionnaire (188 - 85.5%). 105 departments declared having a stroke unit (58 class A units, 40 class B units, and 7 class C units). 83 other departments do not have stroke units. The most frequent problem that plays a role in classification of departments was the deficit of staff or lack of equipment. It is assessed that the supplementation of diagnostic equipment and staff in existing stroke units and the establishment of 27 new stroke units is required to satisfy current needs.
The development of the stroke unit network in Poland is proceeding dynamically. There are 105 stroke units in Poland but 45% of them require additional diagnostic equipment and staff.
根据世界卫生组织的机构设置及欧洲卒中倡议的建议，每位卒中患者均应由专业的卒中团队或在专业的卒中单元进行治疗。我们旨在评估2005年波兰卒中单元网络的发展情况以及卒中单元的可及性。
2005年第二季度，向波兰所有神经科发送了评估神经科结构和人员配备的调查问卷。我们将各科室分为以下几类：拥有A级卒中单元（符合国家卒中防治计划专家标准）的科室、B级卒中单元（有条件符合这些标准）的科室、C级卒中单元（不符合标准）的科室以及没有卒中单元的科室。2005年12月，将分类结果提交给每个省的神经科首席顾问以核实数据。
我们收到了220个科室中180个科室（81.8%）的回复。顾问们补充了另外8个未回复问卷科室的数据（共188个科室，回复率85.5%）。105个科室宣称设有卒中单元（58个A级单元、40个B级单元和7个C级单元）。另外83个科室没有卒中单元。在科室分类中起作用的最常见问题是人员短缺或设备不足。据评估，需要为现有卒中单元补充诊断设备和人员，并新建27个卒中单元以满足当前需求。
波兰卒中单元网络正在蓬勃发展。波兰有105个卒中单元，但其中45%需要额外的诊断设备和人员。
