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西班牙的脑卒中医疗服务:我们有什么?我们需要什么?

Stroke care in Spain. What do we have? What do we need?

出版信息

Neurologia. 2011 Oct;26(8):445-8. doi: 10.1016/j.nrl.2011.01.022. Epub 2011 Apr 6.

DOI:10.1016/j.nrl.2011.01.022
PMID:21474213
Abstract

The high level of scientific evidence which supports the recommendations for the care of acute stroke in Stroke Units (SU) with a good health care network, it does not correspond to the level of introduction in Spain. In this regard, the Cerebrovascular Diseases Study Group (GEECV) of the Spanish Society of Neurology has taken the initiative to conduct the "National Survey of Stroke Care" that will help to determine the real situation in acute stroke management in Spain just before the approval of the National Stroke Strategy (NSS) by the Ministry of Health and concludes that in the first semester of 2009 there were 39 SUs, unevenly distributed with higher concentration in Madrid and Barcelona. Although the approval of the NSS was a major achievement, much remains to be done to meet the objectives. We thank the GEECV́s initiative, which gives us an "X-ray" of the, not very satisfactory, state of stroke care in Spain in December 2008, and highlighting some achievements and the many shortcomings. Therefore, we must continue to improve, refine our data collection with records that include all available resources and all the stroke patients attended. We invite GEECV to carry out a second study to evaluate the impact of NSS and to serve as a stimulus to achieve a substantial improvement in stroke care in Spain, closer to the recommendations of the new PASI document.

摘要

支持将急性脑卒中患者置于配备良好医疗网络的脑卒中单元(SU)中进行治疗的建议具有较高的科学证据水平,但这与西班牙实际引入的水平并不相符。有鉴于此,西班牙神经病学学会脑血管病研究组(GEECV)已主动开展了“脑卒中护理国家调查”,该调查将有助于确定在批准国家脑卒中策略(NSS)之前西班牙急性脑卒中管理的真实情况,调查结论表明,2009 年上半年有 39 个 SU,分布不均,马德里和巴塞罗那地区的 SU 更为集中。虽然批准 NSS 是一项重大成就,但仍有许多工作要做才能实现目标。我们感谢 GEECV 的倡议,该倡议为我们提供了 2008 年 12 月西班牙脑卒中护理状况的“透视”,并突出了一些成就和许多不足之处。因此,我们必须继续改进,完善我们的数据收集工作,记录包括所有可用资源和所有接受治疗的脑卒中患者的信息。我们邀请 GEECV 开展第二项研究,以评估 NSS 的影响,并为实现西班牙脑卒中护理的实质性改善提供动力,使其更接近新 PASI 文档的建议。

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