Jing Jing, Xie Xuewei, Leng Xinyi, Wang David, Wang Yongjun
China National Clinical Research Center for Neurological Diseases, Beijing, China.
Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Stroke Vasc Neurol. 2024 Dec 30;9(6):741-745. doi: 10.1136/svn-2024-003935.
Organised stroke care has become a keystone in delivering efficient and effective treatment to patients with stroke with improved outcomes. Delivering timely acute reperfusion therapy to those with acute ischaemic strokes is key to good recovery. Emergency stroke unit (ESU) is a novel organised stroke care system developed in China. It centralises all necessary procedures for the diagnosis and treatment of acute stroke into one unit that can perform clinical assessment, imaging examination and acute treatments. In ESU, artificial intelligence algorithms are used to aid in reading brain images and making clinical decisions. Therefore, ESU can significantly enhance the efficiency of emergent stroke care. In this guideline, we aim to clarify the concept, construction standards and personnel requirements of an ESU, standardise ESU-based acute stroke triage and treatment workflow, establish metrics of quality control, facilitate the construction and promotion of ESU and continue the improvement of the quality of stroke care.
有组织的卒中护理已成为为卒中患者提供高效有效治疗并改善预后的关键。为急性缺血性卒中患者及时提供急性再灌注治疗是良好康复的关键。急诊卒中单元（ESU）是中国开发的一种新型有组织的卒中护理系统。它将急性卒中诊断和治疗的所有必要程序集中到一个单元，该单元可以进行临床评估、影像检查和急性治疗。在急诊卒中单元中，人工智能算法用于辅助读取脑图像和做出临床决策。因此，急诊卒中单元可以显著提高急诊卒中护理的效率。在本指南中，我们旨在阐明急诊卒中单元的概念、建设标准和人员要求，规范基于急诊卒中单元的急性卒中分诊和治疗工作流程，建立质量控制指标，促进急诊卒中单元的建设和推广，并持续提高卒中护理质量。
