德国的跨学科神经血管网络：2025年更新

Interdisciplinary neurovascular networks in Germany: update 2025.

作者信息

Wagner-Altendorf Tobias A, Sieb Konrad, Berlis Ansgar, Dörfler Arnd, Mielke Dorothee, Groden Christoph, Güresir Erdem, Hamann Gerhard F, Jansen Olav, Meixensberger Jürgen, Müller Oliver, Nabavi Darius G, Neumann-Haefelin Tobias, Ossenbrink Martin, Regelsberger Jan, Royl Georg, Vatter Hartmut, Weber Werner, Werring Nils, Minnerup Jens, Röther Joachim

机构信息

Department of Neurology, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Germany.

Department of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany.

出版信息

Neurol Res Pract. 2025 Aug 22;7(1):59. doi: 10.1186/s42466-025-00418-8.

DOI:10.1186/s42466-025-00418-8

PMID:40847367

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12374462/

Abstract

BACKGROUND

Neurovascular networks (NVNs) in Germany are supra-regional care structures for patients with neurovascular diseases. Each NVN consists of a tertiary care center serving as the coordinating center-in some cases, two or three coordinating centers-and at least three partner hospitals. Since 2018, 19 neurovascular networks (NVNs) have been audited and certified. NVNs play a crucial role in stroke care in Germany, as first described and quantified in 2020.

METHODS

The present article provides an update on interdisciplinary NVNs in Germany and outlines recent developments in neurovascular patient care. Audit reports from 19 NVNs, certified between 2021 and 2024, were analyzed, and compared to previously reported data from 2017 to 2019. Additionally, structural and quality-related parameters for coordinating centers and partner hospitals were compared.

RESULTS

The number of NVNs increased from 15 to 19, with approximately 120,000 from an estimated 262,000 neurovascular patients in Germany now treated annually in certified NVN hospitals. In particular, annual thrombectomy rates at coordinating centers have increased over-proportionally (> 4400, as compared to previously < 2500), and surgical treatments for intracerebral hemorrhages have also increased. Process times-door-to-needle and door-to-groin times-remained stable or exhibited slight increases. Substantial variability was observed among NVN partner hospitals regarding procedural volumes.

CONCLUSIONS

The treatment of patients with neurovascular diseases in Germany has expanded considerably within certified NVN hospitals in recent years. The NVNs ensure comprehensive, high-quality stroke care nationwide.

摘要

背景

德国的神经血管网络（NVNs）是为神经血管疾病患者提供的超区域护理结构。每个神经血管网络由一个作为协调中心的三级护理中心组成——在某些情况下，有两个或三个协调中心——以及至少三个合作医院。自2018年以来，已有19个神经血管网络接受了审核并获得认证。神经血管网络在德国的中风护理中发挥着关键作用，这在2020年首次得到描述和量化。

方法

本文提供了德国跨学科神经血管网络的最新情况，并概述了神经血管患者护理的最新进展。分析了2021年至2024年期间获得认证的19个神经血管网络的审核报告，并与2017年至2019年之前报告的数据进行了比较。此外，还比较了协调中心和合作医院的结构及质量相关参数。

结果

神经血管网络的数量从15个增加到了19个，目前德国估计约262,000名神经血管疾病患者中，每年有近120,000名在获得认证的神经血管网络医院接受治疗。特别是，协调中心的年度取栓率增长幅度超过比例（之前<2500例，现在>4400例），脑出血的手术治疗也有所增加。从入院到穿刺和从入院到股动脉穿刺的流程时间保持稳定或略有增加。在神经血管网络合作医院之间，手术量存在很大差异。