Current status of acute stroke management in Korea: A report on a multicenter, comprehensive acute stroke registry

Beom Joon Kim, Moon Ku Han, Tai Hwan Park, Sang Soon Park, Kyung Bok Lee, Byung Chul Lee, Kyung Ho Yu, Jae Kwan Cha, Dae Hyun Kim, Jun Lee, Soo Joo Lee, Youngchai Ko, Jong Moo Park, Kyusik Kang, Yong Jin Cho, Keun Sik Hong, Ki Hyun Cho, Joon Tae Kim, Dong Eog Kim, Juneyoung LeeJi Sung Lee, Myung Suk Jang, Joseph P. Broderick, Byung Woo Yoon, Hee Joon Bae

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

There are limited data on the utilization of diagnostics and the variation of treatments at the national level in acute stroke care. Clinical Research Center for Stroke - 5th division stroke registry aimed to describe stroke statistics and quality of care in Korea and to implement quality indicators. Clinical Research Center for Stroke - 5th division registry was established in April 2008 and covers pretreatment demographics, medical and stroke severity measures, diagnostic evaluation, hyperacute revascularization, in-hospital management, discharge disposition, quality indicators, and long-term functional outcomes. Consecutive stroke cases from 12 participating centers are registered to a web-based database. Meticulous data management and auditing policy were applied. A total of 14792 ischemic stroke cases were enrolled from April 2008 to January 2012. The median National Institutes of Health Stroke Scale score was 4 at admission, with median delay of onset to arrival of 14h. Rate of risk factor management before stroke exceeds more than 80% for hypertension and diabetes. Revascularization procedures were performed in 1736 subjects (12%), and 34% were endovascular (n=598). Substantial variability was noted in the preferred modality of hyperacute revascularization (range of endovascular recanalization=6-60%), use of computed tomography (30-93%), and perfusion imaging (2-96%). The Clinical Research Center for Stroke - 5th division registry documented that the current practice of acute stroke care in South Korea largely met the standard of guidelines, but variability of practice still remains. The registry would provide an opportunity to evaluate the quality of stroke care across South Korea and compare it with that of other countries.

Original languageEnglish
Pages (from-to)514-518
Number of pages5
JournalInternational Journal of Stroke
Volume9
Issue number4
DOIs
Publication statusPublished - 2014 Jun

Keywords

  • Diagnosis
  • Disparity
  • Management
  • Perfusion imaging
  • Stroke registry
  • Thrombolysis

ASJC Scopus subject areas

  • Neurology

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  • Cite this

    Kim, B. J., Han, M. K., Park, T. H., Park, S. S., Lee, K. B., Lee, B. C., Yu, K. H., Cha, J. K., Kim, D. H., Lee, J., Lee, S. J., Ko, Y., Park, J. M., Kang, K., Cho, Y. J., Hong, K. S., Cho, K. H., Kim, J. T., Kim, D. E., ... Bae, H. J. (2014). Current status of acute stroke management in Korea: A report on a multicenter, comprehensive acute stroke registry. International Journal of Stroke, 9(4), 514-518. https://doi.org/10.1111/ijs.12199