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 Lee & 5 others Ji Sung Lee, Myung Suk Jang, Joseph P. Broderick, Byung Woo Yoon, Hee Joon Bae

Research output: Contribution to journalArticle

47 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 Jan 1

Fingerprint

Korea
Registries
Stroke
Republic of Korea
Quality of Health Care
Research
Perfusion Imaging
National Institutes of Health (U.S.)
Risk Management
Practice Guidelines
Tomography
Demography
Databases
Hypertension

Keywords

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

ASJC Scopus subject areas

  • Neurology

Cite this

Current status of acute stroke management in Korea : A report on a multicenter, comprehensive acute stroke registry. / Kim, Beom Joon; Han, Moon Ku; Park, Tai Hwan; Park, Sang Soon; Lee, Kyung Bok; Lee, Byung Chul; Yu, Kyung Ho; Cha, Jae Kwan; Kim, Dae Hyun; Lee, Jun; Lee, Soo Joo; Ko, Youngchai; Park, Jong Moo; Kang, Kyusik; Cho, Yong Jin; Hong, Keun Sik; Cho, Ki Hyun; Kim, Joon Tae; Kim, Dong Eog; Lee, Juneyoung; Lee, Ji Sung; Jang, Myung Suk; Broderick, Joseph P.; Yoon, Byung Woo; Bae, Hee Joon.

In: International Journal of Stroke, Vol. 9, No. 4, 01.01.2014, p. 514-518.

Research output: Contribution to journalArticle

Kim, BJ, Han, MK, Park, TH, Park, SS, Lee, KB, Lee, BC, Yu, KH, Cha, JK, Kim, DH, Lee, J, Lee, SJ, Ko, Y, Park, JM, Kang, K, Cho, YJ, Hong, KS, Cho, KH, Kim, JT, Kim, DE, Lee, J, Lee, JS, Jang, MS, Broderick, JP, Yoon, BW & Bae, HJ 2014, 'Current status of acute stroke management in Korea: A report on a multicenter, comprehensive acute stroke registry', International Journal of Stroke, vol. 9, no. 4, pp. 514-518. https://doi.org/10.1111/ijs.12199
Kim, Beom Joon ; Han, Moon Ku ; Park, Tai Hwan ; Park, Sang Soon ; Lee, Kyung Bok ; Lee, Byung Chul ; Yu, Kyung Ho ; Cha, Jae Kwan ; Kim, Dae Hyun ; Lee, Jun ; Lee, Soo Joo ; Ko, Youngchai ; Park, Jong Moo ; Kang, Kyusik ; Cho, Yong Jin ; Hong, Keun Sik ; Cho, Ki Hyun ; Kim, Joon Tae ; Kim, Dong Eog ; Lee, Juneyoung ; Lee, Ji Sung ; Jang, Myung Suk ; Broderick, Joseph P. ; Yoon, Byung Woo ; Bae, Hee Joon. / Current status of acute stroke management in Korea : A report on a multicenter, comprehensive acute stroke registry. In: International Journal of Stroke. 2014 ; Vol. 9, No. 4. pp. 514-518.
@article{9b84ab3e7dff4768a46953323f841e3c,
title = "Current status of acute stroke management in Korea: A report on a multicenter, comprehensive acute stroke registry",
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.",
keywords = "Diagnosis, Disparity, Management, Perfusion imaging, Stroke registry, Thrombolysis",
author = "Kim, {Beom Joon} and Han, {Moon Ku} and Park, {Tai Hwan} and Park, {Sang Soon} and Lee, {Kyung Bok} and Lee, {Byung Chul} and Yu, {Kyung Ho} and Cha, {Jae Kwan} and Kim, {Dae Hyun} and Jun Lee and Lee, {Soo Joo} and Youngchai Ko and Park, {Jong Moo} and Kyusik Kang and Cho, {Yong Jin} and Hong, {Keun Sik} and Cho, {Ki Hyun} and Kim, {Joon Tae} and Kim, {Dong Eog} and Juneyoung Lee and Lee, {Ji Sung} and Jang, {Myung Suk} and Broderick, {Joseph P.} and Yoon, {Byung Woo} and Bae, {Hee Joon}",
year = "2014",
month = "1",
day = "1",
doi = "10.1111/ijs.12199",
language = "English",
volume = "9",
pages = "514--518",
journal = "International Journal of Stroke",
issn = "1747-4930",
publisher = "Wiley-Blackwell",
number = "4",

}

TY - JOUR

T1 - Current status of acute stroke management in Korea

T2 - A report on a multicenter, comprehensive acute stroke registry

AU - Kim, Beom Joon

AU - Han, Moon Ku

AU - Park, Tai Hwan

AU - Park, Sang Soon

AU - Lee, Kyung Bok

AU - Lee, Byung Chul

AU - Yu, Kyung Ho

AU - Cha, Jae Kwan

AU - Kim, Dae Hyun

AU - Lee, Jun

AU - Lee, Soo Joo

AU - Ko, Youngchai

AU - Park, Jong Moo

AU - Kang, Kyusik

AU - Cho, Yong Jin

AU - Hong, Keun Sik

AU - Cho, Ki Hyun

AU - Kim, Joon Tae

AU - Kim, Dong Eog

AU - Lee, Juneyoung

AU - Lee, Ji Sung

AU - Jang, Myung Suk

AU - Broderick, Joseph P.

AU - Yoon, Byung Woo

AU - Bae, Hee Joon

PY - 2014/1/1

Y1 - 2014/1/1

N2 - 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.

AB - 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.

KW - Diagnosis

KW - Disparity

KW - Management

KW - Perfusion imaging

KW - Stroke registry

KW - Thrombolysis

UR - http://www.scopus.com/inward/record.url?scp=84899939475&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84899939475&partnerID=8YFLogxK

U2 - 10.1111/ijs.12199

DO - 10.1111/ijs.12199

M3 - Article

VL - 9

SP - 514

EP - 518

JO - International Journal of Stroke

JF - International Journal of Stroke

SN - 1747-4930

IS - 4

ER -