Stroke Unit

A stroke unit (including stroke unit ; . Dt stroke unit , even stroke unit ) is on the fast treatment of patients with stroke specialist or suspected stroke unit of a hospital. There, patients can by a team of specialists - particularly neurologists , cardiologists and radiologists and partly neurosurgeons and vascular surgeons - intensive medical disciplines are diagnosed and treated.

Stroke units must meet structural, technical, structural, personnel and professional-content minimum standards. In addition, they should be certified accordingly , whereby the certification in Germany is valid for three years.

history

Vladimir Hachinski and John W. Norris are often cited as pioneers of the stroke units . In 1975 you opened the first stroke unit that meets today's standards in Toronto . Hachinski and Norris themselves name 1966 as the year the world's first stroke unit opened in Pittsburgh , although the results achieved there were "disappointing". In Europe, the first stroke units were set up in Scandinavia in the 1980s. Germany's first stroke unit was opened in 1990 in the Harlaching Clinic in Munich (then: Harlaching Clinic).

There are more than 330 stroke units across Germany (as of September 2019). In Austria, 36 hospitals have stroke units (as of November 2018). Switzerland has 10 stroke centers and 13 stroke units (as of December 2017).

requirements

A hospital with a supraregional stroke unit should have a CT , MRT , ultrasound machine and catheter laboratory for thrombectomy. Furthermore, more nurses have to be deployed than in a normal ward. If possible, only patients who have had a stroke should be in a stroke unit and, if possible, all patients in a hospital with a stroke should be treated on this ward. This focus on a clinical picture should lead to improved treatment results.

background

The faster an acute stroke is treated, the less permanent damage will be. This is where the motto “Time is Brain” comes from. The brain tissue, which no longer receives sufficient oxygen due to a vascular occlusion, should be supplied with blood again by thrombolysis or thrombectomy before it dies .

Mobile stroke unit

Mobile Stroke Unit of the DRK (2016)

In addition, more than 20 mobile stroke units ("MSU", also known as "STEMO" mobile stroke units ) are used worldwide in Germany, Norway, America, Canada and Argentina. These are special ambulances , which are additionally equipped with a mobile CT scanner , mobile laboratory diagnostics and telemedical device . Using it can shorten the time to thrombolysis by almost half an hour and treat more patients. The world's first MSU was stationed in Homburg in 2010. Three more STEMO are stationed in Berlin.

literature

• Germar Kroczek et al .: Stroke Unit . An interdisciplinary practical guide for the acute treatment of stroke. Pflaum, Munich, Bad Kissingen, Berlin, Düsseldorf, Heidelberg 2002, ISBN 978-3-7905-0829-1 .
• Hans-Christoph Diener (Ed.): Stroke Unit Manual . Thieme , Stuttgart, New York 2005, ISBN 978-3-13-133531-9 .
• Sebastian Kubik: Characteristics of the certified stroke units in Germany . Medical Faculty of the Charité - Universitätsmedizin Berlin , 2016, DNB  1113592982 ( refubium.fu-berlin.de [PDF] Dissertation).

Individual evidence

1. ↑ Care - special wards for people affected by strokes. Retrieved September 30, 2019 . 
2. ^ John W. Norris, Vladimir Hachinski : The evolution and impact of acute stroke units on outcome in stroke patients. (PDF; 68 kB) In: The Canadian Journal of Neurological Sciences. Cambridge University Press, May 2009, accessed on January 21, 2019 (English, print edition: Volume 36, No. 3, May 2009, pp. 274–276). 
3. ↑ E. Bernd Ringelstein, Otto Busse: Stroke Units in Germany - Endangerment of a Recipe for Success? (PDF; 102 kB) AOK Scientific Institute , July 2004, accessed on August 21, 2019 (print medium: GGW 3/2004). 
4. ↑ FOCUS Online: STROKE: Therapy instead of fainting. Retrieved June 3, 2020 . 
5. ↑ BR24 - 30 years of stroke unit. Retrieved June 17, 2020 . 
6. ^ List of German stroke units. German Stroke Society, accessed November 8, 2018 . 
7. ^ Stroke: Stroke Unit. Federal Ministry of Labor, Social Affairs, Health and Consumer Protection , accessed on November 8, 2018 . 
8. ^ Stroke Centers and Stroke Units. Swiss Heart Foundation , accessed on November 8, 2018 . 
9. ↑ Certification criteria for stroke units in Germany. (PDF) Retrieved September 30, 2019 . 
10. ↑ Victoria J. Calderon, Brittany M. Kasturiarachi, Eugene Lin, Vibhav Bansal, Osama O. Zaidat: Review of the Mobile Stroke Unit Experience Worldwide . In: Interventional Neurology . tape 7 , no. 6 , 2018, ISSN  1664-9737 , p. 347-358 , doi : 10.1159 / 000487334 , PMID 30410512 ( karger.com [accessed September 30, 2019]).
11. ↑ CSB - STEMO - Stroke mobile application. Retrieved September 30, 2019 . 

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !