Abstract:
BACKGROUND AND PURPOSE:According to the World Health Organization (WHO) assumptions every patient with a stroke should be treated by a specialized stroke team or in a specialized stroke unit. The aim of our study was to evaluate the accessibility and eligibility of stroke units in Poland. MATERIALS AND METHODS:We have developed a questionnaire evaluating the structure and staff of neurological departments. The questionnaire was sent to all neurological departments in Poland in the last quarter of 2003. We grouped the departments in 5 categories: having a stroke unit of class A (fulfilling the criteria of the Experts of the National Program of Prevention and Treatment of Stroke guidelines), class B (conditionally fulfilling the criteria), class C (not fulfilling the criteria), departments having stroke units without a separate structure and departments without stroke units. The classification was shown to each provincial consultant in order to verify our data in January 2004. RESULTS:We have received replies from 194 of 222 (87.4%) departments. 97 departments declared having a stroke unit: 20 -- class A, 56 -- class B, 14 -- class C and 7 -- stroke units without a separate structure. The remaining 97 departments do not have any stroke units. The most frequent problem that plays a role in the classification of departments was the deficit of staff or equipment. CONCLUSIONS:The stroke unit network in Poland is developing dynamically, but a significant number of the existing stroke units need more diagnostic equipment, staff and structural changes.
journal_name
Neurol Neurochir Poljournal_title
Neurologia i neurochirurgia polskaauthors
Członkowska A,Sarzyńska-Długosz I,Niewada M,Kabayashi A,Ryglewicz Dsubject
Has Abstractpub_date
2004-09-01 00:00:00pages
353-60issue
5eissn
0028-3843issn
1897-4260pii
2670journal_volume
38pub_type
杂志文章abstract::In five provinces of Western Poland the incidence and prevalence of multiple sclerosis was analyzed in patients living at the place of birth and in patients who had changed their place of residence in these provinces. The results showed that the occurrence of multiple sclerosis in geographic foci is more evident if al...
journal_title:Neurologia i neurochirurgia polska
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abstract::The placement of tungsten coils into aneurysm sack in patient after SAH is a method of treatment used in many neurosurgical departments. The main indications for coiling procedures are severe neurological status (IV i V according to WFNS) and posterior circulation aneurysms. Coiling can be offered to a patient who doe...
journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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abstract::The use of spinal implants in the pediatric population is controversial in terms of skeletal immaturity. The authors present the case of a 12-year-old boy with displaced Type III odontoid fracture, successfully treated by direct screw fixation. Fractures defined as Type II and Type III according to the classification ...
journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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journal_title:Neurologia i neurochirurgia polska
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