[Evaluation of the accessibility of stroke units in Poland].

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 Pol

authors

Członkowska A,Sarzyńska-Długosz I,Niewada M,Kabayashi A,Ryglewicz D

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

353-60

issue

5

eissn

0028-3843

issn

1897-4260

pii

2670

journal_volume

38

pub_type

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