계명대학교 의학도서관 Repository

Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea

Metadata Downloads
Author(s)
Beom Joon KimJong-Moo ParkKyusik KangSoo Joo LeeYoungchai KoJae Guk KimJae-Kwan ChaDae-Hyun KimHyun-Wook NahMoon-Ku HanTai Hwan ParkSang-Soon ParkKyung Bok LeeJun LeeKeun-Sik HongYong-Jin ChoByung-Chul LeeKyung-Ho YuMi-Sun OhDong-Eog KimWi-Sun RyuKi-Hyun ChoJoon-Tae KimJay Chol ChoiWook-Joo KimDong-Ick ShinMin-Ju YeoSung Il SohnJeong-Ho HongJuneyoung LeeJi Sung LeeByung-Woo YoonHee-Joon Baea
Keimyung Author(s)
Sohn, Sung IlHong, Jeong Ho
Department
Dept. of Neurology (신경과학)
Journal Title
Journal of Stroke
Issued Date
2015
Volume
17
Issue
1
Keyword
Stroke registrySouth KoreaCase profileHyperacute treatmentThrombolysisOutcomeRecurrent event
Abstract
Characteristics of stroke cases, acute stroke care, and outcomes after stroke differ according to geographical and cultural background. To provide epidemiological and clinical data on stroke care in South Korea, we analyzed a prospective multicenter clinical stroke registry, the Clinical Research Center for Stroke-Fifth Division (CRCS-5). Patients were 58% male with a mean age of 67.2±12.9 years and median National Institutes of Health Stroke Scale score of 3 [1-8] points. Over the 6 years of operation, temporal trends were documented including increasing utilization of recanalization treatment with shorter onset-to-arrival delay and decremental length of stay. Acute recanalization treatment was performed in 12.7% of cases with endovascular treatment utilized in 36%, but the proportion of endovascular recanalization varied across centers. Door-to-IV alteplase delay had a median of 45 [33-68] min. The rate of symptomatic hemorrhagic transformation (HT) was 7%, and that of any HT was 27% among recanalization-treated cases. Early neurological deterioration occurred in 15% of cases and were associated with longer length of stay and poorer 3-month outcomes. The proportion of mRS scores of 0-1 was 42% on discharge, 50% at 3 months, and 55% at 1 year after the index stroke. Recurrent stroke up to 1 year occurred in 4.5% of patients; the rate was higher among older individuals and those with neurologically severe deficits. The above findings will be compared with other Asian and US registry data in this article.
Keimyung Author(s)(Kor)
손성일
홍정호
Publisher
School of Medicine
Citation
Beom Joon Kim et al. (2015). Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea. Journal of Stroke, 17(1), 38–53. doi: 10.5853/jos.2015.17.1.38
Type
Article
ISSN
2287-6391
DOI
10.5853/jos.2015.17.1.38
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34254
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.