Advances in the Stroke System of Care

摘要: The stroke system of care is undergoing significant evolution. There are promising data to suggest that with new technologies and approaches, primary prevention community education will become easier more accessible, allow people have greater participation in their own healthcare. evidence-based comprehensive center concepts been translated into robust, rapidly growing certification programs. continued dissemination improved EMS routing protocols allows for better allocation patients centers, even as we confront the challenge further improving prehospital recognition stroke. National quality improvement initiatives help ensure directed centers receive treatment, which has resulted clinical outcomes. In remote areas, use such telemedicine extend reach vascular neurologists increased administration time-sensitive thrombolytic therapy patient outcomes, although efficiency within likely be needed realize potential benefits endovascular therapy. System-level paradigms aggressive medical management promise lessen burden recurrent Finally, integration rehabilitation programs coordination community-based services best possible outcome patients.