Organizational issues in stroke treatment: The Swiss paradigm - Stroke units

Georgios K Matis; Olga I Chrysou; Theodossios A Birbilis

doi:10.4103/0976-3147.116450

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4 (

Supp 1

); S131-S133

doi:

10.4103/0976-3147.116450

Organizational issues in stroke treatment: The Swiss paradigm - Stroke units

Georgios K Matis, Olga I Chrysou, Theodossios A Birbilis

Department of Neurosurgery, Democritus University of Thrace Medical School, Alexandroupolis, Greece

Address for correspondence: Dr. Georgios K. Matis 10th Plattenstrasse (Room 1401), Zurich, CH.8032 Switzerland georgios.matis@uzh.ch

Journal of Neurosciences in Rural Practice

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This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

Stroke represents the leading cause of acquired disability in adults and poses a tremendous socioeconomic burden both on patients and the society. In this sense, prompt diagnosis and urgent treatment are needed in order to radically reduce the devastating consequences of this disease. Herein the authors present the new guidelines recently adopted by the Swiss Stroke Society concerning the establishment of stroke units. Standardized treatment and allocation protocols along with an acute rehabilitation concept seem to be the core of the Swiss stroke management system. Coordinated multidisciplinary care provided by specialized medical, nursing and therapy staff is of utmost importance for achieving a significant dependency and death reduction. It is believed that the implementation of these guidelines in the stroke care system would be beneficial not only for the stroke patients, but also for the health system.

Keywords

Guidelines

Organization

Stroke

Stroke centers

Stroke units

Switzerland

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Conflict of Interest

None declared

References

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[1] Gostynski M, Engelter S, Papa S, Ajdacic-Gross V, Gutzwiller F, Lyrer P, . Incidence of first-ever ischemic stroke in the Canton Basle-City, Switzerland: A population-based study 2002/2003. J Neurol. 2006;253:86-91.
[Google Scholar]

[2] Zerebrovaskuläre Arbeitsgruppe der Schweiz (ZAS), Schweizerische Herzstiftung (SHS) , . Epidemiologie des Hirnschlages. Schweiz Arzteztg. 2000;81:835-40.
[Google Scholar]

[3] Meyer K, Simmet A, Arnold M, Mattle H, Nedeltchev K, . Stroke events, and case fatalities in Switzerland based on hospital statistics and cause of death statistics. Swiss Med Wkly. 2009;139:65-9.
[Google Scholar]

[4] Te Ao B. J., Brown P. M., Feigin V. L., Anderson C. S., . Are stroke units cost effective? Evidence from a New Zealand stroke incidence and population-based study. Int J Stroke. 2012;7:623-30.
[Google Scholar]

[5] Fuentes B, Díez-Tejedor E, . Stroke units: Many questions, some answers. Int J Stroke. 2009;4:28-37.
[Google Scholar]

[6] Moodie M, Cadilhac D, Pearce D, Mihalopoulos C, Carter R, Davis S, et al . Economic evaluation of Australian stroke services: A prospective, multicenter study comparing dedicated stroke units with other care modalities. Stroke. 2006;37:2790-5.
[Google Scholar]

[7] Epifanov Y, Dodel R, Haacke C, Schaeq M, Schöffski O, Hennerici M, et al . Costs of acute stroke care on regular neurological wards: A comparison with stroke unit setting. Health Policy. 2007;81:339-49.
[Google Scholar]

[8] Lyrer P, Michel P, Arnold M, Hungerbühler H, Gralla J, Humm A, et al . Stroke Units und Stroke Centers in der Schweiz: Richtlinien und Anforderungsprofil. Schweiz Med Forum. 2012;12:918-22.
[Google Scholar]

Organizational issues in stroke treatment: The Swiss paradigm - Stroke units

Abstract

ABSTRACT

Keywords

Guidelines

Organization

Stroke

Stroke centers

Stroke units

Switzerland

Conflict of Interest

References

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