J Korean Neurol Assoc.
2021 Nov;39(4):305-311. 10.17340/jkna.2021.4.6.
The Investigation on the Burden of Neurology Residents to Manage the Patient who Received Thrombolytic Treatment in the Emergency Department with Hyperacute Stroke
- Affiliations
-
- 1Department of Neurology, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- 2Department of Neurology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Korea
- 3Department of Neurology, National Medical Center, Seoul, Korea
- 4Department of Neurology, Soonchunhayng University Seoul Hospital, Seoul, Korea
- 5Department of Neurology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea
- 6Department of Neurology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea
- 7Department of Neurology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
- 8Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Korea
- 9Department of Neurology, Hanyang University Guri Hospital, Guri, Korea
- 10Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea
- KMID: 2521859
- DOI: http://doi.org/10.17340/jkna.2021.4.6
Abstract
- Background
Because Korea is the fastest aging country, the stroke incidence is increasing rapidly. We investigate the trend of the number of patients with acute stroke in recent years and estimate the burden of the neurologist to treat the acute stroke patient visited the emergency department.
Methods
We requested a questionnaire survey to all teaching hospitals on the number of hospital beds, the number of stroke patients who visited the emergency department, the number of stroke patients in charge of the neurologist, and the number of days on duty of residents from 2016 to 2019.
Results
Of 69 teaching hospitals, 41 hospitals answered the survey. The average hospital beds per hospital were increased annually from 909 to 916. The average patients who visited the emergency department with stroke and were in charged to neurologists were rapidly increased from 799 to 867 per hospital. In particular, the number of patients with hyperacute cerebral infarction requiring the thrombolytic administration or mechanical thrombectomy were rapidly increased from 105 to 131. On the other hand, the average number of residents per hospital was decreased from 5.1 to 4.8. Therefore, the days on duty per resident were increased from 74 to 77.
Conclusions
The number of acute stroke patients, especially, hyperacute stroke required the rapid cooperation and high labor were increasing rapidly in recent years. However, because the number of residents were decreased, the burden was increasing. To improve the quality of acute stroke treatment, it is necessary to increase the number of residents.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Guideline for intra-arterial thrombolysis of hyperacute ischemic stroke patients: Preliminary Report
- Performance Rate of Thrombolytic Therapy and Acute Prognosis of Hyperacute Ischemic Stroke
- Contralateral MCA Infarction Mimicking Post-stroke Seizure in a Patient With Previous Right MCA Infarct
- Are in-Hospital Delays Important Obstacles in Thrombolytic Therapy Following Acute Ischemic Stroke?
- A Case of Hemoperitoneum after Intraarterial Urokinase Infusion for Acute Ischemic Stroke
