J Korean Neurol Assoc.
2023 Nov;41(4):257-267. 10.17340/jkna.2023.0057.
Current Status of Stroke Center Certification Accreditation Recommendations for Comprehensive Stroke Centers Certification: A Consensus Statement from the Stroke Associated Korean Societies
- Affiliations
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- 1Department of Neurology, Seoul National University Hospital, Seoul, Korea
- 2Department of Neurology, Inha University Hospital, Incheon, Korea
- 3Department of Radiology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
- 4Department of Cardiology, Jeju National University Hospital, Jeju, Korea
- 5Division of Vascular Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- 6Department of Rehabilitation Medicine, National Traffic Rehabilitation Hospital, Yangpyeong, Korea
- 7Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 8Department of Rehabilitation Medicine, The Catholic University of Korea Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
- 9Department of Rehabilitation Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
- 10Department of Neurology, Keimyung University School of Medicine, Daegu, Korea
- 11Department of Neurology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
- 12Department of Neurology, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
- 13Department of Neurology, Chung-Ang University Gwangmyeong Hospital, Gwangmyeong, Korea
- 14Department of Neurology, Cerebrovascular Disease Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 15Department of Neurology, Korea University Guro Hospital, Seoul, Korea
- 16Department of Neurology, Kangwon National University Hospital, Chuncheon, Korea
- 17Department of Neurology, Kyung Hee University College of Medicine, Seoul, Korea
- 18Department of Neurology, Gyeongsang National University College of Medicine, Jinju, Korea
- 19Department of Neurology, Hallym University Sacred Heart Hospital, Anyang, Korea
- 20Department of Neurology, Catholic Kwandong University International St. Mary’s Hospital, Incheon, Korea
- 21Department of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea
- 22Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University, Eulji University School of Medicine, Uijeongbu, Korea
- 23Department of Neurology, Soonchunhyang University Seoul Hospital, Seoul, Korea
- 24Department of Neurology, Dong-A University Hospital, Busan, Korea
- 25Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 26Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
- KMID: 2547613
- DOI: http://doi.org/10.17340/jkna.2023.0057
Abstract
- Stroke is the leading cause of death in Korea. The demand for a multidisciplinary approach and transfer of patients between hospitals to receive higher-level treatment is increasing. However, there are many obstacles in selecting optimal hospitals for paramedics or stroke patients. This has led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.
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