ArticleDeutsches Arzteblatt international2011
Regional differences in acute stroke admission and thrombolysis rates in the German federal state of Hesse.
Article in Deutsches Arzteblatt international, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Variations in Methodological Approaches to Measuring Health Inequalities and Inequities: A Scoping Review of Acute Stroke Pathways.Healthcare (Basel, Switzerland) · 2025Review
- Identifying factors in the provision of intravenous stroke thrombolysis in Malaysia: a multiple case study from the healthcare providers' perspective.BMC health services research · 2024Article
- Availability of stroke services and hospital facilities at different hospital levels in Thailand: a cross-sectional survey study.BMC health services research · 2022Article
- Article
- Notification Strategy and Predictors of Outcome in Stroke Ineligible for Reperfusion Therapies.Frontiers in neurology · 2019Article
- Factors associated with late arrival of acute stroke patients to emergency department in Saudi Arabia.SAGE open medicine · 2018Article
- Recent advances in the management of acute ischemic stroke.F1000Research · 2017Review
- Increase in national intravenous thrombolysis rates for ischaemic stroke between 2005 and 2012: is bigger better?BMC neurology · 2016Article
- Expansion or compression of long-term care in Germany between 2001 and 2009? A small-area decomposition study based on administrative health data.Population health metrics · 2016Article
- Does treatment with t-PA increase the risk of developing epilepsy after stroke?Journal of neurology · 2015Observational
- Baseline characteristics in stroke patients with atrial fibrillation: clinical trials versus clinical practice.BMC research notes · 2015Article
- The quality of acute stroke care- an analysis of evidence-based indicators in 260 000 patients.Deutsches Arzteblatt international · 2014Article
- Secondary stroke prevention in atrial fibrillation: a challenge in the clinical practice.BMC neurology · 2014Article
- Lessons from everyday stroke care for clinical research and vice versa: comparison of a comprehensive and a research population of young stroke patients.BMC neurology · 2014Observational
- [Reality of acute stroke patient care in the metropolitan Ruhr area: status quo and perspectives of a stroke-specific network].Der Nervenarzt · 2012Article
- Local versus specialized treatment: the difficulty in interpreting regional variations in treatment.Deutsches Arzteblatt international · 2011Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundUsing data from the mandatory quality assurance program for stroke care in Hesse, we analyze regional differences in thrombolysis rates and infer some ways in which care can be improved.
methodsWe identified 7707 patients with acute ischemic stroke who were admitted to hospital within 3 hours of symptom onset in 2007 and 2008, and we determined the local thrombolysis rate district by district. In order to exclude the possibility that the observed local differences in thrombolysis rates might be accounted for, in large part, by off-label thrombolysis procedures, we further narrowed down the subgroup of patients who underwent thrombolysis to the 1108 patients admitted within 2 hours of symptom onset. We also analyzed the local thrombolysis rates for patients who were primarily referred to stroke units.
resultsThe overall thrombolysis rate among patients admitted within 3 hours of symptom onset was 19%, varying locally from 6% to 35%. Among patients admitted within 2 hours of symptom onset, the local thrombolysis rate ranged from 13% to 85%. Even in patients primarily referred to stroke units, the local thrombolysis rate ranged from 8% to 44% in the 3-hour group and from 16% to 62% in the 2-hour group.
conclusionLocal thrombolysis rates vary unexpectedly widely across the state of Hesse. The care of patients with acute stroke after they reach the hospital urgently needs critical reappraisal and improvement.
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