ReviewDer Nervenarzt2019
[Certification criteria for stroke units in Germany : Update 2018].
Review in Der Nervenarzt, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
22 citing papers in PubMed.
- Association of stroke unit certification with process quality in acute ischemic stroke: a registry-based study.Neurological research and practice · 2026Article
- Trends in mortality and disability from ischaemic stroke in Europe, 1990-2023.European stroke journal · 2026Article
- Delayed Care in Self-Presenting Stroke Patients: Real-World Data on Process Delays-Comparing Process Times Between Emergency Medical Services and Self-Presentation.Journal of clinical medicine · 2026Article
- Trends in acute care of cerebrovascular events- a joinpoint analysis with German hospital data from 2000 to 2021.Neurological research and practice · 2025Article
- Quality in Acute Stroke Care (QASC) Germany: improving efficiency in stroke care with nurse-initiated FeSS-protocols.Neurological research and practice · 2024Article
- Enhanced diagnostic workup increases pathological findings in patients with acute ischaemic stroke: results of the prospective HEBRAS study.Stroke and vascular neurology · 2024Observational
- Recommendations for the organization of the teleconsultation service in a telestroke network.Neurological research and practice · 2024Article
- Extent of routine diagnostic cardiac work-up at certified German stroke units participating in the prospective MonDAFIS study.Neurological research and practice · 2023Article
- [Intravenous thrombolysis of ischemic stroke-Current status].Der Nervenarzt · 2023Article
- [Specialization of Acute Stroke Care in Germany: Structural Changes During 2006-2017].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Echocardiography in acute stroke patients: a nationwide analysis in departments with certified stroke units in Germany.Neurological research and practice · 2023Article
- Sex-Specific Differences in Pre-Stroke Characteristics Reveal Vulnerability of Elderly Women.Journal of personalized medicine · 2022Article
- Review
- [Time is brain - Does a visualization of the treatment time for acute stroke lead to a reduction in the door-to-needle time? : A retrospective pilot study].Der Nervenarzt · 2021Article
- Expert opinion paper on cardiac imaging after ischemic stroke.Clinical research in cardiology : official journal of the German Cardiac Society · 2021Review
- Article
- [Interdisciplinary neurovascular networks: state of the art].Der Nervenarzt · 2020Review
- Review
- [Structures of endovascular recanalization in Germany : Cross-sectional survey of certified stroke units 2016-2018].Der Nervenarzt · 2020Review
- [Quality of care of acute ischemic stroke in Germany 2018].Der Nervenarzt · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article describes the revised criteria for certified stroke units (SU) in Germany that will apply from 1 October 2018. Due to the high level of quality only minor adjustments and specifications were necessary in many places and the majority of criteria remained unchanged. For the first time a uniform personnel quota of ≥1.75 full-time staff per monitor bed is defined, which is a better reflection of the treatment reality. The evidence-based process of acute vascular imaging using computed tomography angiography (CTA) and alternatively magnetic resonance angiography (MRA) is now defined as a minimum rate of≥20 % of all brain infarcts. In this way the timely identification of suitable candidates for endovascular thrombectomy (ET) should be accomplished. Ultrasound diagnostics of arteries supplying the brain remain an integral part of additional diagnostics after cerebral ischemia because this generates supplementary information. The extended detection of atrial fibrillation is newly included as a diagnostic minimum standard and necessitates measures that go beyond a single long-term electrocardiograph (ECG). In order to facilitate the certification of telemedically supplied SU (Tele-SU), the minimum standard of stroke patients was reduced to ≥200 per year. A Tele-SU in the immediate catchment area of a certified SU (<20 km) must provide proof of a regional treatment need in order for certification to be approved. Quality criteria in the audit reports have now a greater importance. They require a concrete plan of action, which must be tracked within the framework of the interim report and must be presented for the recertification. Furthermore, the SU are called upon not to limit the endeavors for quality only to the minimum requirements.
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