ArticleJournal of Korean medical science2020
Acute Stroke Care in Korea in 2013-2014: National Averages and Disparities.
Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Trends in Acute Care and Rehabilitation for First-Ever Stroke Patients: A 12-Year Perspective, the KOSCO Study.Journal of Korean medical science · 2026Observational
- Geographic disparities in EVT access and stroke mortality under universal health coverage in South Korea.BMC health services research · 2026Article
- Variations in Methodological Approaches to Measuring Health Inequalities and Inequities: A Scoping Review of Acute Stroke Pathways.Healthcare (Basel, Switzerland) · 2025Review
- Characteristics of High-Performance Low-Volume Hospitals in Acute Stroke Care.Journal of the American Heart Association · 2025Article
- Association of Age, Sex and Education With Access to the Intravenous Thrombolysis for Acute Ischemic Stroke.Journal of Korean medical science · 2025Article
- Mortality and Disparities of Acute Myocardial Infarction and Stroke in Korea, 2008-2019.Yonsei medical journal · 2024Article
- Network analysis of stroke systems of care in Korea.BMJ neurology open · 2024Article
- Article
- Population health outcomes in South Korea 1990-2019, and projections up to 2040: a systematic analysis for the Global Burden of Disease Study 2019.The Lancet. Public health · 2023Article
- Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- Role of Neurosurgeons in the Treatment of Acute Ischemic Stroke in the Emergency Room.Journal of Korean Neurosurgical Society · 2023Article
- Comparison of Factors Associated With Direct Versus Transferred-in Admission to Government-Designated Regional Centers Between Acute Ischemic Stroke and Myocardial Infarction in Korea.Journal of Korean medical science · 2022Article
- Annual Case Volume and One-Year Mortality for Endovascular Treatment in Acute Ischemic Stroke.Journal of Korean medical science · 2022Article
- Pre-Hospital Delay in Patients With Acute Stroke During the Initial Phase of the Coronavirus Disease 2019 Outbreak.Journal of Korean medical science · 2022Article
- Application of Integrated Emergency Care Model Based on Failure Modes and Effects Analysis in Patients With Ischemic Stroke.Frontiers in surgery · 2022Article
- Presence of Thrombectomy-capable Stroke Centers Within Hospital Service Areas Explains Regional Variation in the Case Fatality Rate of Acute Ischemic Stroke in Korea.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2021Observational
- Regional Disparity of Reperfusion Therapy for Acute Ischemic Stroke in Japan: A Retrospective Analysis of Nationwide Claims Data from 2010 to 2015.Journal of the American Heart Association · 2021Article
- Effect of Transport Time on the Use of Reperfusion Therapy for Patients with Acute Ischemic Stroke in Korea.Journal of Korean medical science · 2021Article
- Comparative Analysis of the Patients with Spontaneous Thalamic Hemorrhage with Concurrent Intraventricular Hemorrhage and Those without Intraventricular Hemorrhage.Journal of Korean medical science · 2021Article
- Routing to Endovascular Treatment of Ischemic Stroke in Korea: Recognition of Need for Process Improvement.Journal of Korean medical science · 2020Article
Corrections and comments
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Authors and funding
19 authors.
Funding
Abstract
backgroundThis study aimed to describe the current status of acute stroke care in Korea and explore disparities among hospitals and regions.
methodsThe 2013 and 2014 national stroke audit data and the national health insurance claims data were linked and used for this study. Stroke patients hospitalized via emergency rooms within 7 days of stroke onset were selected.
resultsA total of 19,608 patients treated in 216 hospitals were analyzed. Among them 76% had ischemic stroke; 15%, intracerebral hemorrhage (ICH); and 9%, subarachnoid hemorrhage (SAH). Of the hospitals, 31% provided inpatient stroke unit care. Ambulances were used in 56% of cases, and the median interval from onset to arrival was 4.5 hours. One-quarter of patients were referred from other hospitals. Intravenous thrombolysis (IVT) and endovascular treatment (EVT) rates were 11% and 4%, respectively. Three-quarters of the analyzed hospitals provided IVT and/or EVT, whereas 47% of hospitals providing IVT and 67% of hospitals providing EVT had less than one case per month. Decompressive surgery was performed on 28% of ICH patients, and clipping and coiling were performed in 17.2% and 14.3% of SAH patients, respectively. There were noticeable regional disparities between the various interventions, ambulance use, arrival time, and stroke unit availability.
conclusionThis study describes the current status of acute stroke care in Korea. Despite quite acceptable quality of stroke care, it suggests regional and hospital disparities. Expansion of stroke units, stroke center certification or accreditation, and connections between stroke centers and emergency medical services are highly recommended.
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