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Cerebrovascular Disease : Recent Progress in Research and Clinical Practice (7) : Management of Acute Cerebrovascular Stroke

By  弘 氏家 and  隆 比嘉

Abstract

Apoplexy is one of the three major causes of death in Japan. Its numerous sequelae greatly compromise quality of life (QOL) and hinder the patient's return to work. The incidence of apoplexy increases with the aging process. The average lifespan in Japanese society is rapidly lengthening, and so it is essential that medical steps be taken to address these issues in Japan. Japan has a better supply of physicians, medical equipment and hospitals than some other developed nations. However, there is a lack of communication among the hospitals and among departments within medical facilities that treat patients with apoplexy, and also between hospitals and emergency conveyance services. There is also a lack of general knowledge that recovery from stroke depends on how the victim is treated them within the first three hours. As a result, it happens that some patients that suffer acute cerebral stroke do not receive the appropriate treatment within the critical time frame. To deal successfully with apoplexy, hospitals and specialized departments must overcome communication barriers and work as a team. General treatment education programs on apoplexy and on the maintenance of emergency conveyance must be integrated. In the hospital, at the center of this effort is the Stroke Care Unit (SCU), which includes neurosurgeons, neurologists, neuroradiologists, rehabilitation physicians, and others if necessary, and focuses their expertise in treating cerebral apoplexy. To build an SCU that operates smoothly 24 hours a day, 365 days a year, the consensus and cooperation of all members of society and medical staff are essentia

Topics: stroke ease unit, stroke unit, t-PA, apoplexy, scu
Publisher: 東京女子医科大学学会
Year: 2007
OAI identifier: oai:ir.twmu.ac.jp:10470/27587
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