Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea
Characteristics of stroke cases, acute stroke care, and outcomes after stroke differ according to geographical and cultural background. To provide epidemiological and clinical data on stroke care in South Korea, we analyzed a prospective multicenter clinical stroke registry, the Clinical Research Ce...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Stroke Society
2015-01-01
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| Series: | Journal of Stroke |
| Subjects: | |
| Online Access: | http://www.j-stroke.org/upload/pdf/jos-17-38.pdf |
| _version_ | 1818274792540733440 |
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| author | Beom Joon Kim Jong-Moo Park Kyusik Kang Soo Joo Lee Youngchai Ko Jae Guk Kim Jae-Kwan Cha Dae-Hyun Kim Hyun-Wook Nah Moon-Ku Han Tai Hwan Park Sang-Soon Park Kyung Bok Lee Jun Lee Keun-Sik Hong Yong-Jin Cho Byung-Chul Lee Kyung-Ho Yu Mi-Sun Oh Dong-Eog Kim Wi-Sun Ryu Ki-Hyun Cho Joon-Tae Kim Jay Chol Choi Wook-Joo Kim Dong-Ick Shin Min-Ju Yeo Sung Il Sohn Jeong-Ho Hong Juneyoung Lee Ji Sung Lee Byung-Woo Yoon Hee-Joon Bae |
| author_facet | Beom Joon Kim Jong-Moo Park Kyusik Kang Soo Joo Lee Youngchai Ko Jae Guk Kim Jae-Kwan Cha Dae-Hyun Kim Hyun-Wook Nah Moon-Ku Han Tai Hwan Park Sang-Soon Park Kyung Bok Lee Jun Lee Keun-Sik Hong Yong-Jin Cho Byung-Chul Lee Kyung-Ho Yu Mi-Sun Oh Dong-Eog Kim Wi-Sun Ryu Ki-Hyun Cho Joon-Tae Kim Jay Chol Choi Wook-Joo Kim Dong-Ick Shin Min-Ju Yeo Sung Il Sohn Jeong-Ho Hong Juneyoung Lee Ji Sung Lee Byung-Woo Yoon Hee-Joon Bae |
| author_sort | Beom Joon Kim |
| collection | DOAJ |
| description | Characteristics of stroke cases, acute stroke care, and outcomes after stroke differ according to geographical and cultural background. To provide epidemiological and clinical data on stroke care in South Korea, we analyzed a prospective multicenter clinical stroke registry, the Clinical Research Center for Stroke-Fifth Division (CRCS-5). Patients were 58% male with a mean age of 67.2±12.9 years and median National Institutes of Health Stroke Scale score of 3 [1-8] points. Over the 6 years of operation, temporal trends were documented including increasing utilization of recanalization treatment with shorter onset-to-arrival delay and decremental length of stay. Acute recanalization treatment was performed in 12.7% of cases with endovascular treatment utilized in 36%, but the proportion of endovascular recanalization varied across centers. Door-to-IV alteplase delay had a median of 45 [33-68] min. The rate of symptomatic hemorrhagic transformation (HT) was 7%, and that of any HT was 27% among recanalization-treated cases. Early neurological deterioration occurred in 15% of cases and were associated with longer length of stay and poorer 3-month outcomes. The proportion of mRS scores of 0-1 was 42% on discharge, 50% at 3 months, and 55% at 1 year after the index stroke. Recurrent stroke up to 1 year occurred in 4.5% of patients; the rate was higher among older individuals and those with neurologically severe deficits. The above findings will be compared with other Asian and US registry data in this article. |
| first_indexed | 2024-12-12T22:19:29Z |
| format | Article |
| id | doaj.art-cf6f25464cf74ab3b7a234e74875cc2c |
| institution | Directory Open Access Journal |
| issn | 2287-6391 2287-6405 |
| language | English |
| last_indexed | 2024-12-12T22:19:29Z |
| publishDate | 2015-01-01 |
| publisher | Korean Stroke Society |
| record_format | Article |
| series | Journal of Stroke |
| spelling | doaj.art-cf6f25464cf74ab3b7a234e74875cc2c2022-12-22T00:09:58ZengKorean Stroke SocietyJournal of Stroke2287-63912287-64052015-01-01171385310.5853/jos.2015.17.1.3858Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South KoreaBeom Joon KimJong-Moo ParkKyusik KangSoo Joo LeeYoungchai KoJae Guk KimJae-Kwan ChaDae-Hyun KimHyun-Wook NahMoon-Ku HanTai Hwan ParkSang-Soon ParkKyung Bok LeeJun LeeKeun-Sik HongYong-Jin ChoByung-Chul LeeKyung-Ho YuMi-Sun OhDong-Eog KimWi-Sun RyuKi-Hyun ChoJoon-Tae KimJay Chol ChoiWook-Joo KimDong-Ick ShinMin-Ju YeoSung Il SohnJeong-Ho HongJuneyoung LeeJi Sung LeeByung-Woo YoonHee-Joon BaeCharacteristics of stroke cases, acute stroke care, and outcomes after stroke differ according to geographical and cultural background. To provide epidemiological and clinical data on stroke care in South Korea, we analyzed a prospective multicenter clinical stroke registry, the Clinical Research Center for Stroke-Fifth Division (CRCS-5). Patients were 58% male with a mean age of 67.2±12.9 years and median National Institutes of Health Stroke Scale score of 3 [1-8] points. Over the 6 years of operation, temporal trends were documented including increasing utilization of recanalization treatment with shorter onset-to-arrival delay and decremental length of stay. Acute recanalization treatment was performed in 12.7% of cases with endovascular treatment utilized in 36%, but the proportion of endovascular recanalization varied across centers. Door-to-IV alteplase delay had a median of 45 [33-68] min. The rate of symptomatic hemorrhagic transformation (HT) was 7%, and that of any HT was 27% among recanalization-treated cases. Early neurological deterioration occurred in 15% of cases and were associated with longer length of stay and poorer 3-month outcomes. The proportion of mRS scores of 0-1 was 42% on discharge, 50% at 3 months, and 55% at 1 year after the index stroke. Recurrent stroke up to 1 year occurred in 4.5% of patients; the rate was higher among older individuals and those with neurologically severe deficits. The above findings will be compared with other Asian and US registry data in this article.http://www.j-stroke.org/upload/pdf/jos-17-38.pdfstroke registrysouth koreacase profilehyperacute treatmentthrombolysisoutcomerecurrent event |
| spellingShingle | Beom Joon Kim Jong-Moo Park Kyusik Kang Soo Joo Lee Youngchai Ko Jae Guk Kim Jae-Kwan Cha Dae-Hyun Kim Hyun-Wook Nah Moon-Ku Han Tai Hwan Park Sang-Soon Park Kyung Bok Lee Jun Lee Keun-Sik Hong Yong-Jin Cho Byung-Chul Lee Kyung-Ho Yu Mi-Sun Oh Dong-Eog Kim Wi-Sun Ryu Ki-Hyun Cho Joon-Tae Kim Jay Chol Choi Wook-Joo Kim Dong-Ick Shin Min-Ju Yeo Sung Il Sohn Jeong-Ho Hong Juneyoung Lee Ji Sung Lee Byung-Woo Yoon Hee-Joon Bae Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea Journal of Stroke stroke registry south korea case profile hyperacute treatment thrombolysis outcome recurrent event |
| title | Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea |
| title_full | Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea |
| title_fullStr | Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea |
| title_full_unstemmed | Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea |
| title_short | Case Characteristics, Hyperacute Treatment, and Outcome Information from the Clinical Research Center for Stroke-Fifth Division Registry in South Korea |
| title_sort | case characteristics hyperacute treatment and outcome information from the clinical research center for stroke fifth division registry in south korea |
| topic | stroke registry south korea case profile hyperacute treatment thrombolysis outcome recurrent event |
| url | http://www.j-stroke.org/upload/pdf/jos-17-38.pdf |
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