presentación de powerpoint€¦ · target: 3 stroke units / 1.000.000 1 comprehensive sc /...
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Target:3 stroke units / 1.000.0001 comprehensive SC / 1.000.000
Stroke Units
Target:Rate of iv.tPA: 18%Rate of EVT: 5%
iv. Thrombolysis
Target:3 stroke units / 1.000.0001 comprehensive SC / 1.000.000Rate of iv.tPA: 18%Rate of EVT: 5%
5
Stroke network in Catalonia
5 Comprehensive StrokeCenters
2011- 2018EVT
Geographic organization& creating networks
5 Comprehensive StrokeCenters
+ 2 Thrombectomy ReadyCenters (8:00 – 17:00)
2019
2013
Estación movil
Tele-Ictus 2.0>500
consults/yearFigueresPalamosGironaMataróGermans TriasVicGranollersVall d´HebronLleidaTrempBellvitgeIgualadaManresaVilafrancaGarafMora
>100Iv tPA Treatments/year
Centralized Telestroke atention
2016
2017
2018
# EVT / #STROKE CODE ACTIVATED(per regions)
Geographical spread of EVT
Increase in absolute number of SC
Increase in absolute number of EVT
Uneaven activation of stroke codes
1
2
Stroke Code activation by EMS1: too rare2: too selective
Barcelona
0
1000
2000
3000
4000
5000
6000
7000
2016 2017 2018 2019*
Stroke Codes EVT
+ 25%
+200%*1200 EVT
Manpower needed
Catalunya7.5 M
200 EVT/1.000.000hab
1.500 EVT / year
1 INR: 100 EVT/year
15 INR
Target: 150-200 EVT /1.000.000/year
Onset-admission Door-needle onset-bolus door-CT CT-Bolus
Onset-groin door-groin
iv-tPA treatmentsAccording to onset location
(absolute numbers)
EVTAccording to onset location
(absolute numbers)
Town of initial alert
In specific áreas: Better Access to iv-tPA than to EVT
Iv-tPA
EVT
Stroke code AlertsInitial Transfer
Town of initial alert
11.000
PSC
CSC
No stroke ready