Table 1.
Number (percentage) of responding hospitals (n = 749) with the recommended items of comprehensive stroke care capacity
| Components | Items | n | % |
|---|---|---|---|
| Personnel | Neurologists | 358 | 47.8 |
| Neurosurgeons | 694 | 92.7 | |
| Endovascular physicians | 272 | 36.3 | |
| Critical care medicine | 162 | 21.6 | |
| Physical medicine and rehabilitation | 113 | 15.1 | |
| Rehabilitation therapy | 742 | 99.1 | |
| Stroke rehabilitation nurses* | 102 | 13.8 | |
| Diagnostic (24/7) | CT* | 742 | 99.2 |
| MRI with diffusion | 647 | 86.4 | |
| Digital cerebral angiography* | 602 | 80.8 | |
| CT angiography* | 627 | 84 | |
| Carotid duplex ultrasound* | 257 | 34.5 | |
| TCD* | 121 | 16.2 | |
| Specific expertise | Carotid endarterectomy* | 603 | 80.6 |
| Clipping of IA | 685 | 91.5 | |
| Hematoma removal/draining | 689 | 91.9 | |
| Coiling of IA | 360 | 48.1 | |
| Intra-arterial reperfusion therapy | 498 | 66.5 | |
| Infrastructure | Stroke unit* | 132 | 17.6 |
| Intensive care unit | 445 | 59.4 | |
| Operating room staffed 24/7* | 451 | 60.4 | |
| Interventional services coverage 24/7 | 279 | 37.3 | |
| Stroke registry* | 235 | 31.7 | |
| Education | Community education* | 369 | 49.4 |
| Professional education* | 436 | 58.6 |
CT: computed tomography, IA: intracranial aneurysm, MRI: magnetic resonance imaging, TCD: transcranial Doppler.
Data missing: stroke rehabilitation nurse, 9; CT, 1;digital cerebral angiography, 4; CT angiography, 3; carotid endarterectomy, 1; carotid duplex, 3; TCD, 3; stroke unit, 1; operating room staffed, 2; stroke registry, 7; community education, 2; professional education, 5. Reproduced from Iihara et al.10) with permission from the publisher. Copyright © 2014 National Stroke Association.