Quality of acute stroke care in Romania: Achievements and gaps between 2017 and 2022.


Journal

European stroke journal
ISSN: 2396-9881
Titre abrégé: Eur Stroke J
Pays: England
ID NLM: 101688446

Informations de publication

Date de publication:
01 2023
Historique:
received: 30 04 2022
accepted: 02 06 2022
entrez: 16 2 2023
pubmed: 17 2 2023
medline: 17 2 2023
Statut: ppublish

Résumé

Romania has one of the highest incidences of stroke and one of the highest mortality rates in Europe. The mortality rate due to treatable causes is also very high and is associated with the lowest public spending on healthcare in the European Union. Nonetheless, significant achievements in acute stroke care have been made in Romania in the last 5 years, most notably the increase of the national thrombolysis rate from 0.8% to 5.4%. Numerous educational workshops and constant communication with the stroke centers led to a solid and active stroke network. Due to the joint efforts of this stroke network and the ESO-EAST project, the quality of stroke care has significantly improved. However, Romania still faces many problems: a major lack of specialists in interventional neuroradiology and consequently a low number of stroke patients treated by thrombectomy and carotid revascularization procedures, a low number of neuro-rehabilitation centers and a country-wide lack of neurologists.

Identifiants

pubmed: 36793744
doi: 10.1177/23969873221108746
pii: 10.1177_23969873221108746
pmc: PMC9923129
doi:

Types de publication

Journal Article

Langues

eng

Pagination

44-51

Informations de copyright

© European Stroke Organisation 2022.

Déclaration de conflit d'intérêts

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Références

Eur Stroke J. 2018 Dec;3(4):309-336
pubmed: 31236480
J Neurointerv Surg. 2020 Mar;12(3):326-331
pubmed: 31732514
Eur Stroke J. 2020 Jun;5(2):204-212
pubmed: 32637654

Auteurs

Cristina Tiu (C)

Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania.
University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.

Elena Oana Terecoasă (EO)

Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania.
University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.

Sorin Tuță (S)

University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.
Department of Neurology, National Institute of Neurology and Neurovascular Disorders, Bucharest, Romania.

Rodica Bălașa (R)

Department of Neurology, University of Medicine, Pharmacy, Science and Technology "George Emil Palade" Tg. Mures, Emergency Clinical County Hospital Tg. Mures, Targu Mures, Romania.

Mihaela Simu (M)

Department of Neurology, University of Medicine and Pharmacy "Victor Babes" Timisoara, County Hospital Timisoara "Pius Brinzeu," Timisoara, Romania.

Monica Sabău (M)

Department of Neurology, County Hospital Bihor, Oradea, Romania.

Adina Stan (A)

Department of Neurology, University of Medicine and Pharmacy "Iuliu Hațieganu" Cluj Napoca, Cluj Napoca, Romania.

Răzvan Alexandru Radu (RA)

University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.

Vlad Tiu (V)

University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.
Department of Neurology, University Emergency Hospital Elias, Bucharest, Romania.

Bogdan Cășaru (B)

Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania.

Anca Negrilă (A)

Department of Neurology, University Emergency Hospital Bucharest, Bucharest, Romania.

Cristina Panea (C)

University of Medicine and Pharmacy "Carol Davila" Bucharest, Bucuresti, Romania.
Department of Neurology, University Emergency Hospital Elias, Bucharest, Romania.

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Classifications MeSH