脳卒中急性期治療の課題 包括的脳卒中センターの整備に向けて

飯原 弘二; 西村 邦宏; 嘉田 晃子; 中川原 譲二; 小笠原 邦昭; 小野 純一; 塩川 芳昭; 有賀 徹; 宮地 茂; 豊田 一則; 松田 晋哉; 永田 泉; 石川ベンジャミン 光一; 鈴木 明文; 森 久恵; 片岡 大治; 中村 文明; J-ASPECT Study Group

doi:10.7887/jcns.22.678

SPECIAL ISSUES Issues and Perspective of Ischemic Cerebrovascular Diseases

Issues in Acute Stroke Care Systems in Japan with a Special Emphasis on Implementation of Comprehensive Stroke Centers

Koji Iihara, Kunihiro Nishimura, Akiko Kada, Jyoji Nakagawara, Kuniaki Ogasawara, Junichi Ono, Yoshiaki Shiokawa, Toru Aruga, Shigeru Miyachi, Kazunori Toyoda, Shinya Matsuda, Izumi Nagata, Koichi B Ishikawa, Akifumi Suzuki, Hisae Mori, Hiroharu Kataoka, Fumiaki Nakamura, J-ASPECT Study Collaborators

Author information

Koji Iihara
National Cerebral and Cardiovascular Center
Kunihiro Nishimura
National Cerebral and Cardiovascular Center
Akiko Kada
National Cerebral and Cardiovascular Center
Jyoji Nakagawara
National Cerebral and Cardiovascular Center
Kuniaki Ogasawara
Iwate Medical University School of Midicine
Junichi Ono
Chiba Cardiovascular Center
Yoshiaki Shiokawa
Kyorin University School of Medicine
Toru Aruga
Showa University
Shigeru Miyachi
Nagoya University, Graduate School of Medicine
Kazunori Toyoda
National Cerebral and Cardiovascular Center
Shinya Matsuda
University of Occupational and Environmental Health
Izumi Nagata
Nagasaki University School of Medicine
Koichi B Ishikawa
National Cancer Center
Akifumi Suzuki
Research Institute for Brain and Blood Vessels-Akita
Hisae Mori
National Cerebral and Cardiovascular Center
Hiroharu Kataoka
National Cerebral and Cardiovascular Center
Fumiaki Nakamura
Graduate School of Medicine and Faculty of Medicine Kyoto University
J-ASPECT Study Collaborators

Keywords: stroke, stroke center, stroke unit, quality of care

JOURNAL OPEN ACCESS

2013 Volume 22 Issue 9 Pages 678-687

DOI https://doi.org/10.7887/jcns.22.678

Details

Abstract

The J-ASPECT Study, a nationwide Japanese study was conducted regarding the acute stroke care capacities of professional training institutions and the prevalence of burnout and quality of life amongst board-certified neurosurgeons and neurologists in Japan. We found that significant disparities existed in the fulfillment of the recommended items for comprehensive stroke centers, and a high prevalence of burnout among those professionals who worked for stroke care. The study group also analyzed the risk of in-hospital mortality for 53,170 acute stroke cases using nationwide administrative data based on the Diagnosis Procedure Combination (DPC) payment system.

Corresponding author

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