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[Data bank project for acute stroke patients].

Shotai Kobayashi1

  • 1Department of Internal Medicine III, Shimane Medical University.

Rinsho Shinkeigaku = Clinical Neurology
|June 6, 2003
PubMed
Summary

Japan

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Area of Science:

  • Neurology
  • Public Health
  • Medical Informatics

Context:

  • Stroke is a leading cause of death and disability in Japan.
  • Limited Japanese evidence exists for stroke management despite high MRI diffusion.
  • A standardized stroke registry is crucial for evidence-based management.

Purpose:

  • Establish a nationwide acute stroke patient data bank.
  • Collect data from 45 stroke centers over 3 years.
  • Develop a computerized registry system for stroke management.

Summary:

  • The Japan Standard Stroke Registry Study collected data on approximately 8,000 acute stroke cases.
  • Analysis revealed similar incidences of atherothrombotic infarction, cardiogenic embolism, and lacunar infarction.
  • 38% of ischemic stroke patients arrived within 3 hours; 15% received thrombolytic therapy with improved outcomes.

Impact:

  • The stroke data bank serves as a valuable tool for guideline verification.
  • Facilitates planning of clinical trials for Evidence-Based Medicine (EBM).
  • Contributes to standardizing stroke care in Japan.

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