this Ministry of Health and Consumption will improve post-discharge care for people with acute stroke thanks to the launch ICON project (Stroke in Continuity of Care). These project addresses hospital discharge improvements, continuity reports, secondary prevention stroke, adherence to treatment, patient monitoring, re-entry circuits, checklist of complications such as spasticity, dysphagia, cognitive and mood disorders.
Moreover, rehabilitation treatment is protocoledphysiotherapy, occupational therapy, home technical aids and support materials, socio-health aspects, caregiver care and reintegration of stroke patients into society.
Ministry of Health and Consumption, Andalusia Stroke Plan, analyzed improvement points over a year in stroke care, after discharge, to prioritize aspects identified as opportunities that may have the greatest impact in improving patients’ quality because if recovery is not complete, the patient faces difficulties in returning to their previous lives. support of the health system. Actually, stroke is the leading cause of physical disability in Spain.
Coinciding with World Stroke Day, celebrated on October 29, This maintenance protocol has been completed to guarantee homogeneous care throughout Andalusia. Under the coordination of Soledad Pérez-Sánchez, responsible for the Andalusian Stroke Plan training in different aspects of the patient’s subacute and chronic phase of stroke, professionals from different fields and different provinces held regular study sessions to create this protocol. The main aim is to contribute to the improvement of the return of paralyzed patients to their homes and normal lives in the coming years.
One in four Andalusians may suffer a stroke
Stroke is a cerebrovascular disease caused by reduced or obstructed blood flow.. The blood does not reach the brain in the required amount, and as a result, the nerve cells do not receive oxygen and stop functioning.
coup it is a time dependent disease and represents a serious health problem, have great socio-sanitary impact, It is the most common serious neurological problem.
Despite advances in stroke treatment in Andalusia, the incidence of stroke 220 patients per 100,000 people/yearwhich will add about 18,000 strokes per year. Like this, One in four Andalusians will suffer a stroke at some point in their life.
In addition, the World Health Organization predicts a 27% increase in stroke incidence by 2025 due to the aging population.
The pace of care in stroke cases affects the survival and subsequent sequela-free recovery of those affected. Therefore, it is essential to install preferred systems. a definitive link between out-of-hospital and in-hospital emergency services.
The Andalusian Stroke Care Plan has a ‘Stroke Code’ that aims to immediately initiate the components and structures involved in the diagnosis and treatment of acute stroke. It is a system that provides rapid identification, reporting and referral of stroke patients to emergency services. In this way, when the stroke patient is referred to the Emergency Department, a definitive diagnosis and possible treatment process can be initiated within the hospital.
Andalusia Telestroke Center
Andalusia Telestroke Center (CATI) 22 vascular neurologists It provides coverage to more than 30 hospitals belonging to Andalusian stroke units, thus, 99.9% of the Andalusian population can receive an evaluation by a vascular neurologist in less than an hour in case of a suspected stroke..
Since the implementation of CATI, some 4,500 patients to increase reperfusion therapies in these hospitals by up to 200% and, above all, to achieve equity in acute stroke care across the region.
When large thrombi need to be removed from the brain by catheterization (mechanical thrombectomy), the patient is transferred to one of the six thrombectomy nodes in the community. The Ministry of Health and Consumption and the Andalusian Stroke Plan succeeded in placing the thrombectomy rate per 100,000 people in Andalusia (16.5) above the Spanish average (16.5) in 2021. From 2017 to 2021, the number of thrombectomies increased from approximately 120% to 1,395 procedures per year. Endovascular treatment through thrombectomy, a procedure consisting of access to the intracranial circulation with guides and catheters, for the direct removal of the thrombus causing cerebral infarction, marked the beginning of a revolution in the fight against stroke.
With this comprehensive Network of 12 stroke units, 6 thrombectomy centers and 34 centers affiliated to Andalusia Teleictus, attention is paid to the acute phase of the stroke.
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