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

doi:10.7887/jcns.22.678

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

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Pages (from-to)	678-687
Number of pages	10
Journal	Japanese Journal of Neurosurgery
Volume	22
Issue number	9
DOIs	https://doi.org/10.7887/jcns.22.678
Publication status	Published - 25-09-2013
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Clinical Neurology

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10.7887/jcns.22.678

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Iihara, K., Nishimura, K., Kada, A., Nakagawara, J., Ogasawara, K., Ono, J., Shiokawa, Y., Aruga, T., Miyachi, S., Toyoda, K., Matsuda, S., Nagata, I., Ishikawa, K. B., Suzuki, A., Mori, H., Kataoka, H., & Nakamura, F. (2013). Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers. Japanese Journal of Neurosurgery, 22(9), 678-687. https://doi.org/10.7887/jcns.22.678

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title = "Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers",

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.",

keywords = "Quality of care, Stroke, Stroke center, Stroke unit",

author = "Koji Iihara and Kunihiro Nishimura and Akiko Kada and Jyoji Nakagawara and Kuniaki Ogasawara and Junichi Ono and Yoshiaki Shiokawa and Toru Aruga and Shigeru Miyachi and Kazunori Toyoda and Shinya Matsuda and Izumi Nagata and Ishikawa, \{Koichi B.\} and Akifumi Suzuki and Hisae Mori and Hiroharu Kataoka and Fumiaki Nakamura",

year = "2013",

month = sep,

day = "25",

doi = "10.7887/jcns.22.678",

language = "English",

volume = "22",

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journal = "Japanese Journal of Neurosurgery",

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Iihara, K, Nishimura, K, Kada, A, Nakagawara, J, Ogasawara, K, Ono, J, Shiokawa, Y, Aruga, T, Miyachi, S, Toyoda, K, Matsuda, S, Nagata, I, Ishikawa, KB, Suzuki, A, Mori, H, Kataoka, H & Nakamura, F 2013, 'Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers', Japanese Journal of Neurosurgery, vol. 22, no. 9, pp. 678-687. https://doi.org/10.7887/jcns.22.678

TY - JOUR

T1 - Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers

AU - Iihara, Koji

AU - Nishimura, Kunihiro

AU - Kada, Akiko

AU - Nakagawara, Jyoji

AU - Ogasawara, Kuniaki

AU - Ono, Junichi

AU - Shiokawa, Yoshiaki

AU - Aruga, Toru

AU - Miyachi, Shigeru

AU - Toyoda, Kazunori

AU - Matsuda, Shinya

AU - Nagata, Izumi

AU - Ishikawa, Koichi B.

AU - Suzuki, Akifumi

AU - Mori, Hisae

AU - Kataoka, Hiroharu

AU - Nakamura, Fumiaki

PY - 2013/9/25

Y1 - 2013/9/25

N2 - 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.

AB - 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.

KW - Quality of care

KW - Stroke

KW - Stroke center

KW - Stroke unit

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UR - https://www.scopus.com/pages/publications/84925139547#tab=citedBy

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DO - 10.7887/jcns.22.678

M3 - Article

AN - SCOPUS:84925139547

SN - 0917-950X

VL - 22

SP - 678

EP - 687

JO - Japanese Journal of Neurosurgery

JF - Japanese Journal of Neurosurgery

IS - 9

ER -

Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers

Abstract

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