會議議程
講者簡介
2022/8/13 08:30~11:50 Room A Hall (第一會議室) 2F
- Symposium (1) Epilepsy, Neurocritical, Stroke
Update in Neurology
- Time
- Topic
- Speaker
- Moderator
- 10:50~11:20
- 急性中風照護之TCPI臨床成效指標(Taiwan Clinical Performance Indicators for Acute Stroke Care)
- Speaker:
鄭建興
- Moderator:
李俊泰
- Professor 鄭建興
- MD, PhD
-
神經內科主治醫師
國立台灣大學醫學院附設醫院總院
E-mail：jsjeng@ntu.edu.tw
Executive Summary：
Dr. Jiann-Shing Jeng (鄭建興) received his MD at Department of Medicine, and PhD at Department of Epidemiology, National Taiwan University. Currently, he is professor at Department of Neurology, College of Medicine, National Taiwan University; and Director of Stroke Center at National Taiwan University Hospital. He had ever been the President of Taiwan Stroke Society. Now, he acts as chief editor of Formosan Journal of Stroke, and editor of the Journal of Formosan Medical Association. His research interests focus on cerebrovascular diseases, neurocritical care, neurosonology and neuroepidemiology. He has more than 250 original papers published in international outstanding journals, including NEJM, Lancet Neurology, BMJ, Circulation, Annals of Neurology, Neurology, JNNP, Stroke, Journal of Stroke, International Journal of Stroke, European Journal of Neurology, Scientific Reports, etc.
Dr. Jiann-Shing Jeng (鄭建興) received his MD at Department of Medicine, and PhD at Department of Epidemiology, National Taiwan University. Currently, he is professor at Department of Neurology, College of Medicine, National Taiwan University; and Director of Stroke Center at National Taiwan University Hospital. He had ever been the President of Taiwan Stroke Society. Now, he acts as chief editor of Formosan Journal of Stroke, and editor of the Journal of Formosan Medical Association. His research interests focus on cerebrovascular diseases, neurocritical care, neurosonology and neuroepidemiology. He has more than 250 original papers published in international outstanding journals, including NEJM, Lancet Neurology, BMJ, Circulation, Annals of Neurology, Neurology, JNNP, Stroke, Journal of Stroke, International Journal of Stroke, European Journal of Neurology, Scientific Reports, etc.
Lecture Abstract：
Since the application of thrombolytic therapy in acute ischemic stroke treatment and stroke unit care since 25 years ago, there is a dramatic improvement in stroke systems of care globally. Guidelines for acute stroke management, stroke quality measures and stroke center certification have emerged important clinically. The American Heart Association/American Stroke Association (AHA/ASA) advocated Get With The Guideline(GWTG)-Stroke to improve the stroke care quality; and four levels of stroke centers, including acute stroke–ready hospitals, primary stroke center, thrombectomy-capable stroke center, and comprehensive stroke center are designated in the United States. In Taiwan, several strategies have been performed to improve stroke care quality, including the Hospital Emergent Capability Accreditation by Level in Stroke since 2009, the Taiwan Clinical Performance Indicator (TCPI) in stroke since 2012, and Disease Care Quality Certification in stroke since 2017. In 2021, TCPI updated the contents, including 22 measures. The major revision are (1) the initial severity of ICH and SAH; (2) treatment for vasospasm after SAH; (3) the mortality rates of ischemic stroke, ICH and SAH, respectively; (4) intravenous thrombolysis within 4.5 hours after stroke onset; (5) antiplatelets for acute ischemic stroke within 24 hours after hospital arrival; and (6) smoking cessation.
Since the application of thrombolytic therapy in acute ischemic stroke treatment and stroke unit care since 25 years ago, there is a dramatic improvement in stroke systems of care globally. Guidelines for acute stroke management, stroke quality measures and stroke center certification have emerged important clinically. The American Heart Association/American Stroke Association (AHA/ASA) advocated Get With The Guideline(GWTG)-Stroke to improve the stroke care quality; and four levels of stroke centers, including acute stroke–ready hospitals, primary stroke center, thrombectomy-capable stroke center, and comprehensive stroke center are designated in the United States. In Taiwan, several strategies have been performed to improve stroke care quality, including the Hospital Emergent Capability Accreditation by Level in Stroke since 2009, the Taiwan Clinical Performance Indicator (TCPI) in stroke since 2012, and Disease Care Quality Certification in stroke since 2017. In 2021, TCPI updated the contents, including 22 measures. The major revision are (1) the initial severity of ICH and SAH; (2) treatment for vasospasm after SAH; (3) the mortality rates of ischemic stroke, ICH and SAH, respectively; (4) intravenous thrombolysis within 4.5 hours after stroke onset; (5) antiplatelets for acute ischemic stroke within 24 hours after hospital arrival; and (6) smoking cessation.