การพัฒนาเครือข่ายการส่งต่อผู้ป่วยโรคหลอดเลือดสมอง มหาวิทยาลัยธรรมศาสตร์ (Thammasat Stroke Network)

Abstract

Stroke is one of the common diseases in general practice. Intravenous thrombolysis is approved as a standard treatment in eligible patients with acute ischemic stroke, within 4.5 hours after stroke onset, and without contraindications, which can improve the rate of good recovery by 30%. Thus the process of taking care of these patients in acute phase must be well organized and rapid. Stroke Fast Track, Stroke Network and Telemedicine become the answers. Implementation of Thammasat Stroke Network and telemedicine did increase the rate of intravenuos thrombolytic treatment from 2% to 27% with good recovery rate (42-48%), and low rate of symptomatic intracerebral hemorrhage (2-3%).