2019ASA官方声明：建立卒中护理系统建议.pdf

ASA Policy Statement Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update A Policy Statement From the American Stroke Association Opeolu Adeoye, MD, MS, FAHA, Chair; Karin V. Nyström, RN, MSN, FAHA; Dileep R. Yavagal, MD; Jean Luciano, CRNP; Raul G. Nogueira, MD; Richard D. Zorowitz, MD; Alexander A. Khalessi, MD, MS, FAHA; Cheryl Bushnell, MD, MHS, FAHA; William G. Barsan, MD; Peter Panagos, MD; Mark J. Alberts, MD, FAHA; A. Colby Tiner, MA; Lee H. Schwamm, MD, FAHA; Edward C. Jauch, MD, MS, FAHA Abstract—In 2005, the American Stroke Association published recommendations for the establishment of stroke systems of care and in 2013 expanded on them with a statement on interactions within stroke systems of care. The aim of this policy statement is to provide a comprehensive review of the scientific evidence evaluating stroke systems of care to date and to update the American Stroke Association recommendations on the basis of improvements in stroke systems of care. Over the past decade, stroke systems of care have seen vast improvements in endovascular therapy, neurocritical care, and stroke center certification, in addition to the advent of innovations, such as telestroke and mobile stroke units, in the context of significant changes in the organization of healthcare policy in the United States. This statement provides an update to prior publications to help guide policymakers and public healthcare agencies in continually updating their stroke systems of care in light of t