Golden Standard of Ischemic Stroke Management

Abstract

In Georgia the biggest part of disease burden falls upon non-communicable diseases and it has a big influence over the most productive years of life. The non-communicable diseases influences not only the health but over the sustainable development of the country. The part of the diseases of the blood circulation system amount to 15.3% of all the diseases, and 7.4% of new cases registered in the country. In this group of diseases by high incidence of disease and mortality are characterized the hypertensive, ischemic and cerebrovascular diseases. In 2000-2018 there is observed the tendency of increasing the prevalence of the blood circulation diseases in Georgia. The cerebrovascular diseases of blood circulation system in the structure of diseases holds the third place (Reference Book of Disease Control and Medical Statistics of the Ministry of Labor, Health and Social Affairs of Georgia, 2018). The stroke is one of the leading problems of health in Georgia and is characterized with high incidence of disease and mortality. According to the data of the World Health Organization Georgia, among 192 member countries, by index of mortality with stroke (198 death cases per year on 100 000 population) and years of life corrected by disability (DALY) (the loss of 1552 per year over 100 000 population) is among first ten countries (WHO, 2016). The stroke is a unit term which reflects organized hospital services for the patients having the stroke. This term emphasizes the necessity of existence of the specific, stroke oriented services and considers the stroke management by specialized, multidisciplinary team. The concept of “Stroke Unit” is not new. The first facts concerning the potential use of the services of such type has been appeared over twenty years ago. In the developed countries the stroke units are functioning in many hospitals. The scientific facts indicate that in the stroke unit upon taking care of a patient the clinical solutions for the stroke are better, that is a great motivation for creating such services