This is from Germany, but any objective look at stroke results anywhere in the world would consider them to be a complete failure. Yet there is always this happy talk about prevention and getting to the hospital fast so you can get tPA. Both of which have to be considered complete failures.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=147865&CultureCode=en
Stroke is one of the most common disorders in Germany, with more than
250,000 cases every year. The consequences for those affected are
dramatic: fewer than six in every 10 patients leave the hospital with a
positive prognosis after a stroke. The others will have disabilities
three months post-stroke or will have died. High-quality acute treatment
is therefore crucially important. In the current issue of Deutsches Ärzteblatt International (Dtsch
Arztebl Int 2014; 111: 759–65), the German Stroke Registers Study Group
(ADSR) documents the quality of treatment of patients with acute stroke
on the basis of case data from participating hospitals. The current
study reported by Silke Wiedmann and colleagues shows to what extent the
ADSR’s quality indicators were put into practice in 2012.
To this end, they investigated the disease course of more than
260,000 patients from 627 hospitals nationwide, which represents an
estimated 70% of all stroke cases in Germany. The study shows that in
many areas, stroke patients received very good treatment, and that in
the international comparison, a similar or even better quality is
achieved in Germany. In some areas, the targeted treatment quality is
not fully realized—for example, in the administration of anticoagulants
in atrial fibrillation, screening for dysphagia, or the provision of
information to patients or their relatives. The authors therefore
recommend implementing consistent standards throughout Germany.
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