Target:3 stroke units / 1.000.0001 comprehensive SC / 1.000.000

Stroke Units

Target:Rate of iv.tPA: 18%Rate of EVT: 5%

iv. Thrombolysis

Target:3 stroke units / 1.000.0001 comprehensive SC / 1.000.000Rate of iv.tPA: 18%Rate of EVT: 5%

5

Stroke network in Catalonia

5 Comprehensive StrokeCenters

2011- 2018EVT

Geographic organization& creating networks

5 Comprehensive StrokeCenters

+ 2 Thrombectomy ReadyCenters (8:00 – 17:00)

2019

2013

Estación movil

Tele-Ictus 2.0>500

consults/yearFigueresPalamosGironaMataróGermans TriasVicGranollersVall d´HebronLleidaTrempBellvitgeIgualadaManresaVilafrancaGarafMora

>100Iv tPA Treatments/year

Centralized Telestroke atention

2016

2017

2018

# EVT / #STROKE CODE ACTIVATED(per regions)

Geographical spread of EVT

Increase in absolute number of SC

Increase in absolute number of EVT

Uneaven activation of stroke codes

1

2

Stroke Code activation by EMS1: too rare2: too selective

Barcelona

0

1000

2000

3000

4000

5000

6000

7000

2016 2017 2018 2019*

Stroke Codes EVT

+ 25%

+200%*1200 EVT

Manpower needed

Catalunya7.5 M

200 EVT/1.000.000hab

1.500 EVT / year

1 INR: 100 EVT/year

15 INR

Target: 150-200 EVT /1.000.000/year

Onset-admission Door-needle onset-bolus door-CT CT-Bolus

Onset-groin door-groin

iv-tPA treatmentsAccording to onset location

(absolute numbers)

EVTAccording to onset location

(absolute numbers)

Town of initial alert

In specific áreas: Better Access to iv-tPA than to EVT

Iv-tPA

EVT

Stroke code AlertsInitial Transfer

Town of initial alert

11.000

PSC

CSC

No stroke ready