@article {ZaidatS35作者={奥萨马o . Zaidat兰德尔·c·马克一员和艾米丽·麦克金尼Edgell Thanh阮和Italo Linfante萨他},title ={供需的血管内治疗缺血性中风neurointerventionalists},体积={79},数量={13补充1},页面= {S35——S41} = {2012}, doi = {10.1212 / WNL。出版商0 b013e31826957ef} = {Wolters Kluwer健康,公司代表美国神经病学学会},文摘={目的:估计所需的劳动力培训neurointerventionalists 首页(NIs)进行血管内治疗急性缺血性中风患者(ET)资格(AIS)。方法:人口和缺血性中风发病率数据提取与使用美国人口普查和2009年疾病控制和预防中心估计。年度{\ textquotedblleft} {\ textquotedblright}需求被定义为AIS患者的比例将符合入选标准和临床标准。{\ textquotedblright} {\ textquotedblleft}供应被定义为训练有素的NIs和NIs在训练的数量。劳动力{\ textquotedblleft} {\ textquotedblright}是NIs需要满足需求的数量(数量的合格的AIS患者)在一个可访问的地理直径。NIs和NI数据收集奖学金(社会Neurointerventional手术(sni),血管\ &介入神经病学SVIN,同心医疗、和半影Inc .)。首页结果:NIs的估计数量接近800年,练习半径50英里内的在美国的主要城市,覆盖超过95 \ %的美国人。约40名倪学者每年从美国毕业培训项目。在5年和10年,NIs的数量可能达到1000年和1200年,分别。目前,大约有14000在美国每年血栓切除术过程。然而,AIS患者可能有资格得到的百分比等在我们的估计是4 \ % 14 \ %,约25000到95000名患者。 This means that cases will occur at a rate of 26 to 97 per year in 5 years, or 22 to 81 per year in 10 years, for each NI. Providing 24/7 AIS coverage requires 2 to 3 NIs per medical center, adding to the challenge of providing manpower without diluting experience in areas of lower population density. Conclusion: The current and projected number of NIs would adequately supply the future need if the proportion of patients requiring AIS endovascular therapy increases. However, 2 to 3 NIs per comprehensive stroke center would be needed to provide 24/7 AIS therapy with a sufficient number of cases per NI. A tertiary stroke center model similar to the trauma model may provide the manpower solution without compromising the quality of care. AIS=acute ischemic stroke; IMS=Interventional Management of Stroke; MELT=Middle Cerebral Artery Embolism Local Fibrinolytic Intervention Trial; MERCI=Mechanical Embolus Removal in Cerebral Ischemia; NI=neurointerventionalist; NIHSS=NIH Stroke Scale; PROACT=Prolyse in Acute Cerebral Thromboembolism; SNIS=Society of Neurointerventional Surgery; SVIN=Society of Vascular \& Interventional Neurology; THRACE=Trial and Cost Effectiveness Evaluation of Intra-arterial Thrombectomy in Acute Ischemic Stroke}, issn = {0028-3878}, URL = {//www.ez-admanager.com/content/79/13_Supplement_1/S35}, eprint = {//www.ez-admanager.com/content/79/13_Supplement_1/S35.full.pdf}, journal = {Neurology} }