% 0期刊文章%奥萨马o . Zaidat % Marc一员%兰德尔·c·Edgell艾米丽麦克金尼% % Thanh阮% Italo Linfante %一个萨他% T供需neurointerventionalists血管内治疗缺血性中风% D R 10.1212 / WNL 2012%。0 b013e31826957ef % 首页J神经病学% P S35-S41 % V 79% N 13补充1% X目的:估计所需的员工训练有素的neurointerventionalists (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。一年一度的“需求”被定义为AIS患者的比例将符合入选标准和临床标准。“供应”被定义为训练有素的NIs和NIs在训练的数量。“劳动力”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(Neurointerventional手术(sni)的社会,社会的血管和神经学介入[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%的美国人口。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%到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 %U //www.ez-admanager.com/content/neurology/79/13_Supplement_1/S35.full.pdf