Construction of national stroke center network system

Stroke is one of main causes of mortality, long-term physical and cognitive impairment in China. In order to meet challenge, Stroke Prevention and Treatment Project of National Health Commission(SPTPC) was established in April 2011 in Ministry of Health. In 2016, SPTPC issued a work plan of stroke center hospital. In order to shorten time of pre-hospital, SPTPC established stroke center network, stroke map and stroke green channel to create the three 1-hour gold rescue circle to form a hierarchical stroke diagnosis and treatment system. The current construction of Chinese Stroke Center is divided into two levels and four layers. As of December 31, 2018, SPTPC has certified a total of 310 advanced stroke centers, including 30 demonstration advanced stroke centers and 280 advanced stroke centers, and 127 stroke prevention centers, including 85 demonstration stroke prevention centers and 42 stroke prevention centers. The median time from admission to intravenous thrombolysis (DNT) at advanced stroke center was decreased by 13.2% (53 min vs. 46 min) in fourth quarter of 2018 as compared with that in first quarter of 2017.The national thrombolytic rate of acute ischemic stroke was increased 3.24 times (1.78% vs. 0.42%) in 2017 compared that in 2010. In next step, SPTPC will vigorously promote construction of stroke centers and graded diagnosis and treatment mechanisms, consolidate quality control and standardization, increase scope of influence of mobile stroke and remote diagnosis and treatment, and further improve construction of stroke center systems with Chinese characteristics.