The Germans Trias Stroke Unit is a limited area of intermediate care and restricted access within Neurosciences, dedicated to the diagnosis and treatment of patients with acute stroke. The unit has its own equipment and human resources consisting of a medical team, made up of specialists in vascular neurology, and a nursing team that has extensive training and experience in the care of patients with acute stroke. In the Stroke Unit, standardized medical and nursing protocols are applied 24 hours a day. Patients admitted to a stroke unit are more likely to survive and have a situation of functional independence.
The unit is the reference center of stroke for a population of almost 800,000 inhabitants of various municipalities of Barceloní Nord and Maresme. In addition, Germans Trias is a Tertiary Center of reference for the most complex cases in the area of Barcelonès Nord and Maresme and Girona.
The functions of the Germans Trias stroke unit are:
Coordinate the pre-hospital (Code Ictus) and intra-hospital circuit for the diagnosis and treatment of ischaemic stroke (caused by an obstruction) and brain haemorrhage (caused by the breakage of a brain artery) in its hyperacute phase, as well as its subsequent complications
To offer urgent diagnosis and treatment to patients arriving at the emergency department, which includes clinical stabilization, administering intravenous thrombolytic treatment or endovascular treatment in all patients who require it, or deciding on urgent neurosurgical techniques
Carry out a complete neurovascular diagnosis in patients with cerebrovascular diseases to know the cause of stroke: ultrasonography studies, cardiac ultrasound, detection of heart arrhythmias, brain vascular study through angioTC, resonance or brain angiography, targeted analytical determinations
Offer the necessary medical and nursing care to prevent, detect early and treat possible complications after a stroke
Offering information on the disease and health education to patients and relatives affected by stroke
Carry out out out outpatient clinical follow-up of patients in the health area to know their clinical evolution, complete the study of the cause of stroke and detect needs and possible complications
To follow a protocolized work system in the diagnostic and therapeutic procedures of stroke.
Coordinate the activity with the multidisciplinary intervention of the services and units involved in stroke care, including neuroradiology, neurosurgery, rehabilitation, social work
To offer training and training in the care of cerebrovascular diseases to residents and neurologists, as well as other professionals involved in the care of patients with strokes, such as nurses, internists or rehabilitators of the hospital itself and other centers
Enhance clinical research on acute stroke in the fields of neuroimaging, molecular, genetic and therapeutic, neuroreparation and secondary prevention
Codi servei:
Recerca:
The professionals of the Acute Stroke and Cerebrovascular Diseases Unit are accredited as a research group by:
The Thematic Network of Cooperative Research in Health in Neurovascular Diseases (RICORS-ICTUS) of the Carlos III Health Institute of the Spanish Government
The Agency for Management of University and Research Grants of the Generalitat de Catalunya (AGAUR)
The research team is made up of specialists in vascular neurology, biologists and specialized nursing.
The research lines of the group, available in the following link, focus on:
Treatment of acute stroke: neuroprotection, intravenous agents, mechanical thromboectomy and brain haemorrhage
Territorial organization of stroke
Imaging techniques in stroke diagnosis
Biological and clinical markers in stroke diagnosis and prognosis
Neurocardiology
Recovery and care after stroke
Presentation:
The Germans Trias Stroke Unit is a limited area of intermediate care and restricted access within Neurosciences, dedicated to the diagnosis and treatment of patients with acute stroke. The unit has its own equipment and human resources consisting of a medical team, made up of specialists in vascular neurology, and a nursing team that has extensive training and experience in the care of patients with acute stroke. In the Stroke Unit, standardized medical and nursing protocols are applied 24 hours a day. Patients admitted to a stroke unit are more likely to survive and have a situation of functional independence.
The unit is the reference center of stroke for a population of almost 800,000 inhabitants of various municipalities of Barceloní Nord and Maresme. In addition, Germans Trias is a Tertiary Center of reference for the most complex cases in the area of Barcelonès Nord and Maresme and Girona.
The functions of the Germans Trias stroke unit are:
Coordinate the pre-hospital (Code Ictus) and intra-hospital circuit for the diagnosis and treatment of ischaemic stroke (caused by an obstruction) and brain haemorrhage (caused by the breakage of a brain artery) in its hyperacute phase, as well as its subsequent complications
To offer urgent diagnosis and treatment to patients arriving at the emergency department, which includes clinical stabilization, administering intravenous thrombolytic treatment or endovascular treatment in all patients who require it, or deciding on urgent neurosurgical techniques
Carry out a complete neurovascular diagnosis in patients with cerebrovascular diseases to know the cause of stroke: ultrasonography studies, cardiac ultrasound, detection of heart arrhythmias, brain vascular study through angioTC, resonance or brain angiography, targeted analytical determinations
Offer the necessary medical and nursing care to prevent, detect early and treat possible complications after a stroke
Offering information on the disease and health education to patients and relatives affected by stroke
Carry out out out outpatient clinical follow-up of patients in the health area to know their clinical evolution, complete the study of the cause of stroke and detect needs and possible complications
To follow a protocolized work system in the diagnostic and therapeutic procedures of stroke.
Coordinate the activity with the multidisciplinary intervention of the services and units involved in stroke care, including neuroradiology, neurosurgery, rehabilitation, social work
To offer training and training in the care of cerebrovascular diseases to residents and neurologists, as well as other professionals involved in the care of patients with strokes, such as nurses, internists or rehabilitators of the hospital itself and other centers
Enhance clinical research on acute stroke in the fields of neuroimaging, molecular, genetic and therapeutic, neuroreparation and secondary prevention
Tipus Servei: 9
Correu: neurociencies.germanstrias@gencat.cat
Docència:
Pregraded Teaching
Medical students (UAB) from the HUGTP teaching unit, nursing students and high school students (rebellion work)
Post-graduate Teaching
3 neurology residents per year and external rotants
Fellow neurovascular pathology
Sub-specialisation in neurovascular pathology for national or international general neurologists
Pre-doctoral Teaching
Doctoral thesis management
Teaching sessions
Daily morning session for the presentation of clinical cases assessed during the guard
Weekly session specific to vascular neurology
Multidisciplinary presentation and discussion of patients with stonosant pathology of supraaortic trunks, candidates for elective revascularization procedures
Continuous training
Monthly sessions organized by the Group of Experts in Brain Vascular Diseases of the Catalan Society of Neurology
Online training seminars within the RICORS-ICTUS network
Periodic sessions for updating diagnostic and therapeutic protocols and new clinical trials
Online course "Ictus, code ictus and race scale" available on the UB virtual platform (University of Barcelona) http://racescale.org/en/
The Germans Trias Stroke Unit is a limited area of intermediate care and restricted access within Neurosciences, dedicated to the diagnosis and treatment of patients with acute stroke. The unit has its own equipment and human resources consisting of a medical team, made up of specialists in vascular neurology, and a nursing team that has extensive training and experience in the care of patients with acute stroke. In the Stroke Unit, standardized medical and nursing protocols are applied 24 hours a day. Patients admitted to a stroke unit are more likely to survive and have a situation of functional independence.
The unit is the reference center of stroke for a population of almost 800,000 inhabitants of various municipalities of Barceloní Nord and Maresme. In addition, Germans Trias is a Tertiary Center of reference for the most complex cases in the area of Barcelonès Nord and Maresme and Girona.
The functions of the Germans Trias stroke unit are:
Coordinate the pre-hospital (Code Ictus) and intra-hospital circuit for the diagnosis and treatment of ischaemic stroke (caused by an obstruction) and brain haemorrhage (caused by the breakage of a brain artery) in its hyperacute phase, as well as its subsequent complications
To offer urgent diagnosis and treatment to patients arriving at the emergency department, which includes clinical stabilization, administering intravenous thrombolytic treatment or endovascular treatment in all patients who require it, or deciding on urgent neurosurgical techniques
Carry out a complete neurovascular diagnosis in patients with cerebrovascular diseases to know the cause of stroke: ultrasonography studies, cardiac ultrasound, detection of heart arrhythmias, brain vascular study through angioTC, resonance or brain angiography, targeted analytical determinations
Offer the necessary medical and nursing care to prevent, detect early and treat possible complications after a stroke
Offering information on the disease and health education to patients and relatives affected by stroke
Carry out out out outpatient clinical follow-up of patients in the health area to know their clinical evolution, complete the study of the cause of stroke and detect needs and possible complications
To follow a protocolized work system in the diagnostic and therapeutic procedures of stroke.
Coordinate the activity with the multidisciplinary intervention of the services and units involved in stroke care, including neuroradiology, neurosurgery, rehabilitation, social work
To offer training and training in the care of cerebrovascular diseases to residents and neurologists, as well as other professionals involved in the care of patients with strokes, such as nurses, internists or rehabilitators of the hospital itself and other centers
Enhance clinical research on acute stroke in the fields of neuroimaging, molecular, genetic and therapeutic, neuroreparation and secondary prevention
Emergency and hospitalisation
Neurology emergencies. Urgent, specialized and protocolized attention to stroke
Diagnosis for multimodal neuroimaging (TC and Cerebral Magnetic Resonance)
Neurovascular guards and care through Teleictus with assistance to 7 remote hospitals
Systemic thrombolysis in acute ischaemic stroke (with intravenous medication)
Mechanical thromboectomy in acute ischaemic stroke (with the introduction of a catheter)
Specific treatment of brain hemorrhage
Protocollization and specific treatment of retinal artery occlusion (together with ophthalmology)
Specific protocol and treatment in patients with strokes of paediatric age (together with paediatrics)
Intermediate care stroke unit with neurological and cardiovascular monitoring
Protocol to the prevention, detection and treatment of medical complications
Hospitalization in the Stroke Unit and in the conventional neurology plant
Diagnostic tests: Ultrasonography Doppler and transcranial duplex and supraaortic trunks, Ecoscan (cardiac ultrasonography), arrhythmia detection system, study of the presence of right/left xunt.
Early rehabilitation for admitted patients, with a specific therapy room in the same plant. Speech therapy, physiotherapy and occupational therapy.
Social assessment, quantification of neurological deficit and rehabilitation needs at high level
Issue of a clinical report of the patient with the personalized therapeutic plan
Health education for patients and family members: advice and information on the disease
Clinical trials and biobank of biological samples
Academic research studies
Teaching
Hospital Interconsults
Assessment of the cerebral vascular disease of patients admitted to other areas or hospital services.
Cerebrovascular diseases consultations
Specific external consultations including: atherothrombotic cause stroke, small brain glass disease, cardioembolic cause stroke, unknown cause stroke, high-resolution consultation for patients with transient ischaemic attack (ITA), brain hemorrhage, rare-camera cerebrovascular disease and cerebral venous thrombosis
Consultation of assessment and follow-up of neurointervention procedures
Specific consultation of academic research studies
Telephonic clinical follow-up by case managers during the first year post-ictus
Neuropsychological examinations in patients with stroke
Extra-hospital rehabilitation
Cognitive rehabilitation
Neurosonology Cabinet: carotid doppler and transcranial duplex, study of the presence of right/left xunt
Arrhythmia detection cabinet – Long Holter
Coordination with primary care team for the follow-up and therapeutic plan of secondary prevention
Health education in patients with stroke
Clinical trials of secondary prevention
Teaching
Diagnostic procedures in collaboration with other units and services
Cranial TC, angio-TC and TC-perfusion (24 h/7 days a week)
Multimodal magnetic resonance (24 h/6 days of the week)
Brain and supraaortic stem arteriography (24 h/7 days of the week)
Marrow arteriography (8h/5 days of the week)
Wada Test (8 h/5 days of the week)
Carotid occlusion test and other glasses (8 h/5 days of the week)
Transthoracic and transesophageal echocardiography (24 h/7 days of the week)
Ecoscan / Long Holter ( SRA system)
Analytical and genetic study for the study of stroke
Therapeutic procedures
Carotid endarteriectomy (8 h/5 days of the week)
Angioplasty and stent in carotid stenosis (24 h/7 days of the week)
Treatment of intracranial stenotic pathology, angioplasty with or without the placement of intracranial stent
Intra-arterial thrombolysis and mechanical thromboectomy (24 h/7 days of the week)
Intracranial sinus thrombolysis (24 h/7 days of the week)
Surgery of cerebral hemorrhage (24 h/7 days of the week)
Ventricular derivation in intraventricular hemorrhage (24 h/7 days of the week)
Decompressive hemicraniectomy in malignant brain infarction (24 hours/7 days of the week)
Endovascular treatment of cerebral arterial aneurysms (24 hours/7 days a week)
Vascular aneurysm neurosurgery (24 h/7 days a week)
Endovascular treatment of cerebral arteriovenous malformations and dural fistulas, piales and rhachadias (8 h/5 days of the week)
Vasoespasm treatment with angioplasty and drug infusion
Rehabilitation: physiotherapy, speech therapy, occupational therapy (8 h/5 days of the week), and cognitive rehabilitation
Assistants Committees
Charotid Pathology Committee
Complex neurovascular pathology committee
Committee thrombobolic diseases
FOP Cierre Committee
Cardiac orejuela cierre committee
Endocarditis Committee
Retinal artery occlusion committee
Ethics Committee.
The professionals of the Acute Stroke and Cerebrovascular Diseases Unit are accredited as a research group by:
The Thematic Network of Cooperative Research in Health in Neurovascular Diseases (RICORS-ICTUS) of the Carlos III Health Institute of the Spanish Government
The Agency for Management of University and Research Grants of the Generalitat de Catalunya (AGAUR)
The research team is made up of specialists in vascular neurology, biologists and specialized nursing.
The research lines of the group, available in the following link, focus on:
Treatment of acute stroke: neuroprotection, intravenous agents, mechanical thromboectomy and brain haemorrhage
Territorial organization of stroke
Imaging techniques in stroke diagnosis
Biological and clinical markers in stroke diagnosis and prognosis
Neurocardiology
Recovery and care after stroke
Pregraded Teaching
Medical students (UAB) from the HUGTP teaching unit, nursing students and high school students (rebellion work)
Post-graduate Teaching
3 neurology residents per year and external rotants
Fellow neurovascular pathology
Sub-specialisation in neurovascular pathology for national or international general neurologists
Pre-doctoral Teaching
Doctoral thesis management
Teaching sessions
Daily morning session for the presentation of clinical cases assessed during the guard
Weekly session specific to vascular neurology
Multidisciplinary presentation and discussion of patients with stonosant pathology of supraaortic trunks, candidates for elective revascularization procedures
Continuous training
Monthly sessions organized by the Group of Experts in Brain Vascular Diseases of the Catalan Society of Neurology
Online training seminars within the RICORS-ICTUS network
Periodic sessions for updating diagnostic and therapeutic protocols and new clinical trials
Online course "Ictus, code ictus and race scale" available on the UB virtual platform (University of Barcelona) http://racescale.org/en/
