Issues in acute stroke care systems in Japan with a special emphasis on implementation of comprehensive stroke centers

Koji Iihara, Kunihiro Nishimura, Akiko Kada, Jyoji Nakagawara, Kuniaki Ogasawara, Junichi Ono, Yoshiaki Shiokawa, Toru Aruga, Shigeru Miyachi, Kazunori Toyoda, Shinya Matsuda, Izumi Nagata, Koichi B. Ishikawa, Akifumi Suzuki, Hisae Mori, Hiroharu Kataoka, Fumiaki Nakamura

Research output: Contribution to journalArticle


The J-ASPECT Study, a nationwide Japanese study was conducted regarding the acute stroke care capacities of professional training institutions and the prevalence of burnout and quality of life amongst board-certified neurosurgeons and neurologists in Japan. We found that significant disparities existed in the fulfillment of the recommended items for comprehensive stroke centers, and a high prevalence of burnout among those professionals who worked for stroke care. The study group also analyzed the risk of in-hospital mortality for 53,170 acute stroke cases using nationwide administrative data based on the Diagnosis Procedure Combination (DPC) payment system.

Original languageEnglish
Pages (from-to)678-687
Number of pages10
JournalJapanese Journal of Neurosurgery
Issue number9
Publication statusPublished - Sep 25 2013
Externally publishedYes


All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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