急诊卒中单元建设指南 Chinese Stroke Association Guidelines on Emergency Stroke Unit

组织化卒中医疗已成为高效救治卒中、改善患者预后的重要保障，其对缺血性卒中再灌注治疗的推动作用尤为显著。急诊卒中单元（emergency stroke unit，ESU）是由中国学者开创的一种创新型组织化卒中救治模式，其将急性卒中诊疗中的临床评估、影像评估和治疗等传统上较为分散的关键环节整合到同一空间内，结合人工智能算法辅助图像判读和临床决策，大幅提升了卒中急救效率。本文明确了ESU的概念、建设标准、人员配置需求，规范了ESU的诊疗流程并建立了相应的质量控制标准，有助于推进ESU的建设和持续质量改进。 Abstract: Organized stroke care has become a keystone in delivering efficient and effective treatment to stroke patients with improved outcomes. Delivering timely acute reperfusion therapy to those with acute ischemic strokes is key to good recovery. Emergency stroke unit (ESU) is a novel organized stroke care system developed in China. It centralizes all necessary procedures for the diagnosis and treatment of acute stroke into one unit that can perform clinical assessment, imaging examination, and acute treatment. In ESU, artificial intelligence algorithms is used to aid reading brain images and making clinical decisions. Therefore, ESU can significantly enhance the efficiency of emergent stroke care. In this guideline, we aim to clarify the concept, construction standards and personnel requirements of an ESU, standardize ESU-based acute stroke triage and treatment workflow, establish metrics of quality control, facilitate the construction and promotion of ESU, and continue the improvement of the quality of stroke care.