title: [The stroke care system in Terres de l'Ebre, Spain, after the implementation of the Stroke Code model: Ebrictus Study].
abstract: OBJECTIVE
  We aimed to know the characteristics of the urgent stroke assistance system, the Stroke Code (SC) model, 2 years after its implementation through testing the specific impact on several result indicators on individuals with a first stroke.
  
  
  METHODS
  Prospective study of a cohort who suffered a first stroke episode, 15 to 89-year-old. Several clinical indicators were selected to evaluate results according to the SC and an analysis survival for Kaplan-Meier's curves was made as well as a bivariate analysis between dead and surviving patients. Data were collected by a community based registry.
  
  
  RESULTS
  A total of 380 patients ≤80-year-aged were enrolled and the SC was activated in 54.3% (CI95%: 49,0-59.3), 77% at the hospital. An 80% of the therapeutic window was wasted before arrival to hospital. In 13.9% (CI95%: 9,2-19,8) thrombolysis was used. The immediate mortality was 9.9% (CI95%: 7.5-12.5).
  
  
  CONCLUSIONS
  The implantation of the SC is a system that improved the welfare chain of stroke in the whole territory, but its activation in the area of primary care was low.
authors.affiliation: Equipo de Atención Primaria Tortosa 1-Est, Servicio de Atención Primaria Terres de l'Ebre, Institut Català de la Salut, Tarragona, España. jlclua@telefonica.net
authors.forename: José Luis
authors.initials: JL
authors.lastname: Clua-Espuny
authors.forename: Josep Lluis
authors.initials: JL
authors.lastname: Piñol-Moreso
authors.forename: F Vicente
authors.initials: FV
authors.lastname: Gil-Guillén
authors.forename: Domingo
authors.initials: D
authors.lastname: Orozco-Beltran
authors.forename: Ana
authors.initials: A
authors.lastname: Panisello-Tafalla
authors.forename: Jorgina
authors.initials: J
authors.lastname: Lucas-Noll
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D017410:Practice Guidelines as Topic; D015397:Program Evaluation; D011446:Prospective Studies; D019984:Quality Indicators, Health Care; D012042:Registries; D013030:Spain; D020521:Stroke / Q000175:diagnosis / Q000401:mortality / Q000628:therapy*; D055815:Young Adult