title: Setting up a Neuroscience Stroke and Rehabilitation Centre in Brunei Darussalam by a transcontinental on-site and telemedical cooperation.
abstract: Due to the world-wide aging population, there is a need for specialist neurological knowledge, treatment and care. Stroke treatment is effective in reducing mortality and disability, but it is still not available in many areas of the world. We describe the set-up process of a specialized Neuroscience, Stroke and Rehabilitation Centre in Brunei Darussalam (BNSRC) in cooperation with a German hospital. This study details the setup of a stroke-, neurological intensive care- and neurorehabilitation unit, laboratories and a telemedical network to perform all evidence-based stroke treatments. All neurological on-site services and the telemedical network were successfully established within a short time. After setup, 1386 inpatients and 1803 outpatients with stroke and stroke mimics were treated. All evidence-based stroke treatments including thrombolysis and hemicraniectomy could be performed. It is possible to establish evidence-based modern stroke treatment within a short time period by a transcontinental on-site and telemedical cooperation.
authors.affiliation: 1 Department of Neurology, Krankenhaus Nordwest, Frankfurt, Germany.|2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.|3 Department of Neuroradiology, Krankenhaus Nordwest, Frankfurt, Germany.|4 Department of Neurology, Universitätsklinikum Heidelberg, Heidelberg, Germany.
authors.forename: U
authors.initials: U
authors.lastname: Meyding-Lamadé
authors.affiliation: 1 Department of Neurology, Krankenhaus Nordwest, Frankfurt, Germany.|2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.
authors.forename: B
authors.initials: B
authors.lastname: Bassa
authors.affiliation: 1 Department of Neurology, Krankenhaus Nordwest, Frankfurt, Germany.|2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.
authors.forename: E
authors.initials: E
authors.lastname: Craemer
authors.affiliation: 1 Department of Neurology, Krankenhaus Nordwest, Frankfurt, Germany.|2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.
authors.forename: C
authors.initials: C
authors.lastname: Jacobi
authors.affiliation: 2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.
authors.forename: C
authors.initials: C
authors.lastname: Chan
authors.affiliation: 4 Department of Neurology, Universitätsklinikum Heidelberg, Heidelberg, Germany.
authors.forename: W
authors.initials: W
authors.lastname: Hacke
authors.affiliation: 2 The Brunei Neuroscience Stroke and Rehabilitation Centre, Jerudong, Brunei Darussalam.|3 Department of Neuroradiology, Krankenhaus Nordwest, Frankfurt, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Kress
mesh_terms: D002010:Brunei; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005858:Germany; D006761:Hospitals; D006801:Humans; D007297:Inpatients; D007396:Internship and Residency; D009462:Neurology / Q000193:education; D010045:Outpatients; D012047:Rehabilitation Centers / Q000458:organization & administration; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation; D017216:Telemedicine
keywords: Asia; Telemedicine; rehabilitation; stroke; stroke facilities; stroke units