Description and evaluation of an acute stroke unit. + Author Affiliations Correspondence to: Dr.
Stephen J. Phillips, Division of Neurology, Rm. 3831, Halifax Infirmary, 1796 Summer St., Halifax NS B3H 3A7; fax 902 473-4438; email@example.com Abstract CLINICAL TRIALS HAVE DEMONSTRATED THE SUPERIORITY OF COORDINATED interdisciplinary stroke unit care over conventional treatment of stroke patients on general medical wards. Randomized trials have shown that organized care of stroke patients by a coordinated multidisciplinary team — operating within a discrete stroke unit and capable of providing a substantial rehabilitation period, if required — is effective in reducing mortality and morbidity.1,2,3,4,5 A recent study6 showed that the significant factors in a stroke unit “treatment package” included earlier mobilization, earlier use of ASA, more frequent administration of parenteral fluid and more frequent use of antipyretic and antibiotic therapy.
Program description Preliminary evaluation Comments 𝛃 See related article page 649 Footnotes. EBRSR: Evidence-Based Review of Stroke Rehabilitation. Can differences in management processes explain diffe... [Lancet. 2001. Stroke Unit Treatment : 10-Year Follow-Up. 10-Year Follow-Up + Author Affiliations Abstract Background and Purpose—We have previously shown that treatment in our combined acute and rehabilitation stroke unit (SU) improves the outcome during the first 5 years after onset of stroke compared with that for stroke patients treated in general wards (GW).
The aim of the present trial was to examine the effects of SU care after 10 years of follow-up. Methods—In a randomized controlled trial, 110 patients with symptoms and signs of an acute stroke were allocated to the SU and 110 to GW. Results—After 10 years, 21 (19.1%) of the patients randomized to the SU and 9 (8.2%) of the patients randomized to the GW were at home (P=0.0184). Conclusions—For the first time it has been shown that SU care improves survival and functional state and increases the proportion of patients able to live at home 10 years after their stroke. Key Words: Patient outcomes and length of stay in a stroke u... [Med J Aust. 2003.
Archives of Physical Medicine and Rehabilitation - Team Training and Stroke Rehabilitation Outcomes: A Cluster Randomized Trial. Strasser DC, Falconer JA, Stevens AB, Uomoto JM, Herrin J, Bowen SE, Burridge AB. Team training and stroke rehabilitation outcomes: a cluster randomized trial. Objective To test whether a team training intervention in stroke rehabilitation is associated with improved patient outcomes.
Design A cluster randomized trial of 31 rehabilitation units comparing stroke outcomes between intervention and control groups. Setting Thirty-one Veterans Affairs medical centers. Participants A total of 237 clinical staff on 16 control teams and 227 staff on 15 intervention teams. Intervention The intervention consisted of a multiphase, staff training program delivered over 6 months, including: an off-site workshop emphasizing team dynamics, problem solving, and the use of performance feedback data; and action plans for process improvement; and telephone and videoconference consultations.
Main Outcome Measures Results Conclusions. Changes in stroke care at Auckland Hospital between 1996 and 2001. Stroke Unit Care and Outcome. Results from the 2001 National Sentinel Audit of Stroke (England, Wales, and Northern Ireland) A.G.
Rudd, FRCP; A. Hoffman, LCST, MSc; P. Irwin, BA, RGN, MSc; D. Lowe, MScC.Stat; M.G. . + Author Affiliations Correspondence to Dr A. Abstract Background and Purpose— Stroke unit care is one of the most powerful interventions available to help stroke patients. Methods— An observational study of the organization, structure, process of care, and outcomes for stroke in 2001.
Results— The availability of stroke unit care varies hugely across the country. Conclusions— Stroke unit care as provided in routine clinical practice in England, Wales, and Northern Ireland reduces case fatality by ≈25%, which is in line with the figures obtained from systematic analysis of stroke unit trial data. Key Words: Research into the black box of rehabilitation: the risks of a Type III error. Unpacking the black box of therapy – a pilot study to describe occupational therapy and physiotherapy interventions for people with stroke. Facilitating recovery: evidence for organized ... [J Rehabil Med. 2007. Very Early Mobilisation and Complications in the First 3 Months after Stroke: Further Results from Phase II of A Very Early Rehabilitation Trial (AVERT) General Please address all your queries or problem reports to the Pay-per-View Customer Service at firstname.lastname@example.org referring to PPV or PPV account. 1.
All payments are by credit card only. The transaction is secure: standard-procedure SSL or SET are used and all data are encrypted. No separate invoice is issued/sent, only a confirmation/receipt message with key details of the transaction. Stroke.ahajournals.org/content/39/2/414.full.pdf. Does the Prevention of Complications Explain the Survival Benefit of Organized inpatient care ? Govan.