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; firstname.lastname@example.org 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.
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. Changes in stroke care at Auckland Hospital between 1996 and 2001 Alan Barber, Alison Charleston, Neil Anderson, David Spriggs, Derek Bennett, Patricia Bennett, Kirsty Thomas, and Yvette Baker In 1996, we published an audit of stroke care in Auckland Hospital.1 At that time there was no organised inpatient stroke care in our hospital.
However, there has since been increasing evidence that organised stroke care results in improved outcome compared with conventional care.2 In 2000, a mobile stroke team was established at Auckland Hospital. The stroke team includes neurologists, geriatricians, and general physicians; a stroke nurse coordinator; and members from each of the allied health disciplines. The majority of stroke patients are admitted to general medical wards where they are managed by a general physician. There have been a number of other developments in stroke management since 1996. Auckland Hospital has the Auckland isthmus as its catchment area. 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. Research into the black box of rehabilitation: the risks of a Type III error. Type I and Type II errors in the interpretation of data from clinical trials concern statistical matters, and the probability of drawing erroneous conclusions from inadequate data.
However in rehabilitation research a third possible error may arise. Successful rehabilitation depends upon the co-ordinated work of an expert multidisciplinary team, and can be considered as a network involving a whole system. Demonstrating that one part of that system looked at in isolation does not have the expected effect does not prove that the specific part is not necessary to the success of the whole system. The isolated intervention may still have an important effect when interacting with other variables or interventions.
Failure to consider the interactive effects of an intervention might constitute a Type III interpretation error. Unpacking the black box of therapy – a pilot study to describe occupational therapy and physiotherapy interventions for people with stroke. C Ballinger A Ashburn P Roderick Objective: To describe the components used in the practice of occupational therapy and physiotherapy for people with stroke and to examine variability between services.
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 email@example.com 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.