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  • Stroke unit care decreased mortality and increased the number of patients who were living at home 10 years after stroke

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Stroke unit care decreased mortality and increased the number of patients who were living at home 10 years after stroke

https://doi.org/10.1136/ebn.3.2.55

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    Indredavik B, Bakke F, Slørdahl SA, et al.Stroke unit treatment. 10-year follow-up.Stroke1999 Aug;30:1524–7OpenUrlAbstract/FREE Full Text

    QUESTION: For patients in hospital with acute stroke, does care in a stroke unit (SU) decrease long term mortality and increase independence and the proportion of patients who are living at home when compared with general ward (GW) care?

    Design

    Randomised (allocation concealed), blinded (outcome assessor), controlled trial with 10 years of follow up.

    Setting

    A university hospital in Norway.

    Patients

    220 patients (mean age 73 y, 51% men) in hospital with acute stroke. Exclusion criteria were deep coma on admission or living in a nursing home before onset of symptoms. Follow up was 100%.

    Intervention

    110 patients were allocated to care in a 6 bed SU. The programme was standardised with up to 42 days (mean 16 d) of team based care that included diagnostic evaluation, acute treatment, and mobilisation …

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    Footnotes

    • Sources of funding: Norwegian Council on Cardiovascular Diseases; The Fund of Cardiovascular Research.

    • For correspondence:Dr B Indredavik, The Stroke Unit, Department of Medicine, University Hospital of Trondheim, N–7006 Trondheim, Norway. Fax +47 73 86 7546.