Relevance of stroke units to stroke care : from nihilism to cautious optimism.

ABSTRACT

Many studies have shown definite reduction in the mortality and morbidity of patients treated in the stroke unit when compared to the general medical ward. The beneficial effect of treatment in a stroke unit is achieved in completely unselected patients independent of their age, sex, co-morbidity, and stroke severity. Better outcome has been atributed to prevention of serious events like aspiration, infection, electrolyte imbalance and consequent early mobilization. In India, at present, there are 8 to 10 stroke units which can serve as models for further expansion of acute stroke care.