Assessment of the early effectiveness of a stroke unit in comparison to the general ward / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 852-855, 2004.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-284893
Responsible library:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>Stroke unit is the most effective treatment method to benefit stroke patients. Our study is to evaluate the early effectiveness of a hospital stroke unit (SU).</p><p><b>METHODS</b>Three hundred and ninety-two patients who had suffered from acute strokes and who were admitted to our hospital between December 2001 and January 2003 were recruited for this controlled study. All patients were sent at random to either the SU or the general ward (GW) for treatment. The following indices were measured by Barthel Index (BI), National Institute of Health Stroke Scale (NIHSS), Oxford Handicap Scale (OHS).</p><p><b>RESULTS</b>The mean change in BI score between the day of admission and the day of discharge was 20.00 +/- 24.36 for the SU group and 10.63 +/- 23.59 for the GW group. A difference that is statistically significant (P = 0.000). The mean change in NIHSS score was -2.01 +/- 6.61 for the SU group and 0.55 +/- 7.44 for the GW group. A difference that is also statistically significant (P = 0.000). Finally, the mean change in OHS score was -0.74 +/- 1.04 for the SU group and -0.28 +/- 0.98 for the GW group, also a statistically significant difference (P = 0.000). Among SU patients, patient satisfaction was higher (P = 0.000), the rehabilitation success rate was higher (P = 0.000), and there were fewer complications (P = 0.000).</p><p><b>CONCLUSION</b>Compared to GW patients, stroke patients treated in a special SU were able to return to normal daily activities earlier, with better social abilities, and have reduced neurological defects, without increasing the overall economic burden.</p>
Full text:
Available
Health context:
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Cardiovascular Disease
/
Cerebrovascular Disease
Database:
WPRIM (Western Pacific)
Main subject:
Mortality
/
Stroke
/
Evaluation Studies as Topic
/
Stroke Rehabilitation
/
Hospital Units
Type of study:
Diagnostic study
/
Evaluation study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Chinese Medical Journal
Year:
2004
Document type:
Article