What question did this study set out to answer?

To assess the 5-year outcomes of acute stroke patients treated in a combined acute and rehabilitation Stroke Unit compared with those managed in general medical wards.

October 1, 1997Stroke

Stroke Unit Treatment

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Authors

BIBent IndredavikNorwegian University of Science and Technology SSStig A. SlørdahlCardiac Imaging FBF. BakkeOslo University Hospital

Discussion

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Implication

Randomized trial shows improved five-year survival and functional recovery in acute stroke patients treated in stroke units, indicating lasting benefits of specialized care.

Key Points

To assess the 5-year outcomes of acute stroke patients treated in a combined acute and rehabilitation Stroke Unit compared with those managed in general medical wards.
Randomized controlled trial allocating 220 acute stroke patients to either a combined acute and rehabilitation Stroke Unit (n=110) or general wards (n=110).
Patients had similar baseline characteristics across both groups and were followed for 5 years.
Outcomes evaluated included mortality, institutionalization rates, the proportion living at home, and functional status measured by the Barthel Index.
At 5 years, significantly more patients assigned to the Stroke Unit were living at home compared with those treated in general wards (34.5% [38/110] vs. 18.2% [20/110]; P = .006).
Five-year mortality was significantly lower in the Stroke Unit group than in the general ward group (59.1% [65/110] vs. 70.9% [78/110]; P = .041), with 6.4% (7/110) vs. 10.9% (12/110) institutionalized (P = NS).
Functional state assessed by the Barthel Index remained significantly superior among patients treated in the Stroke Unit.

Cite This Study

Indredavik et al. (1997) studied this question.

synapsesocial.com/papers/6a0d54dc48a82a5ce309b28c https://doi.org/10.1161/01.str.28.10.1861

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Implication

Randomized trial shows improved five-year survival and functional recovery in acute stroke patients treated in stroke units, indicating lasting benefits of specialized care.

Stroke Unit Treatment

Discussion

Member takes

Implication

Key Points

Cite This Study

Stroke Unit Treatment

Discussion

Member takes

Implication

Key Points

Cite This Study

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