Till sidans topp

Sidansvarig: Webbredaktion
Sidan uppdaterades: 2012-09-11 15:12

Tipsa en vän
Utskriftsversion

Effect of acute stroke un… - Göteborgs universitet Till startsida
Webbkarta
Till innehåll Läs mer om hur kakor används på gu.se

Effect of acute stroke unit care integrated with care continuum versus conventional treatment: A randomized 1-year study of elderly patients: the Göteborg 70+ Stroke Study.

Artikel i vetenskaplig tidskrift
Författare Björn Fagerberg
Lisbeth Claesson
Gunilla Gosman-Hedström
Christian Blomstrand
Publicerad i Stroke; a journal of cerebral circulation
Volym 31
Nummer/häfte 11
Sidor 2578-84
ISSN 1524-4628
Publiceringsår 2000
Publicerad vid Wallenberglaboratoriet
Institutionen för klinisk neurovetenskap, Sektionen för kliniska nervsjukdomar
Institutionen för invärtesmedicin, Avdelningen för internmedicin
Sidor 2578-84
Språk en
Länkar www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Activities of Daily Living, Aged, Aged, 80 and over, Cerebrovascular Accident, epidemiology, mortality, rehabilitation, Comorbidity, Continuity of Patient Care, Follow-Up Studies, Heart Diseases, epidemiology, Hospital Units, standards, utilization, Humans, Quality of Life, Severity of Illness Index, Survival Analysis, Sweden, epidemiology, Treatment Outcome
Ämneskategorier Neurologi

Sammanfattning

BACKGROUND AND PURPOSE: The aim of the study was to compare the effect of conventional treatment with the effect of acute stroke unit care integrated with geriatric stroke unit care continuum. METHODS: A 1-year study was undertaken with 2:1 randomization to stroke unit care or conventional care, with assessment by an independent team. The study was composed of 249 elderly patients (aged >/=70 years) hospitalized for acute stroke, without previous cerebral lesion and without recognized need of care. Main outcome measures were patients at home after 1 year, ability in daily living activities, health-related quality of life score according to questionnaire, death or institutional care, and death or dependence. RESULTS: One hundred two patients (61%) in the stroke unit and 49 patients (59%) in the general ward group were alive and at home after 1 year (95% CI -10% to 16%). There were no significant differences in daily life activities or quality of life. In patients with concomitant cardiac disease, there was a reduction in death or institutional care after 3 months in the stroke unit group compared with the group receiving conventional care (28% versus 49%, respectively; 95% CI -40% to -3%). This effect did not remain after 1 year. Patients seeking care after 24 hours often had mild stroke and lived alone. CONCLUSIONS: There was no effect on the number of patients living at home after 1 year, but after 3 months of stroke unit care, a beneficial effect was found on mortality and the need for institutional care among those with concomitant heart disease. This study involved patients who were considerably older than those investigated in previous randomized studies of acute stroke unit care; thus, these findings will contribute to the specialized register of controlled trials in stroke.

Sidansvarig: Webbredaktion|Sidan uppdaterades: 2012-09-11
Dela:

På Göteborgs universitet använder vi kakor (cookies) för att webbplatsen ska fungera på ett bra sätt för dig. Genom att surfa vidare godkänner du att vi använder kakor.  Vad är kakor?