organisation of stroke care

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The care of a stroke patient is usually initiated on a general medical ward. Transfer of acute stroke patients to a specialised unit is possible in some hospitals.

The concepts of an acute stroke unit and a stroke rehabilitation unit have become important recently because of trial evidence that such wards improve the outcome for stroke patients.

A systematic review revealed that (1):

  • stroke patients who receive organised inpatient care in a stroke unit are more likely to be alive, independent, and living at home one year after the stroke
    • benefits were most apparent in units based in a discrete ward
    • no systematic increase was observed in the length of inpatient stay

Reference:

Last reviewed 01/2018

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