Asplund Kjell, Hulter Asberg Kerstin, Norrving Bo, Stegmayr Birgitta, Terént Andreas, Wester Per-Olov
Department of Medicine, University Hospital, Umea, Sweden.
Cerebrovasc Dis. 2003;15 Suppl 1:5-7. doi: 10.1159/000068203.
Riks-Stroke, the Swedish national quality register on stroke care, provides unique opportunities to evaluate stroke units in routine clinical care.
Basic patient characteristics, process indicators and outcome variables are recorded in all 85 hospitals admitting acute stroke patients. A 3-month follow-up is included.
There are wide variations between hospitals in the proportion of patients admitted to a stroke unit, in secondary prevention and in the proportion of patients in institutional care at 3 months. Even after adjustment for available prognostic indicators, case fatality is lower and functional outcome is better in patients treated in stroke units than in patients treated in general wards.
Riks-Stroke shows that outcome is consistently better in patients treated in a stroke unit than in general wards, not only in randomised trials but also in routine stroke care.
瑞典国家卒中护理质量登记系统Riks-Stroke为评估日常临床护理中的卒中单元提供了独特的机会。
在所有收治急性卒中患者的85家医院中记录患者的基本特征、过程指标和结局变量。随访期为3个月。
各医院在收治到卒中单元的患者比例、二级预防以及3个月时接受机构护理的患者比例方面存在很大差异。即使对可用的预后指标进行调整后，在卒中单元接受治疗的患者的病死率仍低于在普通病房接受治疗的患者，且功能结局更好。
Riks-Stroke表明，不仅在随机试验中，而且在日常卒中护理中，在卒中单元接受治疗的患者的结局始终优于在普通病房接受治疗的患者。
