卒中单元护理优于普通康复单元护理。

Stroke unit care is superior to general rehabilitation unit care.

作者信息

Walsh T, Cotter S, Boland M, Greally T, O'Riordan R, Lyons D

机构信息

Department of Medicine, Clinical Age Assessment Unit, Mid-Western Regional Hospital, Limerick.

出版信息

Ir Med J. 2006 Nov-Dec;99(10):300-2.

PMID:17274172

Abstract

Robust evidence exists for the efficacy of stroke units in improving stroke outcome. To date no Irish and little international data exist comparing stroke unit and general rehabilitation unit care. 207 patients admitted to a stroke unit (136--65.7%) and a general rehabilitation unit (71--34%) in the Mid-Western region from September 2000-August 2002 were included in the study. There was no difference in patient age, gender or admission criteria between the units. The stroke unit was associated with a shorter length of stay (mean 21 versus 33 days, p < 0.01) and a higher rate of home discharge (50% versus 38%, p < 0.01). Patient survival at discharge (86% versus 70.4%, p < 0.01), 3 months (84.5% versus. 69.5%, p < 0.01) and 6 months (81% versus. 66%, p < 0.01) post-admission was better among stroke unit patients.

摘要

有充分证据表明卒中单元在改善卒中预后方面具有疗效。迄今为止，爱尔兰尚无相关数据，国际上也仅有少量数据比较了卒中单元护理与普通康复单元护理的差异。本研究纳入了2000年9月至2002年8月期间在中西部地区一家卒中单元（136例，占65.7%）和一家普通康复单元（71例，占34%）住院的207例患者。两个单元的患者年龄、性别或入院标准均无差异。卒中单元患者的住院时间较短（平均21天对33天，p<0.01），出院回家的比例较高（50%对38%，p<0.01）。卒中单元患者出院时（86%对70.4%，p<0.01）、入院后3个月（84.5%对69.5%，p<0.01）和6个月（81%对66%，p<0.01）的生存率更高。