急性脑卒中后存活超过 12 年：卒中单元初始治疗与普通内科病房的比较。
Survival over 12 years following acute stroke: initial treatment in a stroke unit vs general medical wards.
机构信息
Helse Sør-Øst Health Services Research Centre, Akershus University Hospital, Lørenskog, Norway.
出版信息
Acta Neurol Scand. 2011 Dec;124(6):429-33. doi: 10.1111/j.1600-0404.2011.01485.x. Epub 2011 Feb 9.
BACKGROUND
Few studies have assessed the influence of the organization of stroke care on long-term survival.
AIMS OF THE STUDY
To compare survival over 12 years after stroke between subjects treated in an acute stroke unit (SU) and those treated in general medical wards (GMW).
METHODS
In total, 550 subjects ≥60 years of age with acute stroke were prospectively allocated according to date of birth (day of the month) to treatment in a SU with relatively short length of stay or GMWs. We assessed survival through a link to the register of Statistics Norway. Groups were compared using Kaplan-Meier analysis on an intention-to-treat basis.
RESULTS
Of the 550 eligible subjects, 271 were allocated to a SU and 279 to GMWs. There still was no difference in mortality over 12 years between the groups (P = 0.15, log-rank test)
CONCLUSIONS
An acute SU offering early treatment and rehabilitation did not offer better long-term mortality after stroke in patients ≥60 years old than initial treatment in GMWs.
背景
很少有研究评估卒中护理组织对长期生存的影响。
研究目的
比较卒中后 12 年以上接受急性卒中单元 (SU) 和普通内科病房 (GMW) 治疗的患者的生存情况。
方法
共前瞻性纳入 550 名年龄≥60 岁的急性卒中患者，根据出生日期（日）分配到 SU 治疗（住院时间相对较短）或 GMWs。我们通过与挪威统计署的登记处联系来评估生存情况。使用意向治疗的 Kaplan-Meier 分析比较两组。
结果
在 550 名符合条件的患者中，271 名被分配到 SU，279 名被分配到 GMWs。两组 12 年内的死亡率仍无差异（P = 0.15，log-rank 检验）。
结论
急性 SU 提供早期治疗和康复并不能为年龄≥60 岁的卒中患者提供比 GMW 初始治疗更好的长期死亡率。
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