Crowe M, Dunne D, McBride A
Department of Medicine, St. Columcille's Hospital, Dublin.
Ir Med J. 1990 Jun;83(2):59-60.
In a prospective study of patients admitted to a general hospital, 43 patients with stroke were identified accounting for 3.9% of all medical admissions over a six month period. Of these, 23.2% died in hospital, whilst 46.5% were discharged to the community, and 30.3% to institutional care after a mean length of stay in hospital of 24.5 and 34 days respectively. At follow-up seven months following discharge, most patients were alive and still residing in the community or institution to which they had been discharged. The majority of survivors (57%) however, were severely handicapped, 37% of whom were resident with carers in the community. Our study emphasises the overly long stay of stroke patients in the acute hospital, and the high morbidity in survivors with consequent demand on institutional and community care services.
在一项针对综合医院住院患者的前瞻性研究中,共识别出43例中风患者,占六个月期间所有内科住院患者的3.9%。其中,23.2%在医院死亡,46.5%出院后回到社区,30.3%在分别平均住院24.5天和34天后进入机构护理。出院七个月后的随访显示,大多数患者仍存活,且仍居住在出院时前往的社区或机构。然而,大多数幸存者(57%)严重残疾,其中37%在社区由照顾者照料。我们的研究强调了中风患者在急性医院住院时间过长,以及幸存者中高发病率,从而对机构和社区护理服务产生需求。