Stroke Unit Care Is Beneficial Both for the Patient and for the Health Service and Should Be Widely Implemented

Indredavik, Bent

doi:10.1161/strokeaha.108.529271

Cited by 38 publications

(13 citation statements)

References 11 publications

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“…compared with general medical ward care (20)(21)(22). Also cognitively impaired stroke patients do benefit from admission to an acute stroke unit (23).…”

Section: The Value Of Stroke Unitsmentioning

confidence: 99%

Current trends in stroke rehabilitation. A review with focus on brain plasticity

Johansson

2010

Acta Neurologica Scandinavica

245

157

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“…compared with general medical ward care (20)(21)(22). Also cognitively impaired stroke patients do benefit from admission to an acute stroke unit (23).…”

Section: The Value Of Stroke Unitsmentioning

confidence: 99%

Current trends in stroke rehabilitation. A review with focus on brain plasticity

Johansson

2010

Acta Neurologica Scandinavica

245

157

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“…Für die Schlaganfall-Therapie auf spezialisierten Schlaganfall-Behandlungseinheiten, sogenannten Stroke Units, konnte eine Verringerung der Sterblichkeit [ 4 ] und Pfl egebedürftigkeit [ 5 ] nachgewiesen werden. Die Stroke-Unit-Versorgung stellt gegenwärtig die wichtigste Behandlungsstrategie des akuten Schlaganfalls dar [ 6 ] und wird in internationalen Leitlinien empfohlen [ 7 -9 ] . Dennoch werden nach wie vor in Europa nur eine Minderheit der Schlaganfallpatienten auf Stroke Units behandelt [ 10 , 11 ] .…”

unclassified

Kostenanalyse telemedizinischer Schlaganfallbehandlung

Schenkel

Reitmeir

Reden³

et al. 2012

Gesundheitswesen

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“…Nonetheless, with only one in two Australians accessing this gold-standard care for stroke, it was still a long way behind access in other countries in 2007, such as the UK (62%) 18 and Scandinavian countries (70%-75%). 19,20 The audit also highlighted some areas where considerable change is needed. Half the audited patients did not have their swallowing assessed before being given food and drink, and many did not receive key processes of the discharge planning process.…”

Section: Discussionmentioning

confidence: 99%

National Stroke Audit: The Australian experience

Harris

Cadilhac

Hankey

et al. 2010

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Background: National data measuring compliance with stroke clinical guidelines were unavailable in Australia until 2007. The inaugural National Stroke Audit was established to monitor the quality of clinical practices in acute stroke management. Aim: To assess adherence to recommended care known to optimize health outcomes for people after experiencing acute stroke. Methods: Public hospitals managing people with acute stroke conducted a retrospective clinical audit of up to 40 cases admitted between October 1, 2006 and March 31, 2007. Results: Eighty-nine hospitals contributed clinical audit data on 2,724 people with acute stroke. Discrepancies between recommendations and clinical practice were evident. Half the patients audited were treated in a stroke unit. Often multidisciplinary interventions did not occur within two days, as recommended (46%-75%). Few (3%) patients with ischemic stroke received thrombolysis. Secondary prevention on discharge was inadequate: a quarter did not receive antihypertensives, a third did not receive lipid-lowering medication, and two-thirds did not receive lifestyle advice. Adherence to discharge planning processes was poor (11%-53%). Conclusions: The audit has provided insights into the performance of the Australian health system on providing acute stroke care. These findings provide an opportunity to develop action plans for improving clinical practice and to monitor temporal progress.

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Stroke Unit Care Is Beneficial Both for the Patient and for the Health Service and Should Be Widely Implemented

Cited by 38 publications

References 11 publications

Current trends in stroke rehabilitation. A review with focus on brain plasticity

Current trends in stroke rehabilitation. A review with focus on brain plasticity

Kostenanalyse telemedizinischer Schlaganfallbehandlung

National Stroke Audit: The Australian experience

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