Arquivos de Neuro-Psiquiatria | |
Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients | |
Maria Sheila G. Rocha1  Ana Claudia F. Almeida1  Osorio Abath Neto1  Marianna P. R. Porto1  Sonia Maria D. Brucki1  | |
关键词: mortality; stroke; stroke unit; hospitalization length; mortalidade; acidente vascular encefalico; unidade de AVC; tempo de hospitalizacao; | |
DOI : 10.1590/0004-282X20130120 | |
来源: SciELO | |
【 摘 要 】
We ascertained whether a public health stroke unit reduces the length of hospitalization, the rate of inpatient fatality, and the mortality rate 30 days after the stroke.Methods We compared a cohort of stroke patients managed on a general neurology/medical ward with a similar cohort of stroke patients managed in a str oke unit. The in-patient fatality rates and 30-day mortality rates were analyzed. Results 729 patients were managed in the general ward and 344 were treated at a comprehensive stroke unit. The in-patient fatality rates were 14.7% for the general ward group and 6.9% for the stroke unit group (p<0.001). The overall mortality rate 30 days after stroke was 20.9% for general ward patients and 14.2% for stroke unit patients (p=0.005). Conclusions We observed reduced in-patient fatalities and 30-day mortality rates in patients managed in the stroke unit. There was no impact on the length of hospitalization.
【 授权许可】
CC BY
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