Stroke, Vol 16, 29-34, Copyright © 1985 by American Heart Association
T Strand, K Asplund, S Eriksson, E Hagg, F Lithner and PO Wester
In a prospective controlled trial we compared the clinical outcome for
unselected acute stroke patients in a non-intensive stroke unit (n = 110)
and in general medical wards (n = 183). The patients were comparable in
age, marital state and functional impairment on admission. Case fatality
rates over the first year after the stroke were similar in the two groups.
By three months after the stroke, 15% of the survivors initially admitted
to the stroke unit and 39% of those admitted to general medical wards
remained hospitalized (p less than 0.001). The corresponding figures by one
year after the cerebrovascular accident were 12% and 28%, respectively (p
less than 0.05). A greater proportion of surviving stroke unit patients was
independent in walking (0.10 greater than p greater than 0.05), personal
hygiene (p less than 0.05) and dressing (p less than 0.001). Essential
features of the stroke unit are team work headed by a stroke nurse, staff,
patient and family education and very early onset of rehabilitation. We
conclude that this strategy improves functional outcome and reduces the
need for long-term hospital care.
ARTICLES
A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization
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