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Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients
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Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients

Maria Sheila G. Rocha, Ana Claudia F. Almeida, Osorio Abath Neto, Marianna P. F. Porto and Sonia Maria D. Brucki
Arquivos de neuro-psiquiatria, Vol.71(10), pp.774-779
10/01/2013
DOI: 10.1590/0004-282X20130120
PMID: 24212513
url
https://doi.org/10.1590/0004-282X20130120View
Published (Version of record) Open Access

Abstract

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.
 Psychiatry Life Sciences & Biomedicine Neurosciences Neurosciences & Neurology Science & Technology

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