scholarly journals Hospital re-admissions in relation to acute stroke unit care versus conventional care in elderly patients the first year after stroke: the Goteborg 70+ Stroke study

2003 ◽  
Vol 32 (1) ◽  
pp. 109-113 ◽  
Author(s):  
L. Claesson
Keyword(s):  
Elderly Patients ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Conventional Care ◽  
First Year ◽  
Stroke Study ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals Effect of Acute Stroke Unit Care Integrated With Care Continuum Versus Conventional Treatment: A Randomized 1-Year Study of Elderly Patients

Stroke ◽  
2000 ◽  
Vol 31 (11) ◽  
pp. 2578-2584 ◽  
Author(s):  
Björn Fagerberg ◽  
Lisbeth Claesson ◽  
Gunilla Gosman-Hedström ◽  
Christian Blomstrand
Keyword(s):  
Elderly Patients ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Conventional Treatment ◽  
Care Continuum ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

Assessment of Regional Acute Stroke Unit Care in Italy: The PROSIT Study

2003 ◽  
Vol 15 (1) ◽  
pp. 16-18 ◽  
Author(s):  
Roberto Sterzi ◽  
Giuseppe Micieli ◽  
Livia Candelise
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals A protocol for acute stroke unit care during the COVID-19 pandemic

2020 ◽  
Vol 29 (9) ◽  
pp. 105009 ◽  
Author(s):  
Deidre Anne De Silva ◽  
Il Fan Tan ◽  
Shamala Thilarajah
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals Sex-Related Differences of Acute Stroke Unit Care

Stroke ◽  
2014 ◽  
Vol 45 (6) ◽  
pp. 1632-1638 ◽  
Author(s):  
Thomas Gattringer ◽  
Julia Ferrari ◽  
Michael Knoflach ◽  
Leonhard Seyfang ◽  
Susanna Horner ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Stroke Unit ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals Early Physical Activity and Discharge Destination after Stroke: A Comparison of Acute and Comprehensive Stroke Unit Care

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Tanya West ◽  
Leonid Churilov ◽  
Julie Bernhardt
Keyword(s):  
Physical Activity ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Stroke Severity ◽  
Walking Ability ◽  
Discharge Destination ◽  
Acute Stroke Care ◽  
Anterior Circulation ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

Background. Common models of acute stroke care include the acute stroke unit, focusing on acute management, and the comprehensive stroke unit, incorporating acute care and rehabilitation. We hypothesise that the rehabilitation focus in the comprehensive stroke unit promotes early physical activity and discharge directly home.Methods. We conducted a two-centre prospective observational study of patients admitted to a comprehensive or acute stroke unit within 14 days poststroke. We recruited 73 patients from each site, matched on age, stroke severity, premorbid function, and walking ability. Patient activity was measured using behavioural mapping. Therapy activity was recorded by therapist report. Time to first mobilisation, discharge destination, and length of stay were extracted from the medical record.Results. The comprehensive stroke unit group included more males, fewer partial anterior circulation infarcts, more lacunar infarcts, and more patients ambulant without aids prior to their stroke. Patients in the comprehensive stroke unit spent 14.4% more (95% CI: 8.9%–19.8%;P<0.001) of the day in moderate or high activity, 18.5% less time physically inactive (95% CI: 5.0%–32.0%;P=0.008), and were more likely to be discharged directly home (OR 3.7; 95% CI 1.4–9.5;P=0.007).Conclusions. Comprehensive stroke unit care may foster early physical activity, with likely discharge directly home.

Acute stroke unit care and early neurological deterioration in ischemic stroke

2008 ◽  
Vol 255 (7) ◽  
pp. 1012-1017 ◽  
Author(s):  
Jaume Roquer ◽  
Ana Rodríguez-Campello ◽  
Meritxell Gomis ◽  
Jordi Jiménez-Conde ◽  
Elisa Cuadrado-Godia ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Neurological Deterioration ◽  
Early Neurological Deterioration ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

scholarly journals Access to and delivery of acute ischaemic stroke treatments: A survey of national scientific societies and stroke experts in 44 European countries

2018 ◽  
Vol 4 (1) ◽  
pp. 13-28 ◽  
Author(s):  
Diana Aguiar de Sousa ◽  
Rascha von Martial ◽  
Sònia Abilleira ◽  
Thomas Gattringer ◽  
Adam Kobayashi ◽  
...  
Keyword(s):  
Ischaemic Stroke ◽  
Endovascular Treatment ◽  
Acute Stroke ◽  
Stroke Unit ◽  
Intravenous Thrombolysis ◽  
European Countries ◽  
Annual Number ◽  
National Data ◽  
Acute Stroke Unit ◽  
Stroke Unit Care

Introduction Acute stroke unit care, intravenous thrombolysis and endovascular treatment significantly improve the outcome for patients with ischaemic stroke, but data on access and delivery throughout Europe are lacking. We assessed best available data on access and delivery of acute stroke unit care, intravenous thrombolysis and endovascular treatment throughout Europe. Methods A survey, drafted by stroke professionals (ESO, ESMINT, EAN) and a patient organisation (SAFE), was sent to national stroke societies and experts in 51 European countries (World Health Organization definition) requesting experts to provide national data on stroke unit, intravenous thrombolysis and endovascular treatment rates. We compared both pooled and individual national data per one million inhabitants and per 1000 annual incident ischaemic strokes with highest country rates. Population estimates were based on United Nations data, stroke incidences on the Global Burden of Disease Report. Results We obtained data from 44 European countries. The estimated mean number of stroke units was 2.9 per million inhabitants (95% CI 2.3–3.6) and 1.5 per 1000 annual incident strokes (95% CI 1.1–1.9), highest country rates were 9.2 and 5.8. Intravenous thrombolysis was provided in 42/44 countries. The estimated mean annual number of intravenous thrombolysis was 142.0 per million inhabitants (95% CI 107.4–176.7) and 72.7 per 1000 annual incident strokes (95% CI 54.2–91.2), highest country rates were 412.2 and 205.5. Endovascular treatment was provided in 40/44 countries. The estimated mean annual number of endovascular treatments was 37.1 per million inhabitants (95% CI 26.7–47.5) and 19.3 per 1000 annual incident strokes (95% CI 13.5–25.1), highest country rates were 111.5 and 55.9. Overall, 7.3% of incident ischaemic stroke patients received intravenous thrombolysis (95% CI 5.4–9.1) and 1.9% received endovascular treatment (95% CI 1.3–2.5), highest country rates were 20.6% and 5.6%. Conclusion We observed major inequalities in acute stroke treatment between and within 44 European countries. Our data will assist decision makers implementing tailored stroke care programmes for reducing stroke-related morbidity and mortality in Europe.

Retrospective Review and Proof of Concept of Asia’s First Mobile Stroke Unit Experience in Kovai Medical Center and Hospital

2020 ◽  
Vol 3 (2) ◽  
pp. 116-123
Author(s):  
Mathew Cherian ◽  
Pankaj Mehta ◽  
Shriram Varadharajan ◽  
Santosh Poyyamozhi ◽  
Elango Swamiappan ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Retrospective Review ◽  
Stroke Unit ◽  
Care Pathway ◽  
Clinical Care ◽  
Stroke Care ◽  
First Year ◽  
Proof Of Concept ◽  
Mobile Stroke Unit ◽  
Clinical Care Pathway

Background: We review our initial experience of India’s and Asia’s first mobile stroke unit (MSU) following the completion of its first year of operation. We outline the clinical care pathway integrating the MSU services using a case example taking readers along our clinical care workflow while highlighting the challenges faced in organizing and optimizing such services in India. Methods: Retrospective review of data collected for all patients from March 2018 to February 2019 transported and treated within the MSU during the first year of its operation. Recent case example is reviewed highlighting complete comprehensive acute clinical care pathway from prehospital MSU services to advanced endovascular treatment with focus on challenges faced in developing nation for stroke care. Results: The MSU was dispatched and utilized for 14 patients with clinical symptoms of acute stroke. These patients were predominantly males (64%) with median age of 59 years. Ischemic stroke was seen in 7 patients, hemorrhagic in 6, and 1 patient was classified as stroke mimic. Intravenous tissue plasminogen activator was administered to 3 patients within MSU. Most of the patients’ treatment was initiated within 2 h of symptom onset and with the median time of patient contact (rendezvous) following stroke being 55 mins. Conclusion: Retrospective review of Asia’s first MSU reveals its proof of concept in India. Although the number of patients availing treatment in MSU is low as compared to elsewhere in the world, increased public awareness with active government support including subsidizing treatment costs could accelerate development of optimal prehospital acute stroke care policy in India.

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