Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients
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 pati...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2013-10-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100774&lng=en&tlng=en |
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| author | Maria Sheila G. Rocha Ana Claudia F. Almeida Osorio Abath Neto Marianna P. R. Porto Sonia Maria D. Brucki |
| author_facet | Maria Sheila G. Rocha Ana Claudia F. Almeida Osorio Abath Neto Marianna P. R. Porto Sonia Maria D. Brucki |
| author_sort | Maria Sheila G. Rocha |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-06edb4734180483fa5e57219fbede49d |
| institution | OA Journals |
| issn | 1678-4227 |
| language | English |
| publishDate | 2013-10-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-06edb4734180483fa5e57219fbede49d2025-08-20T01:59:13ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272013-10-01711077477910.1590/0004-282X20130120S0004-282X2013001100774Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patientsMaria Sheila G. RochaAna Claudia F. AlmeidaOsorio Abath NetoMarianna P. R. PortoSonia Maria D. BruckiWe 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100774&lng=en&tlng=enmortalidadeacidente vascular encefalicounidade de AVCtempo de hospitalizacao |
| spellingShingle | Maria Sheila G. Rocha Ana Claudia F. Almeida Osorio Abath Neto Marianna P. R. Porto Sonia Maria D. Brucki Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients Arquivos de Neuro-Psiquiatria mortalidade acidente vascular encefalico unidade de AVC tempo de hospitalizacao |
| title | Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| title_full | Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| title_fullStr | Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| title_full_unstemmed | Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| title_short | Impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| title_sort | impact of stroke unit in a public hospital on length of hospitalization and rate of early mortality of ischemic stroke patients |
| topic | mortalidade acidente vascular encefalico unidade de AVC tempo de hospitalizacao |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2013001100774&lng=en&tlng=en |
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