The answer is simple! CREATE EXACT 100% RECOVER PROTOCOLS! And you're too fucking dumb to see that!
This is 1997 data so you'll have to ask your doctor or stroke association for something more recent. But this just proves how long and badly stroke is run. There is nothing objective about any of the outcomes measured except for death. Nothing lists the 3d size and location of the dead area or penumbra. Without that, none of these research results are comparable.
How Do Stroke Units Improve Patient Outcomes?
- Correspondence to P. Langhorne, PhD, MRCP, Academic Section of Geriatric Medicine, 3rd Floor, Center Block, Royal Infirmary, Glasgow G4 0SF, Scotland. E-mail P.Langhorne@clinmed.gla.ac.uk
Abstract
Background and Purpose
We sought to clarify the way in which organized inpatient (stroke unit) care can produce reductions in case fatality and
in the need for institutional care after stroke.
Methods
We performed a
secondary analysis of a collaborative systematic review of all
randomized trials that compared organized inpatient
(stroke unit) care with contemporary
conventional care. Nineteen trials were included, of which 18 (3246
patients) could provide
outcome data on death, place of residence, and
final functional outcome. Data were less complete (but always available
for
at least 12 trials; 1611 patients) for subgroup
analyses examining timing and cause of death and outcomes in patients
with
different levels of severity of initial stroke.
Results
The reduction in case
fatality of patients managed in a stroke unit setting developed between 1
and 4 weeks after the index
stroke. The reduction in the odds of death was
evident across all causes of death and most marked for those deaths
considered
to be secondary to immobility. However, data
were insufficient to permit a firm conclusion. The relative increase in
the number
of patients discharged home from stroke units as
opposed to conventional care was largely attributable to an increase in
the
number of patients returning home physically
independent. Across the range of stroke severity, stroke unit care was
associated
with nonsignificant increases in the number of
patients regaining independence.
Conclusions
Within the
limitations of the available data, we conclude that organized inpatient
stroke unit care probably benefits a wide
range of stroke patients in a variety of
different ways, ie, reducing death from secondary complications of
stroke and reducing
the need for institutional care through a
reduction in disability.(This conclusion is not supportable from the data given)
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