Has your stroke hospital updated anything of this in the past 14 years? ANYTHING AT ALL?
http://ageing.oxfordjournals.org/content/31/5/365.full.pdf+html?sid=e278fcff-3637-408d-9278-0e5f96292779
Age and Ageing 2002; 31: 365–371
PETER LANGHORNE, ALEX POLLOCK IN CONJUNCTION WITH THE STROKE UNIT TRIALISTS’
COLLABORATION*
Academic Section of Geriatric Medicine, Level 3, Centre Block, Royal Infirmary, Glasgow G4 OSF, UK
Address correspondence to: P. Langhorne. Fax: (q44) 141 211 4944. Email: P.Langhorne@clinmed.gla.ac.uk
Abstract
Background: the effectiveness of organized inpatient (stroke unit) care has been demonstrated in systematic reviews of clinical trials. However, the key components of stroke unit care are poorly understood.
Methods: we conducted a survey of recent trials (published 1985–2000) of a stroke unit/ward which had demonstrated a beneficial effect consistent with the stroke unit systematic review.
Results: we identified 11 eligible stroke unit trials of which the majority described similar approaches to i) assessment procedures (medical, nursing and therapy assessments), ii) early management policies (e.g. early mobilization; avoidance of urinary catheterization; treatment of hypoxia, hyperglycaemia and suspected infection), iii) ongoing rehabilitation policies (e.g. co-ordinated multidisciplinary team care, early assessment for discharge).
Conclusions: this survey provides a description of stroke unit care which can serve as a benchmark for general stroke patient care and future clinical research.
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