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Role of Monitoring in Management of Acute Ischemic Stroke Patients
- Source :
- Stroke. 34:2599-2603
- Publication Year :
- 2003
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2003.
-
Abstract
- Background and Purpose— Although several studies have demonstrated the effectiveness of specialist Stroke Unit (SU) care of stroke patients, there is still disagreement over how these units are best organized. We sought to clarify the role of continuous monitoring of physiological parameters in acute ischemic stroke. Methods— We conducted a prospective study of 268 first-ever ischemic stroke patients admitted to our Cerebrovascular Department and allocated, according to the availability of beds, to the SU or Cerebrovascular Unit (CU). Statistical analysis compared mortality and outcome at discharge, medical and neurological complications, and length of hospitalization in the 2 care settings. Results— Two hundred sixty-eight patients were enrolled. A good outcome at discharge, observed in 114 SU patients (85%) and 78 CU patients (58%) (odds ratio, 2.63; 95% CI, 1.4 to 4.8; P P P P Conclusions— Admission of acute stroke patients to a monitoring SU may positively influence their outcome at discharge. Confirmation of our findings in larger trials will indicate the need for a revision of the minimum requirements of SUs, with the addition of monitoring as a new requirement.
- Subjects :
- Adult
Male
medicine.medical_specialty
Multivariate analysis
Blood Pressure
Body Temperature
Brain Ischemia
law.invention
Electrocardiography
law
Internal medicine
Intensive care
Outcome Assessment, Health Care
Humans
Medicine
Hospital Mortality
Prospective Studies
Intensive care medicine
Prospective cohort study
Stroke
Aged
Monitoring, Physiologic
Advanced and Specialized Nursing
business.industry
Vascular disease
Respiration
Electroencephalography
Odds ratio
Length of Stay
Middle Aged
medicine.disease
Intensive care unit
Intensive Care Units
Logistic Models
Blood pressure
Italy
Acute Disease
Female
Neurology (clinical)
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 15244628 and 00392499
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Stroke
- Accession number :
- edsair.doi.dedup.....32fc63f597b763ff5ef52d03fddd3c20