What are the components of effective stroke unit care?

Peter Langhorne; Alex Pollock; K. Asplund; P. Berman; C. Blomstrand; M. Dennis; J. Douglas; T. Erila; M. Garraway; E. Hamrin; G. Hankey; M. Ilmavirta; B. Indredavik; L. Kalra; M. Kaste; P. Langhorne; S. O. Laursen; N. Patel; H. Rodgers; O. M. Ronning; J. Sivenius; R. Stevens; S. P. Stone; A. Svensson; B. Williams; S. Wood-Dauphinee

doi:10.1093/ageing/31.5.365

What are the components of effective stroke unit care?

Peter Langhorne, Alex Pollock, K. Asplund, P. Berman, C. Blomstrand, M. Dennis, J. Douglas, T. Erila, M. Garraway, E. Hamrin, G. Hankey, M. Ilmavirta, B. Indredavik, L. Kalra, M. Kaste, P. Langhorne, S. O. Laursen, N. Patel, H. Rodgers, O. M. RonningJ. Sivenius, R. Stevens, S. P. Stone, A. Svensson, B. Williams, S. Wood-Dauphinee

UWA Medical School

Research output: Contribution to journal › Article › peer-review

288 Citations (Scopus)

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.

Original language	English
Pages (from-to)	365-371
Number of pages	7
Journal	Age and Ageing
Volume	31
Issue number	5
DOIs	https://doi.org/10.1093/ageing/31.5.365
Publication status	Published - 1 Sep 2002

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10.1093/ageing/31.5.365

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Langhorne, P., Pollock, A., Asplund, K., Berman, P., Blomstrand, C., Dennis, M., Douglas, J., Erila, T., Garraway, M., Hamrin, E., Hankey, G., Ilmavirta, M., Indredavik, B., Kalra, L., Kaste, M., Langhorne, P., Laursen, S. O., Patel, N., Rodgers, H., ... Wood-Dauphinee, S. (2002). What are the components of effective stroke unit care? Age and Ageing, 31(5), 365-371. https://doi.org/10.1093/ageing/31.5.365

Langhorne, Peter ; Pollock, Alex ; Asplund, K. ; Berman, P. ; Blomstrand, C. ; Dennis, M. ; Douglas, J. ; Erila, T. ; Garraway, M. ; Hamrin, E. ; Hankey, G. ; Ilmavirta, M. ; Indredavik, B. ; Kalra, L. ; Kaste, M. ; Langhorne, P. ; Laursen, S. O. ; Patel, N. ; Rodgers, H. ; Ronning, O. M. ; Sivenius, J. ; Stevens, R. ; Stone, S. P. ; Svensson, A. ; Williams, B. ; Wood-Dauphinee, S. / What are the components of effective stroke unit care?. In: Age and Ageing. 2002 ; Vol. 31, No. 5. pp. 365-371.

@article{7fa1e2d98be64349820c329332cb612c,

title = "What are the components of effective stroke unit care?",

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.",

keywords = "Care pathway, Randomized trial, Rehabilitation, Stroke unit, Systematic review",

author = "Peter Langhorne and Alex Pollock and K. Asplund and P. Berman and C. Blomstrand and M. Dennis and J. Douglas and T. Erila and M. Garraway and E. Hamrin and G. Hankey and M. Ilmavirta and B. Indredavik and L. Kalra and M. Kaste and P. Langhorne and Laursen, {S. O.} and N. Patel and H. Rodgers and Ronning, {O. M.} and J. Sivenius and R. Stevens and Stone, {S. P.} and A. Svensson and B. Williams and S. Wood-Dauphinee",

year = "2002",

month = sep,

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doi = "10.1093/ageing/31.5.365",

language = "English",

volume = "31",

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journal = "Age and Ageing",

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Langhorne, P, Pollock, A, Asplund, K, Berman, P, Blomstrand, C, Dennis, M, Douglas, J, Erila, T, Garraway, M, Hamrin, E, Hankey, G, Ilmavirta, M, Indredavik, B, Kalra, L, Kaste, M, Langhorne, P, Laursen, SO, Patel, N, Rodgers, H, Ronning, OM, Sivenius, J, Stevens, R, Stone, SP, Svensson, A, Williams, B & Wood-Dauphinee, S 2002, 'What are the components of effective stroke unit care?', Age and Ageing, vol. 31, no. 5, pp. 365-371. https://doi.org/10.1093/ageing/31.5.365

What are the components of effective stroke unit care? / Langhorne, Peter; Pollock, Alex; Asplund, K.; Berman, P.; Blomstrand, C.; Dennis, M.; Douglas, J.; Erila, T.; Garraway, M.; Hamrin, E.; Hankey, G.; Ilmavirta, M.; Indredavik, B.; Kalra, L.; Kaste, M.; Langhorne, P.; Laursen, S. O.; Patel, N.; Rodgers, H.; Ronning, O. M.; Sivenius, J.; Stevens, R.; Stone, S. P.; Svensson, A.; Williams, B.; Wood-Dauphinee, S.