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. 2011 Dec;124(6):429-33.
doi: 10.1111/j.1600-0404.2011.01485.x. Epub 2011 Feb 9.

Survival over 12 years following acute stroke: initial treatment in a stroke unit vs general medical wards

K Stavem  1 , O M Rønning
Affiliations

Survival over 12 years following acute stroke: initial treatment in a stroke unit vs general medical wards

K Stavem et al. Acta Neurol Scand. 2011 Dec.

Abstract

Background: Few studies have assessed the influence of the organization of stroke care on long-term survival.

Aims of the study: To compare survival over 12 years after stroke between subjects treated in an acute stroke unit (SU) and those treated in general medical wards (GMW).

Methods: In total, 550 subjects ≥60 years of age with acute stroke were prospectively allocated according to date of birth (day of the month) to treatment in a SU with relatively short length of stay or GMWs. We assessed survival through a link to the register of Statistics Norway. Groups were compared using Kaplan-Meier analysis on an intention-to-treat basis.

Results: Of the 550 eligible subjects, 271 were allocated to a SU and 279 to GMWs. There still was no difference in mortality over 12 years between the groups (P = 0.15, log-rank test)

Conclusions: An acute SU offering early treatment and rehabilitation did not offer better long-term mortality after stroke in patients ≥60 years old than initial treatment in GMWs.

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