[Stroke treatment with stroke unit and rehabilitation by a team. A model for a staged management].
This is a report of an interdisciplinary approach to diagnosis and treatment of stroke, combining a stroke unit and rehabilitation in one clinic. This series contains unselected patients from a narrow surrounding. Mean age of 559 patients was 68.7 years (median 70 years). 25% of patients had an initial Barthel index of < 30, 20% presented with TIA's and PRIND's. 9% suffered from cerebral hemorrhage. The unbroken chain of care allowed a relative short length of stay in the acute care (9.4 days) without prolonging the rehabilitation phase. The one month mortality was 6.7%, one year mortality 18.3%. Discharge to a nursing home was necessary in 5.4%. Overall more than 90% of our patients have been treated continuously in our clinic. Combining modern diagnostics with early onset rehabilitation seem advantageous.
von Reutern
G M
GM
Asklepios Neurologische Klinik, Bad Salzhausen.
Allendörfer
J
J
D000368:Aged; D002561:Cerebrovascular Disorders / Q000209:etiology / Q000401:mortality / Q000534:rehabilitation*; D005260:Female; D005858:Germany; D006801:Humans; D007902:Length of Stay; D008297:Male; D009460:Neurologic Examination; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration*; D012047:Rehabilitation Centers / Q000458:organization & administration*; D015996:Survival Rate