STROKE CARE: STROKE UNIT VERSUS NON STROKE UNIT
Keywords:
stroke, unit stroke, treatment outcomes, performanceAbstract
Background: Stroke is one of the leading causes of death and long-term disability in adults. A comprehensive and integrated stroke unit care plays an important role to reduce these burdens. This paper aims to describe the difference in outcomes between stroke care in stroke units and non-stroke units as information basis to encourage hospitals to establish this service.
Methods: This review is done based on research articles on stroke treatment outcomes in the stroke unit. The literature search was conducted in December 2017 to May 2018 through University of Indonesia's online library and Google Scholar. Five articles are selected based on predetermined criteria. Articles that examined comparison of stroke treatment outcomes in stroke units with nonstroke units were selected and analyzed.
Results: Many studies have shown that stroke treatment in the stroke unit provides better outcomes compared to other non-stroke units. Treatment in the stroke unit improves survival and independency, decreases mortality and disability and shortens length of stay in the hospital.
Conclusion: The stroke unit is an important part of stroke management because it provides comprehensive and integrated services that resulting in better treatment outcomes. Stroke unit will increase hospital credibility.
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Cadilhac DA, Kilkenny MF, Andrew NE, Ritchie E, Hill K, Lalor E, & Stroke Foundation National Advisory Committee: and the National Stroke Audit, C. Hospitals admitting at least 100 patients with stroke a year should have a stroke unit: a case study from Australia. BMC Health Services Research. 2017;171-9. doi:10.1186/s12913-017-2150-2.
Ying S, Paulus D, Eyssen M, Maervoet J, Saka O. A systematic review and meta-analysis of acute stroke unit care: What's beyond the statistical significance?. BMC Medical Research Methodology. 2013;13(1):1-22. doi:10.1186/1471-2288-13-132.
Hubbard IJ, Evans M, McMullen-Roach S, Marquez J, Parsons MW. Five Years of Acute Stroke Unit Care: Comparing ASU and Non-ASU Admissions and Allied Health Involvement. Stroke Research & Treatment. 2014;1-5. doi:10.1155/2014/798258.
Rodgers H, Price C. Stroke unit care, inpatient rehabilitation and early supported discharge. Clinical Medicine. 2017;17(2):173-
National Collaborating Centre for Chronic Conditions. Stroke: national clinical guideline for diagnosis and initial management of
acute stroke and transient ischaemic attack (TIA). London: Royal College of Physicians. 2008.
Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar. Jakarta: Kementerian Kesehatan RI. 2013.
Canadian Stroke Network. A Guide to the Implementation of Stroke Unit Care. Canada: Heart & Stroke Foundation of Canada.
Hamann GF, Müller R, Alber B, Widder B. Treatment in acute stroke - Stroke unit is mandatory, In Neurology, Psychiatry and
Brain Research. 2016;22(2):105-109, ISSN 0941-9500.
Nimptsch U, Mansky T. Stroke unit care and trends of in-hospital mortality for stroke in Germany 2005-2010. International Journal
Of Stroke. 2014;9(3):260-265. doi:10.1111/ijs.12193
Liang-Kung C, McClaran J, Buchan AM. Impact of acute stroke unit on hospital length of stay. In Archives of Gerontology and
Geriatrics. 2009;49(1):e12-e15, ISSN 0167-4943.
Candelise L, Gattinoni M, Bersano A, Micieli G, Sterzi R, Morabito A. Stroke-unit care for acute stroke patients: an observational
follow-up study. In The Lancet. 2007;369(9558):299-305, ISSN 0140-6736.
Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. In The Lancet, 2008;371(9624):1612-1623, ISSN 0140-6736.
Intercollegiate Stroke Working Party. National clinical guideline for stroke, 3rd edition. London: Royal College of Physicians.
Horne M, McCracken G, Walls A, Tyrrell PJ, Smith CJ. Organisation, practice and experiences of mouth hygiene in stroke unit
care: a mixed-methods study. Journal of Clinical Nursing [Internet]. 2014 Aug [cited 2018 May 12];24(5-6). Available from:
https://remote-lib.ui.ac.id:2102/10.1111/jocn.12665.
Norup A, Guldberg A, Friis C, Deurell E, Forchhammer H. An interdisciplinary visual team in an acute and sub-acute stroke unit:
Providing assessment and early rehabilitation. NeuroRehabilitation [Serial on the internet]. 2016, Jul 15 [cited 2018 May
;39(3):451-461. Available from: MEDLINE with Full Text.
Godecke E, Armstrong EA, Rai T, Middleton S, Ciccone N, Whitworth A, et al. A randomized controlled trial of very early
rehabilitation in speech after stroke. International Journal of Stroke [Internet]. 2016 May 5 [cited 2018 May 12];11(5):586-592.
Available from: https://remote-lib.ui.ac.id:2102/10.1177%2F1747493016641116.
Chippala P, Sharma R. Effect of very early mobilisation on functional status in patients with acute stroke: a single-blind,
randomized controlled trail. Clinical Rehabilitation [Internet]. 2015, Jul 21 [cited 2018 May 12];30(7):669-675. Available from: https://remote-lib.ui.ac.id:2102/10.1177%2F0269215515596054.
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