Characterization of medical and neurological care of stroke patients. An analysis of the data from the project, "Safeguarding Quality in Stroke Care," of the Regional Medical Council of Baden-Württemberg

Deutsche medizinische Wochenschrift
W HabscheidA Pullwitt

Abstract

Patients with stroke are treated in either medical or neurological units. This study investigated whether the two cohorts differ regarding their demographic composition, previous diseases, severity of the stroke and comorbidity. Data were collected prospectively on 2890 patients with acute stroke (50.2 % males, 49.8 % females) admitted to medical or stroke units of hospitals in Baden-Württemberg. The mean age of patients treated on a medical ward was significantly higher (77 vs. 71 years). They also had significantly higher, age-related incidence of pre-existing disease (Ranking scale) and of previous cerebral episodes (32.9 % vs. 19.1 %). They had a higher incidence of atrial fibrillation (27.6 % vs. 20.5 %) and treated diabetes mellitus (31.5 % vs. 25.4 %) Various neurological deficits were also significantly more pronounced: abnormal awareness (42.4 % vs. 26.7 %), level of consciousness (29.3% vs. 12.8%), swallowing (20.3 % vs. 10.8 %), speaking (40.0 % vs. 31.5%) and speech (20.3% vs. 10.8 %) and transitory ischaemic attacks (21.2 % vs. 25.5 %). Rankin scale and Barthel index differed similarly. The patients treated in medical wards remained in hospital significantly longer (14.9 % vs. 13.9 %) and they had a higher death ra...Continue Reading

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