Analysis of treatment model for stroke in 1200 elderly inpatients
10.3760/cma.j.issn.0254-9026.2010.09.006
- VernacularTitle:老年脑卒中住院患者12OO例治疗模式分析
- Author:
Guoping ZHANG
;
Xiaoxia QU
;
Ping XUE
;
Huanxia FENG
- Publication Type:Journal Article
- Keywords:
Cerebrovascular accident;
Rehabilitation;
Physician's practice patterns
- From:
Chinese Journal of Geriatrics
2010;29(9):721-724
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the differences in curative effect between general treatment model and stroke unit model in the treatment of stroke in the elderly inpatients, to explore the standardized management model, for improving efficacy and reducing the degree of invalidity and mortality. Methods A total of 1200 cases with acute cerebrovascular disease were admitted into our department from April 2002 to April 2007. All patients were randomly assigned either into stroke unit or general ward to receive treatment, and the data of two groups were compared. The key indexes included mortality, hospitalization time, Barthel Index (BI), National Institutes of Health Stroke Scale (NIHSS) and Oxford Handicap Scale (OHS). All the patients or their family members were asked to have the Visual Analogue Scales (VAS). The data of cost and effect were analyzed with SPSS software. Results The complication rate and mortality rate were significantly lower in stroke unit group than in general ward group (P＜ 0.01). The scales of BI, NIHSS, OHS and VAS were significantly better in stroke unit group than in general ward group when discharged (P＜0.05). The hospitalization time was shorter in stroke unit group than in general ward group (P＜0.05). There was no significant difference in the costs of hospitalized patients between the two groups (P＞0.05).Conclusions Stroke unit model can improve the physical activity and life quality of patients and reduce disease mortality without increasing the cost of patients.
