Alternative strategies for stroke care: a prospective randomised controlled trial.

摘要: Summary Background Organised specialist care for stroke improves outcome, but the merits of different methods organisation are in doubt. This study compares efficacy unit with team or domiciliary care. Methods A single-blind, randomised, controlled trial was undertaken 457 acute-stroke patients (average age 76 years, 48% women) randomly assigned to unit, general wards support, care, within 72 h onset. Outcome assessed at 3, 6, and 12 months. The primary outcome measure death institutionalisation Analyses were by intention treat. Findings 152 allocated team, 153 51 (34%) group admitted hospital after randomisation. Mortality 1 year lower on a than those receiving from (21/152 [14%] vs 45/149 [30%]; p Interpretation Stroke units more effective reducing mortality, institutionalisation, dependence stroke.