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English version 
Contact:
 ASTON
Corso Italia 8
50123 Firenze
Tel. 055-21.20.23
Fax 055-28.38.29
E-mail: stroke@aston.it
Internet: www.stroke-online.net
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STROKE
UNIT
DANISH Experience
- The study was designed to compare outcome after stroke in
two neighboring communities within the city of Greater Copenhagen:
- community of Frederiksberg (85600 inhabitants)
- community of Bispebjerg (124000 inhabitants)
- In the community of Bispebjerg acute treatment of stroke and
rehabilitation took place exclusively on the stroke unit.
- In the community of Frederiksberg acute treatment of stroke
and rehabilitation took place on a general neurological ward (patients aged 70 years of
younger) and on two medical ward (patients older than 70 years).
- 1241 unselected acute stroke patients were studied.
The treatment of these patients on a stroke care unit
- saved lives
- reduced the length of hospital stay
- reduced the frequency of discharge to a nursing home.
Relative Risk of Death, Discharge to
Nursing Home, and Discharge to Home After Treatment on the Stroke Unit vs Treatment on
General Wards, Independent of Other Influencing Factors
| |
Relative
Risk* |
95%
CI |
P |
R |
| In-hospital mortality |
0.50 |
0.34 to 0.74 |
<.001 |
-.12 |
| Case-fatality rate (30 d) |
0.45 |
0.28 to 0.71 |
<.001 |
-.12 |
| 6-mo mortality |
0.57 |
0.39 to 0.82 |
.002 |
-.08 |
| 1-y mortality |
0.59 |
0.42 to 0.84 |
.003 |
-.08 |
| Discharge to nursing home |
0.61 |
0.38 to 0.98 |
.04 |
-.10 |
| Discharge to home |
1.90 |
1.30 to 2.70 |
<.001 |
.09 |
CI indicates confidence interval.
* Relative risk (odds ratio) in patients treated on the stroke unit compared with patients
treated on general wards.
[Jørgensen HS et al. Stoke 1995; 26: 1178-1182]
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