%0 Journal Article %1 Joergensen1999d %A Jørgensen, H. S. %A Kammersgaard, L. P. %A Nakayama, H. %A Raaschou, H. O. %A Larsen, K. %A Hübbe, P. %A Olsen, T. S. %D 1999 %J Stroke %K Aged; Aged, 80 and over; Cerebrovascular Disorders, mortality/rehabilitation/therapy; Denmark, epidemiology; Female; Hospital Units; Hospitals, Urban; Humans; Male; Middle Multivariate Analysis; Severity of Illness Index; Survival Analysis %N 5 %P 930--933 %T Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study. %V 30 %X We have previously reported a marked reduction in mortality up to 1 year after treatment and rehabilitation on a stroke unit versus on general neurological and medical wards in unselected stroke patients. In the present study we wanted to test the hypothesis that this mortality-reducing effect is not temporary but is long lasting.We performed a community-based comparison of outcome in 1241 stroke patients from 2 adjacent communities in Copenhagen: in one (Frederiksberg), treatment and rehabilitation were provided on general neurological and medical wards, and in the other (Bispebjerg), treatment and rehabilitation were provided on a single large stroke unit.The 2 stroke populations were comparable regarding age, sex, initial stroke severity, lesion diameter on CT, and stroke subtype (hemorrhage/infarct), but patients treated on the stroke unit had a higher frequency of comorbidity and lower incomes. One-year mortality was 39\% (general wards) versus 32\% (stroke unit) (P=0.01). This difference was still present 5 years after stroke (71\% versus 64\%; P=0.02). In a multiple logistic regression model of 5-year mortality, treatment on a stroke unit reduced the relative risk of death by 40\% (odds ratio, 0.60; 95\% CI, 0.42 to 0.85; P<0.01), independent of age, sex, stroke severity, and comorbidity.The mortality-reducing effect of treatment and rehabilitation on a dedicated stroke unit is long lasting rather than temporary. Stroke unit treatment reduced the relative risk of death within 5 years after stroke by 40\% in an unselected, community-based stroke population. These results emphasize the need for organization of treatment and rehabilitation of unselected stroke patients on dedicated stroke units.

@article{Joergensen1999d, abstract = {We have previously reported a marked reduction in mortality up to 1 year after treatment and rehabilitation on a stroke unit versus on general neurological and medical wards in unselected stroke patients. In the present study we wanted to test the hypothesis that this mortality-reducing effect is not temporary but is long lasting.We performed a community-based comparison of outcome in 1241 stroke patients from 2 adjacent communities in Copenhagen: in one (Frederiksberg), treatment and rehabilitation were provided on general neurological and medical wards, and in the other (Bispebjerg), treatment and rehabilitation were provided on a single large stroke unit.The 2 stroke populations were comparable regarding age, sex, initial stroke severity, lesion diameter on CT, and stroke subtype (hemorrhage/infarct), but patients treated on the stroke unit had a higher frequency of comorbidity and lower incomes. One-year mortality was 39\% (general wards) versus 32\% (stroke unit) (P=0.01). This difference was still present 5 years after stroke (71\% versus 64\%; P=0.02). In a multiple logistic regression model of 5-year mortality, treatment on a stroke unit reduced the relative risk of death by 40\% (odds ratio, 0.60; 95\% CI, 0.42 to 0.85; P<0.01), independent of age, sex, stroke severity, and comorbidity.The mortality-reducing effect of treatment and rehabilitation on a dedicated stroke unit is long lasting rather than temporary. Stroke unit treatment reduced the relative risk of death within 5 years after stroke by 40\% in an unselected, community-based stroke population. These results emphasize the need for organization of treatment and rehabilitation of unselected stroke patients on dedicated stroke units.}, added-at = {2014-07-19T17:16:04.000+0200}, author = {Jørgensen, H. S. and Kammersgaard, L. P. and Nakayama, H. and Raaschou, H. O. and Larsen, K. and Hübbe, P. and Olsen, T. S.}, biburl = {https://www.bibsonomy.org/bibtex/2c94fb94765eba41c835d1c952699054d/ar0berts}, groups = {public}, institution = {Departments of Neurology, Bispebjerg Hospital, Frederiksberg Hospital, Copenhagen, Denmark. hsj@dadlnet.dk}, interhash = {70be898658006293235f0a7f69021a25}, intrahash = {c94fb94765eba41c835d1c952699054d}, journal = {Stroke}, keywords = {Aged; Aged, 80 and over; Cerebrovascular Disorders, mortality/rehabilitation/therapy; Denmark, epidemiology; Female; Hospital Units; Hospitals, Urban; Humans; Male; Middle Multivariate Analysis; Severity of Illness Index; Survival Analysis}, language = {eng}, medline-pst = {ppublish}, month = May, number = 5, pages = {930--933}, pmid = {10229722}, timestamp = {2014-07-19T17:16:04.000+0200}, title = {Treatment and rehabilitation on a stroke unit improves 5-year survival. A community-based study.}, username = {ar0berts}, volume = 30, year = 1999 }