Note: This module differs from others on StrokeEngine in that conclusions are based mainly on the findings of a recent meta-analysis (Stroke Unit Trialists’ Collaboration, 2007), as opposed to the synthesis of individual studies by the StrokEngine team. Please note that newer studies not included in the meta-analysis will be added to the module shortly.
Rating of interventions:
In this module, an intervention is given the rating of:
1. Effective if the meta-analysis revealed an effect of treatment that was significant
2. Effective* if the meta-analysis revealed an effect of treatment that approached significance,
3. May not be effective if an effect was found, however the effect was not significant nor did it approach significance,
4. Not effective if none of the 3 conditions above are met
The following list describes the different types of organized stroke care analyzed in this review, ranging from most organized to least organized:
Types of organized stroke care:
a. Acute stroke units, which accept patients acutely but discharge early (usually within 7 days).
b. Rehabilitation stroke units, which accept patients after a delay, usually of seven days or more, and focus on rehabilitation; and,
c. Comprehensive stroke units, which accept patients acutely but also, provide rehabilitation for at least several weeks if necessary. Both the rehabilitation unit and comprehensive unit models offered prolonged periods of rehabilitation.
2. Mixed rehabilitation ward: a multidisciplinary team including specialist nursing staff in a ward providing a generic rehabilitation service but not exclusively caring for patients with stroke.
3. Mobile stroke team: a multidisciplinary team (excluding specialist nursing staff) providing care in a variety of setting.
4. General medical wards are defined as care in an acute medical or neurology ward without routine multidisciplinary input.