Tempo de internação por infarto cerebral: permanência hospitalar não justificada

André, Charles; Py, Marco Oliveira; Mariño, Renzo G.

doi:10.1590/s0004-282x1997000400009

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Hospital stay average time was of nearly 2 weeks in both groups. The same result was found in another study about causes of unjustified hospital stay following cerebral infarction 17 . No statistical difference between both groups was found regarding all variables above described.…”

Section: General Wardssupporting

confidence: 85%

Study comparing the stroke unit outcome and conventional ward treatment: a randomized study in Joinville, Brazil

Cabral¹,

Moro²,

Silva³

et al. 2003

Arq. Neuro-Psiquiatr.

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-Background and Purpose: To assess the impact of a stroke unit (SU) on acute phase treatment when compared to a conventional general ward treatment (GW). Method: Seventy-four patients with acute stroke were randomized between a SU and conventional general ward (GW). We compared both groups regarding the length of hospital stay, lethality and functional and clinical status within 6 months, using the Scandinavian scale and Barthel index. Results: Thirty-five and thirty-nine patients were allocated at SU and GW, respectively. Lethality on the 10th day at SU and GW achieved 8.5% and 12.8% respectively (p= 0.41), whereas 30-days mortality rates achieved 14.2% and 28.2% (p= 0.24), 17.4% and 28.7% on the 3rd month (p= 0.39), and 25.7% and 30.7% on the 6th month (p= 0.41). Thirty-day survival curve achieved 1.8 log rank (p= 0.17), with a trend for lower lethality in the SU. In order to save one death in 6 months in SU, NNT (the number need to treat) was 20; to get one more home independent patient NNT was 15. No significant difference was found between the length of hospital stay and morbidity. Conclusion: No significant benefit was found in SU patients compared to GW group. However,an evident benefit in absolute numbers was observed in lethality, survival curve and NNT in thirty days period after stroke. Further collaborative studies or incresead number of patients are required to define the role of SU.KEY WORDS: stroke unit, cerebrovascular disorders, stroke therapy, hospital units team, stroke care.Estudo comparativo dos desfechos entre uma unidade de A Estudo comparativo dos desfechos entre uma unidade de A Estudo comparativo dos desfechos entre uma unidade de A Estudo comparativo dos desfechos entre uma unidade de A Estudo comparativo dos desfechos entre uma unidade de AVC e uma enfermaria geral: estudo VC e uma enfermaria geral: estudo VC e uma enfermaria geral: estudo VC e uma enfermaria geral: estudo VC e uma enfermaria geral: estudo randomizado em Joinville, Brasil randomizado em Joinville, Brasil randomizado em Joinville, Brasil randomizado em Joinville, Brasil randomizado em Joinville, Brasil RESUMO -Objetivo: Avaliar se o tratamento da fase aguda em uma unidade de acidente vascular cerebral (U-AVC) reduz a morbi-mortalidade quando comparado a uma enfermaria geral. Método: Pacientes com AVC agudo foram randomizados entre a U-AVC e uma enfermaria geral (EG). Comparou-se tempo de internação, letalidade e dependência funcional e clínica no período de 6 meses. Resultados: Obtivemos 35 pacientes na U-AVC e 39 pacientes na EG. A letalidade encontrada na U-VAC e na EG foram respectivamente 8,5% e 12,8% no décimo dia (p=,41), 14,2% e 28,2% no trigésimo dia (p=,24), 17,4% e 28,7% no terceiro mês (p=,39) e 25,7% e 30,7% no sexto mês (p=,41). A curva de sobrevida em 30 dias evidenciou uma tendência de menor letalidade na U-AVC (log rank de 1,8; p=,17). O Numero Necessário para o Tratamento (NNT) para salvar um óbito em 6 meses na U-AVC foi 20 e o NNT para se conseguir um paciente a mais independente em casa foi...

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Section: General Wardssupporting

confidence: 85%

Study comparing the stroke unit outcome and conventional ward treatment: a randomized study in Joinville, Brazil

Cabral¹,

Moro²,

Silva³

et al. 2003

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

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A Short Stay Unit Decreased Mean Length of Stay in a Hospital in South Brazil

Furlanetto¹,

Barcelos²,

Faulhaber³

2014

cbr

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Introduction Public health services in Brazil are periodically overcrowded. Since reducing the length of stay (LOS) could increase the availability of hospital beds, this study evaluated the impact of a short stay unit (SSU) on LOS, early readmission rates, and intra-hospital mortality rates. Methods Data were evaluated retrospectively in the 12 months before and after the establishment of a multidisciplinary SSU in a tertiary care hospital in south Brazil. All admissions of adult patients through the Emergency Department for causes in nine groups of the World Health Organization International Code of Diseases-10 were included. Results Mean LOS decreased 1.42 days in the first year after the implementation of a SSU with no change in 7-day readmission rates or intra-hospital mortality rates. This decrease may be partially explained by the decrease in the mean LOS in other areas of the hospital, although the amount of hospital-bed days saved in the second year was 5,668 days in the Internal Medicine Division and 1,595 days in all other clinical or surgical areas. Mortality rates after discharge were not evaluated. Conclusions A SSU decreased mean LOS of selected patients admitted through the Emergency Department without increasing 7-day readmission rates or intra-hospital mortality.

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Tempo de internação por infarto cerebral: permanência hospitalar não justificada

Cited by 2 publications

References 6 publications

Study comparing the stroke unit outcome and conventional ward treatment: a randomized study in Joinville, Brazil

Study comparing the stroke unit outcome and conventional ward treatment: a randomized study in Joinville, Brazil

A Short Stay Unit Decreased Mean Length of Stay in a Hospital in South Brazil

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