Management of acute stroke in the elderly: preliminary results of a controlled trial.

Garraway, W. M.; Akhtar, Aisha; Prescott, R. J.; Hockey, L

doi:10.1136/bmj.280.6220.1040

Cited by 180 publications

(64 citation statements)

References 6 publications

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“…Similar results were found in all of these studies (Garraway et al, 1980a;Garraway et al, 1980b;Smith et al, 1982;Stevens et al, 1984;Indredavik et al, 1991;Kalra et al, 1993;Indredavik et al, 1997 and1998) despite differences in which patients were included or excluded, time post stroke when entered each trial, settings and countries for each trial, outcome measures used, whether the assessments were standardised or not, time when therapy commenced and the amount of therapy included. All these studies included large numbers of patients.…”

Section: Anxiety and Depressionsupporting

confidence: 68%

“…Many studies have demonstrated these beneficial effects of stroke units by comparing them with conventional wards (Garraway et al, 1980a;Garraway et al, 1980b;Smith et al, 1982;Stevens et al, 1984;Indredavik et al, 1991;Kalra et al, 1993;Juby et al, 1996;Drummond et al, 1996;Lincoln et al, 1997).…”

Section: Anxiety and Depressionmentioning

confidence: 99%

“…The major limitation of these studies (Garraway et al, 1980a;Garraway et al, 1980b;Smith et al, 1982;Stevens et al, 1984) is that they did not use standardised outcome measures of ADL and did not explain whether the assessments were carried out by one person or several people. If more than one person completed each assessment, interrater reliability studies would have been required to ensure that there was no difference in the scoring by the raters.…”

Section: Anxiety and Depressionmentioning

confidence: 99%

“…The studies (Garraway et al, 1980a;Garraway et al, 1980b;Smith et al, 1982;Stevens et al, 1984) do not state whether the assessors were blind to the treatment group. If the assessors were not blinded, they could have led to bias favouring one or other ward setting, which may have increased the treatment effect.…”

Section: Anxiety and Depressionmentioning

confidence: 99%

See 3 more Smart Citations

A comparison of two approaches in the treatment of perceptual problems after stroke

Edmans¹,

Webster

Lincoln

2000

Clin Rehabil

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Section: Anxiety and Depressionsupporting

confidence: 68%

Section: Anxiety and Depressionmentioning

confidence: 99%

Section: Anxiety and Depressionmentioning

confidence: 99%

Section: Anxiety and Depressionmentioning

confidence: 99%

See 2 more Smart Citations

A comparison of two approaches in the treatment of perceptual problems after stroke

Edmans¹,

Webster

Lincoln

2000

Clin Rehabil

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“…[1][2][3][4][5][6][7][8][9] Meta-analysis of all available randomized controlled trials has shown that care of stroke patients in an SU reduces mortality, institutionalization, and dependency. 10,11 Why SU treatment works is still under discussion.…”

mentioning

confidence: 99%

Treatment in a Combined Acute and Rehabilitation Stroke Unit

Indredavik¹,

Bakke²,

Slørdahl³

et al. 1999

Stroke

318

250

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Background and Purpose-We have previously shown that treatment of acute stroke patients in our stroke unit (SU) compared with treatment in general ward (GWs) improves short-and long-term survival and functional outcome and increases the possibility of earlier discharge to home. The aim of the present study was to identify the differences in treatment between the SU and the GW and to assess which aspects of the SU care which were most responsible for the better outcome. Methods-Of the 220 patients included in our trial, only 206 were actually treated (SU, 102 patients; GW, 104 patients).For these patients, we identified the differences in the treatment and the consequences of the treatment. We analyzed the factors that we were able to measure and their association with the outcome, discharge to home within 6 weeks. Results-Characteristic features in our SU were teamwork, staff education, functional training, and integrated physiotherapy and nursing. Other treatment factors significantly different in the SU from the GW were shorter time to start of the systematic mobilization/training and increased use of oxygen, heparin, intravenous saline solutions, and antipyretics. Consequences of the treatment seem to be less variation in diastolic and systolic blood pressure (BP), avoiding the lowest diastolic BP, and lowering the levels of glucose and temperature in the SU group compared with the GW group. Univariate analyses showed that all these factors except the level of glucose were significantly associated with discharge to home within 6 weeks. In the final multivariate Cox regression model, shorter time to start of the mobilization/training and stabilized diastolic BP were independent factors significantly associated with discharge to home within 6 weeks. Conclusions-Shorter time to start of mobilization/training was the most important factor associated with discharge to home, followed by stabilized diastolic BP, indicating that these factors probably were important in the SU treatment. The effects of characteristic features of an SU, such as a specially trained staff, teamwork, and involvement of relatives, were not possible to measure. Such factors might be more important than those actually measured. (Stroke. 1999;30:917-923.)

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Impact of Computed Tomography on Stroke Management and Outcome

Hazelton¹

1987

Arch Intern Med

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Management of acute stroke in the elderly: preliminary results of a controlled trial.

Cited by 180 publications

References 6 publications

A comparison of two approaches in the treatment of perceptual problems after stroke

A comparison of two approaches in the treatment of perceptual problems after stroke

Treatment in a Combined Acute and Rehabilitation Stroke Unit

Impact of Computed Tomography on Stroke Management and Outcome

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