To compare the outcomes of stroke unit care, stroke team care, and domiciliary care in acute stroke patients.
Single-blind, randomized, controlled trial.
Prior to enrollment, patients underwent a thorough assessment by a stroke physician, evaluating comorbidities, premorbid function, stroke subtype, Orgogozo scale, Orpington prognostic scale, and Barthel Index scores, hematological and blood chemistry panels, and chest X-ray. Eligible patients were randomized within 72 hours of symptom onset to receive stroke unit care, stroke-team-supported care on the general wards, or domiciliary care. Patients receiving domiciliary care were admitted to a stroke unit if their status deteriorated to an extent that home care was no longer possible. Patients were followed up for one year, with outcome assessments performed at 3, 6, and 12 months.
|Type||Measure||Time Frame||Safety Issue|
|Primary||Combined incidence of death and institutionalization at 1 year.|
|Secondary||Dichotomized Rankin scale (0 - 3 = favorable outcome; 4 - 6 = unfavorable outcome) and Barthel Index (15 - 20 criteria, or 60 - 100 points = favorable outcome; 0 - 14 criteria, or 0 - 56 points = unfavorable outcome) scores|