Effect of Acute Stroke Unit Care Integrated With Care Continuum Versus Conventional Treatment

Completed

Phase N/A Results

Trial Description

To compare the effect of conventional treatment with the effect of acute stroke unit care integrated with geriatric stroke unit care continuum in elderly patients with acute stroke.

Interventions

Trial Design

Randomized, controlled trial of 249 elderly patients at a single center.

Patient Involvement

Patients were randomized 2:1 to stroke unit care or conventional care. Stroke unit care was organized in a care continuum with 2 acute stroke units and 2 stroke units at geriatric wards working according to identical, well-established principles which were agreed upon prior to starting study. The stroke unit provided more careful examinations and better adherence to current treatment recommendations than conventional care. The mean length of stay after the index hospitalization was 28.3 (median 15) days in the acute stoke units integrated with a care continuum and 35.8 (median 10) days in the general ward group.

Outcomes

Type Measure Time Frame Safety Issue
Primary Proportion of patients alive and at home after 1 year.
Secondary Ability in daily living activities as assessed by the Barthel Index and the Sunnaas index of ADL at 3 days, 3 weeks, 3 months and 1 year; health-related quality of life score according to Nottingham Health Profile questionnaire at 3 months and 1 year; change in neurological deficit as assessed by Scandinavian Stroke Scale at 3 days, 3 weeks, 3 months, and 1 year; death or institutional care, and death or dependence.

Sponsors

Vårdal Foundation, Swedish Stroke Association, and several foundations.