Organised inpatient (stroke unit) care for stroke.

Abstract:

BACKGROUND:Organised stroke unit care is provided by multidisciplinary teams that exclusively manage stroke patients in a dedicated ward (stroke ward), with a mobile team (stroke team) or within a generic disability service (a mixed rehabilitation ward). OBJECTIVES:The objective of this review was to assess the effect of stroke unit care compared with alternative forms of care for patients following a stroke. SEARCH STRATEGY:We searched the Cochrane Stroke Group trials register, reference lists of articles and contacted researchers in the field. SELECTION CRITERIA:Randomised and quasi-randomised trials comparing organised inpatient stroke unit care with an alternative service. DATA COLLECTION AND ANALYSIS:Two reviewers independently assessed eligibility and trial quality. The principal reviewer conducted a structured interview with the coordinators of unpublished trials. MAIN RESULTS:Twenty three trials were included. Compared with alternative services, stroke unit care showed reductions in the odds of death recorded at final (median one year) follow-up (odds ratio 0.86; 95% confidence interval 0.71 to 0.94; P=0.005), the odds of death or institutionalised care (0.80; 0.71 to 0.90; P=0.0002) and death or dependency (0.78; 0.68 to 0.89; P=0.0003). Subgroup analyses indicated that the observed benefits remained when the analysis was restricted to truly randomised trials with blinded outcome assessment. Outcomes were independent of patient age, sex and stroke severity but appeared to be better in stroke units based in a discrete ward. There was no indication that organised stroke unit care resulted in increased hospital stay. REVIEWER'S CONCLUSIONS:Stroke patients who receive organised inpatient care in a stroke unit are more likely to be alive, independent, and living at home one year after the stroke. The benefits were most apparent in units based in a discrete ward. No systematic increase was observed in the length of inpatient stay.

authors

Stroke Unit Trialists' Collaboration.

doi

10.1002/14651858.CD000197

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

CD000197

issue

1

issn

1469-493X

pii

CD000197

pub_type

杂志文章,评审
  • Supraglottic airway devices versus tracheal intubation for airway management during general anaesthesia in obese patients.

    abstract:BACKGROUND:The number of obese patients requiring general anaesthesia is likely to increase in coming years, and obese patients pose considerable challenges to the anaesthetic team. Tracheal intubation may be more difficult and risk of aspiration of gastric contents into the lungs is increased in obese patients. Suprag...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD010105.pub2

    authors: Nicholson A,Cook TM,Smith AF,Lewis SR,Reed SS

    更新日期:2013-09-09 00:00:00

  • Ultrasound use for the placement of haemodialysis catheters.

    abstract:BACKGROUND:A significant proportion of patients starting dialysis do so with a temporary or tunnelled haemodialysis catheter. Insertion of these catheters can be achieved either by using the anatomical landmarks for the veins into which they are inserted or using ultrasound guidance. It has been suggested that the use ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005279.pub4

    authors: Rabindranath KS,Kumar E,Shail R,Vaux EC

    更新日期:2011-11-09 00:00:00

  • Multicomponent fortification of human breast milk for preterm infants following hospital discharge.

    abstract:BACKGROUND:Preterm infants are usually growth restricted at hospital discharge. Feeding preterm infants after hospital discharge with nutrient-fortified breast milk (rather than unfortified breast milk) may facilitate more rapid catch-up growth and improve neurodevelopmental outcomes. OBJECTIVES:To determine the effec...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD004866.pub2

    authors: Henderson G,Fahey T,McGuire W

    更新日期:2007-10-17 00:00:00

  • Antioxidant supplements for prevention of mortality in healthy participants and patients with various diseases.

    abstract:BACKGROUND:Animal and physiological research as well as observational studies suggest that antioxidant supplements may improve survival. OBJECTIVES:To assess the effect of antioxidant supplements on mortality in primary or secondary prevention randomised clinical trials. SEARCH STRATEGY:We searched The Cochrane Libra...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007176

    authors: Bjelakovic G,Nikolova D,Gluud LL,Simonetti RG,Gluud C

    更新日期:2008-04-16 00:00:00

  • Platinum-containing regimens for metastatic breast cancer.

    abstract:BACKGROUND:Studies have reported high tumour response rates for platinum-containing regimens in the treatment of women with metastatic breast cancer. Most of these studies were conducted prior to the 'intrinsic subtype' era, and did not specifically focus on metastatic triple-negative breast cancers (mTNBCs). OBJECTIV...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003374.pub4

    authors: Egger SJ,Willson ML,Morgan J,Walker HS,Carrick S,Ghersi D,Wilcken N

    更新日期:2017-06-23 00:00:00

  • Single dose oral etoricoxib for acute postoperative pain in adults.

    abstract:BACKGROUND:Etoricoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor prescribed for the relief of chronic pain in osteoarthritis and rheumatoid arthritis, and acute pain. The drug is believed to be associated with fewer upper gastrointestinal adverse effects than conventional non-steroidal anti-inflammatory drugs (...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004309.pub2

    authors: Clarke R,Derry S,Moore RA,McQuay HJ

    更新日期:2009-04-15 00:00:00

  • Laparoscopic "drilling" by diathermy or laser for ovulation induction in anovulatory polycystic ovary syndrome.

    abstract:BACKGROUND:Problems in inducing ovulation in women with polycystic ovary syndrome (PCOS) and anovulation (failure to ovulate) are well recognised. Surgical ovarian wedge resection was the first established treatment for anovulatory PCOS patients but was largely abandoned because of the risk of post-surgical adhesion fo...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001122

    authors: Farquhar C,Vandekerckhove P,Lilford R

    更新日期:2001-01-01 00:00:00

  • Interventions for American cutaneous and mucocutaneous leishmaniasis.

    abstract:BACKGROUND:On the American continent, cutaneous and mucocutaneous leishmaniasis (CL and MCL) are diseases associated with infection by several species of Leishmania parasites. Pentavalent antimonials remain the first-choice treatment. There are alternative interventions, but reviewing their effectiveness and safety is ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD004834.pub3

    authors: Pinart M,Rueda JR,Romero GA,Pinzón-Flórez CE,Osorio-Arango K,Silveira Maia-Elkhoury AN,Reveiz L,Elias VM,Tweed JA

    更新日期:2020-08-27 00:00:00

  • Sensory stimulation for brain injured individuals in coma or vegetative state.

    abstract:BACKGROUND:Coma and vegetative state follow traumatic brain injury in about one out of eight patients, and in patients with non traumatic injury the prognosis is worse. The use of sensory stimulation for coma and vegetative state has gained popularity during the 1980's but beliefs and opinions about its effectiveness v...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD001427

    authors: Lombardi F,Taricco M,De Tanti A,Telaro E,Liberati A

    更新日期:2002-01-01 00:00:00

  • Protocol-directed sedation versus non-protocol-directed sedation to reduce duration of mechanical ventilation in mechanically ventilated intensive care patients.

    abstract:BACKGROUND:The sedation needs of critically ill patients have been recognized as a core component of critical care and meeting these is vital to assist recovery and ensure humane treatment. There is growing evidence to suggest that sedation requirements are not always optimally managed. Sub-optimal sedation incorporate...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009771.pub2

    authors: Aitken LM,Bucknall T,Kent B,Mitchell M,Burmeister E,Keogh SJ

    更新日期:2015-01-07 00:00:00

  • Interventions for replacing missing teeth: bone augmentation techniques for dental implant treatment.

    abstract:BACKGROUND:Dental implants require sufficient bone to be adequately stabilised. For some patients implant treatment would not be an option without bone augmentation. A variety of materials and surgical techniques are available for bone augmentation. OBJECTIVES:General objectives: To test the null hypothesis of no diff...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003607.pub2

    authors: Esposito M,Grusovin MG,Worthington HV,Coulthard P

    更新日期:2006-01-25 00:00:00

  • Levonorgestrel-releasing intrauterine system for endometrial hyperplasia.

    abstract:BACKGROUND:In the absence of treatment, endometrial hyperplasia (EH) can progress to endometrial cancer, particularly in the presence of histologic nuclear atypia. The development of EH results from exposure of the endometrium to oestrogen unopposed by progesterone. Oral progestogens have been used as treatment for EH ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析

    doi:10.1002/14651858.CD012658.pub2

    authors: Mittermeier T,Farrant C,Wise MR

    更新日期:2020-09-06 00:00:00

  • Nitric oxide donors for cervical ripening in first-trimester surgical abortion.

    abstract:BACKGROUND:Cervical priming before first-trimester surgical abortion is recommended in certain groups of women. Nitric oxide (NO) donors induce cervical ripening without uterine contractions, but the efficacy and side effects are of concern. OBJECTIVES:To evaluate efficacy, side effects and complications of NO donors ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007444.pub2

    authors: Promsonthi P,Preechapornprasert D,Chanrachakul B

    更新日期:2009-10-07 00:00:00

  • Antihypertensive drug therapy for mild to moderate hypertension during pregnancy.

    abstract:BACKGROUND:Mild-moderate hypertension during pregnancy is common. Antihypertensive drugs are often used in the belief that lowering blood pressure will prevent progression to more severe disease, and thereby improve outcome. OBJECTIVES:To assess the effects of antihypertensive drug treatments for women with mild to mo...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD002252

    authors: Abalos E,Duley L,Steyn DW,Henderson-Smart DJ

    更新日期:2001-01-01 00:00:00

  • Thrombolysis for cerebral vein and dural sinus thrombosis.

    abstract:BACKGROUND:Treatment of cerebral sinus thrombosis with thrombolytics has been reported in cases with a deteriorating clinical course despite anticoagulant therapy. The rationale of this treatment is to promote rapid recanalisation of the occluded sinus. OBJECTIVES:To review the available evidence on the efficacy and s...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD003693.pub2

    authors: Ciccone A,Canhão P,Falcão F,Ferro JM,Sterzi R

    更新日期:2004-01-01 00:00:00

  • Non-pharmacological interventions for assisting the induction of anaesthesia in children.

    abstract:BACKGROUND:Induction of general anaesthesia can be distressing for children. Non-pharmacological methods for reducing anxiety and improving co-operation may avoid the adverse effects of preoperative sedation. OBJECTIVES:To assess the effects of non-pharmacological interventions in assisting induction of anaesthesia in...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006447.pub2

    authors: Yip P,Middleton P,Cyna AM,Carlyle AV

    更新日期:2009-07-08 00:00:00

  • Opioids for neonates receiving mechanical ventilation.

    abstract:BACKGROUND:Mechanical ventilation is a potentially painful and discomforting intervention widely used in neonatal intensive care units. Newborn babies (neonates) demonstrate increased sensitivity to pain, which may affect clinical and neurodevelopmental outcomes. The use of drugs that reduce pain might be important in ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD004212.pub3

    authors: Bellù R,de Waal KA,Zanini R

    更新日期:2008-01-23 00:00:00

  • Exercise-based rehabilitation for heart failure.

    abstract:BACKGROUND:Previous systematic reviews and meta-analyses consistently show the positive effect of exercise-based rehabilitation for heart failure (HF) on exercise capacity; however, the direction and magnitude of effects on health-related quality of life, mortality and hospital admissions in HF remain less certain. Thi...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD003331.pub4

    authors: Taylor RS,Sagar VA,Davies EJ,Briscoe S,Coats AJ,Dalal H,Lough F,Rees K,Singh S

    更新日期:2014-04-27 00:00:00

  • Treatment for ulnar neuropathy at the elbow.

    abstract:BACKGROUND:Ulnar neuropathy at the elbow is the second most common entrapment neuropathy after carpal tunnel syndrome. Treatment may be conservative or surgical but optimal management remains controversial. This is an update of a review first published in 2010. OBJECTIVES:To determine the effectiveness and safety of c...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006839.pub3

    authors: Caliandro P,La Torre G,Padua R,Giannini F,Padua L

    更新日期:2012-07-11 00:00:00

  • Alginate dressings for healing diabetic foot ulcers.

    abstract:BACKGROUND:Foot ulcers in people with diabetes mellitus are a common and serious global health issue. Dressings form a key part of ulcer treatment, with clinicians and patients having many different types to choose from including alginate dressings. A clear and current overview of current evidence is required to facili...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009110.pub2

    authors: Dumville JC,O'Meara S,Deshpande S,Speak K

    更新日期:2012-02-15 00:00:00

  • Household interventions for preventing domestic lead exposure in children.

    abstract:BACKGROUND:Lead poisoning is associated with physical, cognitive and neurobehavioural impairment in children and trials have tested many household interventions to prevent lead exposure. This is an update of the original review by the same authors first published in 2008. OBJECTIVES:To determine the effectiveness of h...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD006047.pub4

    authors: Yeoh B,Woolfenden S,Lanphear B,Ridley GF,Livingstone N,Jorgensen E

    更新日期:2014-12-15 00:00:00

  • Interventions for relieving the pain and discomfort of screening mammography.

    abstract:BACKGROUND:The pain of mammography is recognised as a significant deterrent for women considering this examination, and may affect participation in breast screening. OBJECTIVES:To review interventions to reduce or relieve the pain and discomfort of screening mammography. SEARCH STRATEGY:For this update, the Cochrane ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002942.pub2

    authors: Miller D,Livingstone V,Herbison P

    更新日期:2008-01-23 00:00:00

  • Circuit class therapy for improving mobility after stroke.

    abstract:BACKGROUND:Circuit class therapy (CCT) offers a supervised group forum for people after stroke to practise tasks, enabling increased practise time without increasing staffing. OBJECTIVES:To examine the effectiveness and safety of CCT on mobility in adults with stroke. SEARCH STRATEGY:We searched the Cochrane Stroke G...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD007513.pub2

    authors: English C,Hillier SL

    更新日期:2010-07-07 00:00:00

  • Antibiotics versus placebo for acute bacterial conjunctivitis.

    abstract:BACKGROUND:There are concerns about whether antibiotic therapy confers significant clinical benefit in the treatment of acute bacterial conjunctivitis. OBJECTIVES:The aim of this review was to assess the benefit and harm of antibiotic therapy in the management of acute bacterial conjunctivitis. SEARCH STRATEGY:We sea...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD001211.pub2

    authors: Sheikh A,Hurwitz B

    更新日期:2006-04-19 00:00:00

  • Information provision for people with multiple sclerosis.

    abstract:BACKGROUND:People with multiple sclerosis (MS) are confronted with a number of important uncertainties concerning many aspects of the disease. Among others, these include diagnosis, prognosis, disease course, disease-modifying therapies, symptomatic therapies and non-pharmacological interventions. It has been shown tha...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD008757.pub2

    authors: Köpke S,Solari A,Khan F,Heesen C,Giordano A

    更新日期:2014-04-21 00:00:00

  • Antidepressant treatment for postnatal depression.

    abstract:BACKGROUND:Postnatal depression is a common disorder that can have adverse short- and long-term effects on maternal morbidity, the new infant and the family as a whole. Treatment is often largely by social support and psychological interventions. It is not known whether antidepressants are an effective and safe choice ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD002018.pub2

    authors: Molyneaux E,Howard LM,McGeown HR,Karia AM,Trevillion K

    更新日期:2014-09-11 00:00:00

  • Oral 5-aminosalicylic acid for maintenance of remission in ulcerative colitis.

    abstract:BACKGROUND:Oral 5-aminosalicylic (5-ASA) preparations were intended to avoid the adverse effects of sulfasalazine (SASP) while maintaining its therapeutic benefits. Previously, it was found that 5-ASA drugs were more effective than placebo but had a statistically significant therapeutic inferiority relative to SASP. Th...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD000544.pub3

    authors: Feagan BG,Macdonald JK

    更新日期:2012-10-17 00:00:00

  • Planned early birth versus expectant management (waiting) for prelabour rupture of membranes at term (37 weeks or more).

    abstract:BACKGROUND:Prelabour rupture of membranes (PROM) at term is managed expectantly or by planned early birth. It is not clear if waiting for birth to occur spontaneously is better than intervening, e.g. by inducing labour. OBJECTIVES:The objective of this review is to assess the effects of planned early birth (immediate ...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD005302.pub3

    authors: Middleton P,Shepherd E,Flenady V,McBain RD,Crowther CA

    更新日期:2017-01-04 00:00:00

  • Interventions for atrophic rhinitis.

    abstract:BACKGROUND:Atrophic rhinitis is a chronic nasal pathology characterised by the formation of thick dry crusts in a roomy nasal cavity, which has resulted from progressive atrophy of the nasal mucosa and underlying bone. The common symptoms may include foetor, ozaena, crusting/nasal obstruction, epistaxis, anosmia/cacosm...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,评审

    doi:10.1002/14651858.CD008280.pub2

    authors: Mishra A,Kawatra R,Gola M

    更新日期:2012-02-15 00:00:00

  • Interleukin-1 inhibitors for acute gout.

    abstract:BACKGROUND:Acute gout flares cause significant pain and disability and it is important to provide quick and effective pain relief. Traditional options for managing acute flares include colchicine, non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticoids. OBJECTIVES:To assess the benefits and harms of interle...

    journal_title:The Cochrane database of systematic reviews

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/14651858.CD009993.pub2

    authors: Sivera F,Wechalekar MD,Andrés M,Buchbinder R,Carmona L

    更新日期:2014-09-01 00:00:00