Stroke treatment in Stroke Unit: from scientific evidences to clinical practice

Submitted: 30 April 2013
Accepted: 30 April 2013
Published: 30 April 2013
Abstract Views: 932
PDF: 1250
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Background: In themanagement of stroke disease, evidences fromthe literature demonstrate that the introduction of stroke units, hospital wards with dedicated beds providing intensive care within 48 hours of symptoms' onset, produced a real improvement in the outcome, reducing in-hospital fatality cases and increasing the proportion of patients independently living in long term follow-up.
Discussion: The article focuses on stroke disease-management, suggesting a stroke integrated approach for the admission of patients on dedicated beds, in order to extend the €˜â€˜stroke care'' approach outcomes to as many hospitals as possible in Italy. This approach implies the set up of a stroke network for an effective patients' stratification according to the severity of the illness at debut; the set up of an integrated team of specialists in hospital management of the acute phase (first 48 hours) and a timely rehabilitation treatment. Ultimately the hospital should be organized according to department's semi-intensive areas in order to assure to the patients, in the early stage of the disease, a timely high intensity care aimed to improve the long term outcome.

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Stornello, M., & Pietrantonio, F. (2013). Stroke treatment in Stroke Unit: from scientific evidences to clinical practice. Italian Journal of Medicine, 3(4), 239–243. https://doi.org/10.4081/itjm.2009.239

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