Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1394
10
1
gregorian
2016
1
1
30
1
online
1
fulltext
en
Positive impact of stroke unit establishment on patient recovery in Firoozgar hospital
Neurology
Neurology
Original Research
Original Research
<p style="text-align: justify"><strong>Background: </strong>Firoozgar Comprehensive Stroke Center started up as the first organized care unit in the country in 2014; this study was performed to investigate quality indicators such as reduction in mortality, morbidity and hospital stay.</p>
<p style="text-align: justify"><strong> Methods:</strong> Two groups of ischemic stroke patients were compared. The first group had been admitted in general neurology ward (non-stroke unit patients) and the second one received specialized stroke care in the stroke unit within a period of two years (stroke unit patients). Non-stroke unit patients were selected from a pool of patients admitted two years before establishment of stroke unit. Variables compared were factors such as modified Rankin Scale (mRS), confinement days in stroke unit or Intensive Care Unit, total days of hospitalization, history of prior stroke, receiving recombinant tissue plasminogen activator (rtPA) and the stroke category indicating anterior or posterior circulation infarct. Quantitative testing was conducted using independent t-test as well as “Mann-Whitney U Test”; Chi-squared test was used for qualitative testing.</p>
<p style="text-align: justify"><strong> Results: </strong>A total number of 129 patients enrolled in the study (66 cases of non-stroke unit patients and 63 cases of stroke unit patients). The average total days of hospitalization were 17.32 (95% CI: 0.15-36.1) in non-stroke unit patients and 21.19 (95% CI: 4.99 - 38.1) in stroke unit patients (p=0.2). Results for stroke unit patients showed a lower mRS score (OR=1.48, p=0.01).</p>
<p style="text-align: justify"><strong> Conclusion: </strong>It was concluded that stroke unit patients tend to have a better outcome and a lower mRS score at discharge. No significant difference in hospitalization period was noted between the two groups.</p>
Stroke Unit, Modified Rankin Scale (mRS), Recombinant Tissue Plasminogen Activator (rtPA).
1066
1070
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-1079&slc_lang=en&sid=1
Masoud
Mehrpour
mehrpour.m@iums.ac.ir
200319475328460025826
200319475328460025826
Yes
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Salameh
Taghipour
s_taghipourt@yahoo.com
200319475328460025827
200319475328460025827
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Sahar
Abdollahi
shrabdollahi@yahoo.com
200319475328460025828
200319475328460025828
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh
Oliaee
fot_6792@yahoo.com
200319475328460025829
200319475328460025829
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Azin
Goran
a.gouran@yahoo.com
200319475328460025830
200319475328460025830
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Mohamadreza
Motamed
rmmotamed@yahoo.com
200319475328460025831
200319475328460025831
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Rezan
Ashayeri
re.ashayeri@gmail.com
200319475328460025832
200319475328460025832
No
Department of Neurology and Stroke Center, Firoozgar General Hospital, Iran University of Medical Sciences, Tehran, Iran.