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뇌졸중 집중치료실의 임상적 효용성 : 뇌졸중 집중치료실과 일반병실에서의 입원 중 치료비교

Other Titles
 Clinical Usefulness of Stroke Unit : The comparison of In-hospital Treatment Outcomes between Stroke Unit and General Ward cares 
Authors
 김서현  ;  박찬희  ;  허지회  ;  이병인  ;  한상원 
Citation
 Korean Journal of Stroke (대한뇌졸중학회지), Vol.6(2) : 145-150, 2004 
Journal Title
Korean Journal of Stroke(대한뇌졸중학회지)
ISSN
 1229-4101 
Issue Date
2004
Keywords
Acute stroke ; Patient care team ; Treatment outcome
Abstract
Background : Many studies have demonstrated the usefulness of the coordinated interdisciplinary stroke unit(SU) care over conventional treatment of stroke patients on general wards(GW). Stroke is the leading cause of death in Koea. However, Managements are quite diverse by different professionals and facilities. We present how the acute SU in the Yonsei University Medical Center has been organized and operates, and also attempted to demonstrate the usefulness of SU care. Methods : Patients who admitted to SU from December 2002 to June 2003 were subjected to analyses. As a control group, those who had admitted to GW during the same month-period of 2001~2002 were selected. Results : During the six-month period, 149 patients admitted to SU and 152 in GW because of acute cerebral infarctions(<3 days of onset). There were no differences in the demographic characteristics except diabetes mellitus, the stroke causes, the admission and the discharge National Institute of Health Stroke Scale scores, the lengths of stay, the clinical sourses, and the in-hospital mortalities between two groups. Antithrombotics and rehabilitation therapy could be delivered early and adequately to patients who had been treated in SU. The frequency of complicatoins showed a tendency of lowering in the SU patients. Among the complications, the SU patients had less infections than the GW patients(12% versus 21%; P=0.04). Conclusions : Findings in the present study support in part the beneficial role of the acute intermediate care unit in improving the quality of care delivered to stroke patients by providing a spatial and functional unit for organized management.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seo Hyun(김서현)
Lee, Byung In(이병인)
Han, Sang Won(한상원)
Heo, Ji Hoe(허지회) ORCID logo https://orcid.org/0000-0001-9898-3321
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111889
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