Stroke Unit care in Italy. Results from PROSIT (Project on Stroke Services in Italy). A nationwide study

被引:16
|
作者
Bersano, A.
Candelise, L.
Sterzi, R.
Micieli, G.
Gattinoni, M.
Morabito, A.
机构
[1] Univ Milan, Osped Maggiore Policlin, IRCCS, Dipartimento Sci Neurol, I-20122 Milan, Italy
[2] SC Neurol Osped Niguarda Ca Granda, Milan, Italy
[3] IRCCS, Ist Neurol Mondino, Stroke Unit, Pavia, Italy
[4] Univ Milan, Fac Med & Chirurg, Cattedra Stat Med, I-20122 Milan, Italy
关键词
Stroke Unit; stroke services; quality of health care; stroke care; stroke outcome;
D O I
10.1007/s10072-006-0706-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The future challenge for improving stroke patients' outcome will be to implement new Stroke Units (SUs) worldwide. However the best SU model remains uncertain. The aim of this study was to evaluate the number of SUs and the quality characteristics of acute stroke care in Italy. We conducted a SU survey in Italy, interviewing the directors of the hospital wards that discharged at least 50 acute stroke patients a year. A SU was defined as an acute ward area with stroke-dedicated beds and staff. To compare the quality of care provided in SUs with that in general wards (GWs) we investigated the characteristics of five domains: hospital setting, unit setting, staffing, process of care and diagnostic investigations. We identified 68 SUs and 677 GWs. Multivariate logistic regression analyses demonstrated that SUs compared to GWs had higher quality scores in unit setting (ROC area=0.9721), staffing (ROC area=0.8760) and care organisation (ROC area=0.7984). The hospital setting (ROC area=0.7033) and the availability of rapid diagnostic investigations (ROC area=0.7164) had lower power in discriminating SU from GW. In Italy in 2003/04 only 9% of the hospital services had organised SU care. The study demonstrated that SUs admitted more than 100 patients per year, had more monitoring equipment and staffing time, and practised multidisciplinary meetings and early mobilisation. The utility of these structural and performance characteristics needs validation from outcome studies.
引用
收藏
页码:332 / 339
页数:8
相关论文
共 50 条
  • [21] Stroke unit care for ischemic stroke in China: results of a nation-based study
    Tu, Wen-Jun
    Chao, Bao-Hua
    Yan, Feng
    Cao, Lei
    Wang, Long-De
    INTENSIVE CARE MEDICINE, 2020, 46 (07) : 1489 - 1491
  • [22] Stroke unit care for ischemic stroke in China: results of a nation-based study
    Wen-Jun Tu
    Bao-Hua Chao
    Feng Yan
    Lei Cao
    Long-De Wang
    Intensive Care Medicine, 2020, 46 : 1489 - 1491
  • [23] Gender aspects of acute stroke care: results from the Austrian Stroke Unit Registry
    Gattringer, T.
    Ferrari, J.
    Knoflach, M.
    Seyfang, L.
    Horner, S.
    Niederkorn, K.
    Culea, V.
    Beitzke, M.
    Lang, W.
    Enzinger, C.
    Fazekas, F.
    JOURNAL OF NEUROLOGY, 2014, 261 : S56 - S56
  • [24] Gender aspects of acute stroke care: results from the Austrian Stroke Unit Registry
    Gattringer, T.
    Ferrari, J.
    Knoflach, M.
    Seyfang, L.
    Horner, S.
    Niederkorn, K.
    Culea, V.
    Beitzke, M.
    Lang, W.
    Enzinger, C.
    Fazekas, F.
    EUROPEAN JOURNAL OF NEUROLOGY, 2014, 21 : 76 - 76
  • [25] OSTEOPOROSIS COSTS IN ITALY. INTERIM RESULTS OF THE BLOCK STUDY
    Veronesi, C.
    Adami, S.
    Iolascon, G.
    Nardi, A.
    Pietrogrande, L.
    Resmini, G.
    Rossini, M.
    Tarantino, U.
    Leali, Tranquilli P.
    Trevisan, C.
    Buda, S.
    Intorcia, M.
    VALUE IN HEALTH, 2010, 13 (07) : A306 - A306
  • [26] Study confirms results of systematic review of care in stroke unit
    Lane, R
    Burrell, K
    Dennis, C
    BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7112): : 881 - 881
  • [27] Coverage of the requirements of first and second level stroke unit in Italy
    di Poggio, Monica Bandettini
    Toni, Danilo
    Gandolfo, Carlo
    Paolicelli, Damiano
    Zini, Andrea
    Agostoni, Elio
    Bandini, Fabio
    Ragno, Michele
    Altavista, Maria Concetta
    Bertolotto, Antonio
    Siciliano, Gabriele
    Vecchio, Michele
    Tambasco, Nicola
    Gambardella, Antonio
    Manganotti, Paolo
    Melis, Maurizio
    Onofrj, Marco
    De Michele, Giuseppe
    Reale, Nicoletta
    Tedeschi, Gioacchino
    Mancardi, GianLuigi
    NEUROLOGICAL SCIENCES, 2021, 42 (03) : 1073 - 1079
  • [28] Coverage of the requirements of first and second level stroke unit in Italy
    Monica Bandettini di Poggio
    Danilo Toni
    Carlo Gandolfo
    Damiano Paolicelli
    Andrea Zini
    Elio Agostoni
    Fabio Bandini
    Michele Ragno
    Maria Concetta Altavista
    Antonio Bertolotto
    Gabriele Siciliano
    Michele Vecchio
    Nicola Tambasco
    Antonio Gambardella
    Paolo Manganotti
    Maurizio Melis
    Marco Onofrj
    Giuseppe De Michele
    Nicoletta Reale
    Gioacchino Tedeschi
    GianLuigi Mancardi
    Neurological Sciences, 2021, 42 : 1073 - 1079
  • [29] Stroke-unit care for stroke patients in China: the results from Bigdata Observatory platform for Stroke of China
    Tu, Wen-Jun
    Yan, Feng
    Chao, Bao-Hua
    Ji, Xun-Ming
    Wang, Longde
    JOURNAL OF NEUROLOGY, 2021, 268 (11) : 4213 - 4220
  • [30] Stroke-unit care for stroke patients in China: the results from Bigdata Observatory platform for Stroke of China
    Wen-Jun Tu
    Feng Yan
    Bao-Hua Chao
    Xun-Ming Ji
    Longde Wang
    Journal of Neurology, 2021, 268 : 4213 - 4220