Upgraded acute stroke care including thrombolysis is associated with reduced length of hospital stay among non-stroke patients

Cerebrovascular Diseases

Volumn 27, Issue 1, 2009, Pages 60-66

  Sølling, Christine ^a   Johnsen, Søren Påske ^a   Ehlers, Lars ^b   Østergaard, Leif ^a   Andersen, Grethe ^a  

^a AARHUS UNIVERSITY HOSPITAL   (Denmark)

^b AARHUS UNIVERSITY   (Denmark)

Author keywords

Acute stroke; Imaging; Length of hospitalization; Thrombolysis

Indexed keywords

ALTEPLASE;

ADULT; AGED; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; COST EFFECTIVENESS ANALYSIS; COST OF ILLNESS; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; FEMALE; FIBRINOLYTIC THERAPY; FOLLOW UP; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; PROSPECTIVE STUDY; STROKE; STROKE UNIT;

ACUTE DISEASE; ADULT; AGED; COST OF ILLNESS; DATABASES, FACTUAL; FEMALE; FIBRINOLYTIC AGENTS; HOSPITAL UNITS; HOSPITALIZATION; HUMANS; LENGTH OF STAY; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; STROKE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 56149100565     PISSN: 10159770     EISSN: None     Source Type: Journal    
DOI: 10.1159/000172635     Document Type: Article

References (16)

1. Jorgensen HS, Nakayama H, Raaschou HO, Larsen K, Hubbe P, Olsen TS: The effect of a stroke unit: reductions in mortality, discharge rate to nursing home, length of hospital stay, and cost: a community-based study. Stroke 1995;26:1178-1182.
2. Wahlgren N, Ahmed N, Davalos A, Ford GA, Grond M, Hacke W, Hennerici MG, Kaste M, Kuelkens S, Larrue V, Lees KR, Roine RO, Soinne L, Toni D, Vanhooren G: Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): an observational study. Lancet 2007;369:275-282.
3. Ehlers L, Andersen G, Clausen LB, Bech M, Kjolby M: Cost-effectiveness of intravenous thrombolysis with alteplase within a 3-hour window after acute ischemic stroke. Stroke 2007;38:85-89.
4. Mar J, Begiristain JM, Arrazola A: Cost-effectiveness analysis of thrombolytic treatment for stroke. Cerebrovasc Dis 2005;20:193-200.
5. Hand PJ, Kwan J, Lindley RI, Dennis MS, Wardlaw JM: Distinguishing between stroke and mimic at the bedside: the brain attack study. Stroke 2006;37:769-775.
6. Chalela JA, Kidwell CS, Nentwich LM, Luby M, Butman JA, Demchuk AM, Hill MD, Patronas N, Latour L, Warach S: Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet 2007;369:293-298.
7. Nor AM, Davis J, Sen B, Shipsey D, Louw SJ, Dyker AG, Davis M, Ford GA: The Recognition of Stroke in the Emergency Room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurol 2005;4:727-734.
8. Wardlaw JM, Seymour J, Cairns J, Keir S, Lewis S, Sandercock P: Immediate computed tomography scanning of acute stroke is cost-effective and improves quality of life. Stroke 2004;35:2477-2483.
9. Caro JJ, Huybrechts KF, Duchesne I: Management patterns and costs of acute ischemic stroke: an international study. For the Stroke Economic Analysis Group. Stroke 2000;31:582-590.
10. Mamoli A, Censori B, Casto L, Sileo C, Cesana B, Camerlingo M: An analysis of the costs of ischemic stroke in an Italian stroke unit. Neurology 1999;53:112-116.
11. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS: Acute stroke care and rehabilitation: an analysis of the direct cost and its clinical and social determinants. The Copenhagen Stroke Study. Stroke 1997;28:1138-1141.
12. Censori B, Casto L, Partziguian T, Cesana B, Camerlingo M: Length of hospitalization of patients with transient ischemic attacks. Neurol Sci 2000;21:223-228.
13. Danish Secretariat for Clinical Guidelines (DSCG): Guideline Recommendations: Clinical Guidelines for the Treatment of Patients with Stroke. Copenhagen, National Board of Health, 2005:2007.
14. World Health Organization: The ICD-10 Classification of Mental and Behavioural Disorders. Geneva, WHO, 2007.
15. Christensen H, Boysen G, Truelsen T: The Scandinavian Stroke Scale predicts outcome in patients with mild ischemic stroke. Cerebrovasc Dis 2005;20:46-48.
16. Gold MR, et al: Cost-Effectiveness in Health and Medicine. Oxford, Oxford University Press, 1996, 2007.