A systematic review and meta-analysis of acute stroke unit care: What's beyond the statistical significance?

BMC Medical Research Methodology

Volumn 13, Issue 1, 2013, Pages

  Sun, Ying ^a   Paulus, Dominique ^b   Eyssen, Maria ^b   Maervoet, Johan ^a   Saka, Omer ^a  

^a Deloitte Market Access Strategy and Health Economics ^*  (Belgium)

^b BELGIAN HEALTH CARE KNOWLEDGE CENTRE KCE   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

BODY HEIGHT; BODY WEIGHT; FEMALE; GESTATIONAL AGE; GROWTH CURVE; GROWTH, DEVELOPMENT AND AGING; HEAD; HUMAN; INFANT; MALE; META ANALYSIS; NEWBORN; PREMATURITY; REVIEW; STATISTICAL MODEL; WORLD HEALTH ORGANIZATION; CEREBROVASCULAR ACCIDENT; HOSPITAL SUBDIVISIONS AND COMPONENTS; LENGTH OF STAY; MORTALITY; NEEDS ASSESSMENT; STATISTICS; TREATMENT OUTCOME;

BODY HEIGHT; BODY WEIGHT; FEMALE; GESTATIONAL AGE; GROWTH CHARTS; HEAD; HUMANS; INFANT; INFANT, NEWBORN; INFANT, PREMATURE; MALE; MODELS, STATISTICAL; WORLD HEALTH ORGANIZATION; HOSPITAL UNITS; LENGTH OF STAY; NEEDS ASSESSMENT; STROKE; TREATMENT OUTCOME;

EID: 84886181727     PISSN: None     EISSN: 14712288     Source Type: Journal    
DOI: 10.1186/1471-2288-13-132     Document Type: Review

References (27)

1. Mackey J, Mensah G, The Atlas of Heart Disease and Stroke http://apps.who.int/bookorders/anglais/detart1.jsp?sesslan=1&codlan= 1&codcol=15&codcch=601. 2004. Ref Type: Electronic Citation
2. Langhorne P, Dennis M, Stroke units: an evidence based approach London: BMJ Books 1998
3. Canadian Stroke Strategy, Canadian Best Practice Recommedation for Stroke Care. Update 2010 http://www.strokebestpractices.ca/wp-content/uploads/2011/04/ 2010BPR-ENG.pdf. 8-12-2012. Ref Type: Electronic Citation
4. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. Stroke Unit Trialists' Collaboration, BMJ 1997 314 7088 1151 1159 9146387
5. Organisation of inhospital acute stroke care and minimum criteria for stroke care units. Recommendations of the Belgian Stroke Council. Thijs V, Peeters A, Dewindt A, Hemelsoet D, De KN, Laloux P, et al. Acta Neurol Belg 2009 109 247 251 20120203
6. Organised inpatient (stroke unit) care for stroke (Review). Stroke Unit Trialists' Collaboration, Cochrane Database Syst Rev 2000 2 2 D000197 10796318
7. Organised inpatient (stroke unit) care for stroke (Review). Stroke Unit Trialists' Collaboration, Cochrane database syst rev 2009 1 1 D000197
8. National Stroke Strategy, http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH-081062. 5-12-2007. Ref Type: Electronic Citation
9. Canadian best practice recommendations for stroke care (update 2010) http://www.strokebestpractices.ca/wp-content/uploads/2011/04/2010BPR-ENG.pdf. 2010. Ref Type: Electronic Citation
10. Guidelines for the early management of adults with ischemic stroke: a guideline from the American heart association/American stroke association stroke council, clinical cardiology council, cardiovascular radiology and intervention council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups: the American academy of neurology affirms the value of this guideline as an educational tool for neurologists. Adams HP Jr, del ZG, Alberts MJ, Bhatt DL, Brass L, Furlan A, et al. Circulation 2007 115 478 e534 10.1161/CIRCULATIONAHA.107.181486 17515473
11. Michiels D, Sun Y, Thijs V, Saka RO, Hemelsoet D, Eyssen M, et al. Stroke units: efficacy, quality indicators and organisation https://kce.fgov.be/ publication/report/stroke-units-efficacy-quality-indicators-and-organisation. 29-6-2012. Ref Type: Electronic Citation
12. Effect of acute stroke unit care integrated with care continuum versus conventional treatment: a randomized 1-year study of elderly patients: the Goteborg 70+ stroke study. Fagerberg B, Claesson L, Gosman-Hedstrom G, Blomstrand C, Stroke 2000 31 2578 2584 10.1161/01.STR.31.11.2578 11062278
13. Methodology Checklist 2: Randomised Controlled Trials http://www.sign.ac.uk/methodology/checklists.html. 2011. Ref Type: Electronic Citation
14. Alternative strategies for stroke care: a prospective randomised controlled trial. Kalra L, Evans A, Perez I, Knapp M, Donaldson N, Swift CG, Lancet 2000 356 894 899 10.1016/S0140-6736(00)02679-9 11036894
15. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. BMJ 2008 336 924 926 10.1136/bmj.39489.470347.AD 18436948 (Pubitemid 351632017)
16. Quality of life 6 months after acute stroke: impact of initial treatment in a stroke unit and general medical wards. Stavem K, Ronning OM, Cerebrovasc Dis 2007 23 417 423 10.1159/000101465 17406111 (Pubitemid 46742331)
17. Stroke unit versus general medical wards, II: neurological deficits and activities of daily living: a quasi-randomized controlled trial. Ronning OM, Guldvog B, Stroke 1998 29 586 590 10.1161/01.STR.29.3.586 9506597 (Pubitemid 28145783)
18. Which patients benefit most from treatment in a stroke unit? Spengos K, Tsivgoulis G, Manios E, Papamichael C, Konstastinopoulou A, Vemmos K, Stroke 2004 35 1 294
19. Stroke unit treatment versus general medical wards: long term survival. Vemmos K, Takis K, Madelos D, Synetos A, Volotasiou V, Tzavellas H, Cerebrovascular Diseases 2001 11 Suppl 4 8
20. A study of stroke patients treated in a non-intensive stroke unit or in general medical wards. von Arbin M, Britton M, deFaire U, Helmers C, Miah K, Murray V, Acta Med Scand 1980 208 81 85 7435253 (Pubitemid 10004167)
21. Assessment of the early effectiveness of a stroke unit in comparison to the general ward. Ma RH, Wang YJ, Qu H, Yang ZH, Chin Med J (Engl) 2004 117 852 855 15198886 (Pubitemid 38961678)
22. Management of acute stroke in the elderly: preliminary results of a controlled trial. Garraway WM, Akhtar AJ, Prescott RJ, Hockey L, Br Med J 1980 280 1040 1043 10.1136/bmj.280.6220.1040 6996779 (Pubitemid 10148646)
23. Management of acute stroke in the elderly: follow-up of a controlled trial. Garraway WM, Akhtar AJ, Hockey L, Prescott RJ, Br Med J 1980 281 827 829 10.1136/bmj.281.6244.827 7000279 (Pubitemid 10053811)
24. A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization. Strand T, Asplund K, Eriksson S, Hagg E, Lithner F, Wester PO, Stroke 1985 16 29 34 10.1161/01.STR.16.1.29 3917584 (Pubitemid 15194752)
25. Benefit of a stroke unit: a randomized controlled trial. Indredavik B, Bakke F, Solberg R, Rokseth R, Haaheim LL, Holme I, Stroke 1991 22 1026 1031 10.1161/01.STR.22.8.1026 1866749
26. Study comparing the stroke unit outcome and conventional ward treatment: a randomized study in Joinville, Brazil. Cabral NL, Moro C, Silva GR, Scola RH, Werneck LC, Arq Neuropsiquiatr 2003 61 188 193 10.1590/S0004-282X2003000200006 12806495 (Pubitemid 36648710)
27. Stroke units: an Australian perspective. Hankey GJ, Deleo D, Stewart-Wynne EG, Aust N Z J Med 1997 27 437 438 9448885 (Pubitemid 27404849)