PMID- 12670276
OWN - NLM
STAT- MEDLINE
DCOM- 20030623
LR  - 20201219
IS  - 0025-729X (Print)
IS  - 0025-729X (Linking)
VI  - 178
IP  - 7
DP  - 2003 Apr 7
TI  - Patient outcomes and length of stay in a stroke unit offering both acute and 
      rehabilitation services.
PG  - 333-6
AB  - OBJECTIVES: To compare hospital length of stay (LOS) and outcome after stroke 
      between patients in a stroke unit offering combined acute and rehabilitation 
      services and patients treated elsewhere in New South Wales. DESIGN: Retrospective 
      audit of two hospital databases (Diagnosis-Related Groups [DRG] database and 
      Australian National Subacute Non-Acute Patient Classification System [AN-SNAP] 
      database), with comparison with DRG and AN-SNAP data for NSW. SETTING AND 
      PARTICIPANTS: 242 episodes of acute stroke in patients admitted to the stroke 
      unit of a metropolitan teaching hospital between July 1999 and November 2000, 113 
      of whom also underwent rehabilitation in the unit; 9777 episodes of acute stroke 
      in the NSW DRG database, and 2350 in the NSW AN-SNAP database. MAIN OUTCOME 
      MEASURES: Acute and rehabilitation LOS; mortality in acute care; FIM (Functional 
      Independence Measure) score at discharge and change in FIM score; and discharge 
      destination. RESULTS: Patients in the combined stroke unit had shorter LOS and 
      better functional outcome in all DRG and AN-SNAP groups, with both higher 
      discharge FIM scores and greater gain in FIM scores than NSW patients. Acute 
      stroke mortality of 12% and nursing home admission rate of 15.5% in the combined 
      stroke unit were not significantly different from rates for NSW (15.7% and 11.2%, 
      respectively). CONCLUSIONS: Combining acute and rehabilitation services in a 
      stroke unit may reduce LOS and improve functional outcome of patients with acute 
      stroke.
FAU - Ang, Yan H
AU  - Ang YH
AD  - Aged Care and Rehabilitation, Bankstown-Lidcombe Hospital, Sydney, NSW. 
      Yan_Hoon_ANG@alexhosp.com.sg
FAU - Chan, Daniel K Y
AU  - Chan DK
FAU - Heng, Derrick M K
AU  - Heng DM
FAU - Shen, Qing
AU  - Shen Q
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Med J Aust
JT  - The Medical journal of Australia
JID - 0400714
SB  - IM
CIN - Med J Aust. 2003 Apr 7;178(7):309-10. PMID: 12670268
MH  - Acute Disease
MH  - Aged
MH  - Coronary Care Units/organization & administration/*statistics & numerical data
MH  - Female
MH  - Health Status Indicators
MH  - Hospital Mortality
MH  - Hospitals, Teaching
MH  - Hospitals, Urban
MH  - Humans
MH  - Length of Stay/*statistics & numerical data
MH  - Male
MH  - New South Wales
MH  - Outcome Assessment, Health Care/*statistics & numerical data
MH  - Stroke/mortality/*therapy
MH  - *Stroke Rehabilitation
MH  - Treatment Outcome
EDAT- 2003/04/03 05:00
MHDA- 2003/06/24 05:00
CRDT- 2003/04/03 05:00
PHST- 2003/09/05 00:00 [received]
PHST- 2003/02/10 00:00 [accepted]
PHST- 2003/04/03 05:00 [pubmed]
PHST- 2003/06/24 05:00 [medline]
PHST- 2003/04/03 05:00 [entrez]
AID - ang10567_fm [pii]
AID - 10.5694/j.1326-5377.2003.tb05225.x [doi]
PST - ppublish
SO  - Med J Aust. 2003 Apr 7;178(7):333-6. doi: 10.5694/j.1326-5377.2003.tb05225.x.