Stroke unit care effective

Clinical question: 
How effective is organised inpatient (stroke unit) care for people following a stroke?
Bottom line: 
Compared with alternatives (care in general wards, mixed rehabilitation wards, mobile stroke teams), patients who received stroke unit care were more likely to be alive, independent and living at home 1 year after the stroke. The best results appeared to come from units based in a dedicated ward. There were no firm grounds for restricting access according to a person’s age, sex, stroke severity or type of stroke (ischaemic or haemorrhagic). There was no indication that stroke unit care resulted in a longer hospital stay.
Caveat: 
It was not clear how stroke units improved patient outcomes. This could have been due to greater staff expertise, better diagnostic procedures, better nursing care, early mobilisation, the prevention of complications or more effective rehabilitation procedures.1
Context: 
Organised stroke unit care is a form of care provided in hospital by nurses, doctors and therapists who specialise in looking after stroke patients and work as a coordinated team.
Review CD#: 
CD000197
PEARLS No: 
435
Date: 
June, 2014
Authored by: 
Brian R McAvoy