|
Athens [18, 19]
|
RCT
|
608
|
SU: 70.5 GMW: 70.8
|
Unknown
|
Acute stroke (onset to admission < 24 h)
|
Unknown
|
Unknown
|
Unknown
|
1 month 1 year 5 years 6.5 years
|
-
|
|
Akershus [17]
|
CCT
|
550
|
SU: 77 GMW: 76
|
SU: 47% GMW: 47%
|
≥ 60 years; acute stroke (onset to admission < 24 h)
|
Multidisciplinary collaboration + early examination + early mobilization (first hours after admission) + management on fluid, fever, hyperglycemia, hypertension
|
Good medical treatment without special effort or standardized effort towards this patient group. Patients with hemorrhages were often immobilized for 1 week. No routine of giving antipyretics or parenteral iso-osmolar fluids.
|
SU: 9.5 days GMW: 7.7 days
|
7 months
|
-
|
|
Stockholm [20]
|
CCT
|
494
|
SU: 73 GMW: 74
|
SU: 55% GMW: 63%
|
Stroke onset within the previous week or TIA onset within last month
|
Multidisciplinary collaboration + strict criteria for diagnosis and treatment + early active approach to mobilization and rehabilitation
|
Resources for general patient care in the GMW and SU were not different. Principles of investigation and management of stroke differed, according to routine of consulting physicians
|
SU: 21 days GMW: 20 days
|
Till discharge
|
-
|
|
Beijing [21]
|
RCT
|
392
|
62
|
Unknown
|
≥ 18 years; stroke
|
Multidisciplinary collaboration + early mobilization
|
Unknown
|
Unknown
|
Till discharge
|
-
|
|
Edinburgh [22, 23]
|
RCT
|
311
|
Unknown
|
Unknown
|
≥ 60 years Conscious, established or developing hemiplegia, mean interval from stroke onset to admission: 24 h
|
Delay in starting physiotherapy treatment in SU: 3 days, in GMW: 3.8 days. No great differences in the use of speech therapy between SU and GMW. More aids or adaptations prescribed in SU to patient at discharge.
|
Unknown
|
SU: 55 days GMW: 75 days
|
60 days 1 year
|
-
|
|
Umea [24]
|
CCT
|
293
|
SU: 72 GMW: 73
|
SU: 42% GMW: 46%
|
Acute stroke or TIA ( onset to admission < 7 days)
|
No facility for intensive care. Multidisciplinary collaboration + early rehabilitation
|
No standardized program or extra resources for stroke care. Same clinical assessment on admission. Regimes for treatment are uniform.
|
SU: 21 days GMW: 31 days
|
1 year
|
-
|
|
Goteborg-Sahlgren [12]
|
RCT
|
249
|
SU: 80 GMW: 80
|
SU: 66% GMW: 54%
|
≥ 70 years; Acute stroke (onset to admission < 7 days, 80% in 24 h)
|
Multidisciplinary collaboration + standard examination on admission + monitoring of body temperature, glucose level, fluid, electrolyte balance + discharge planning
|
No standardized program or extra resources for the management of stroke patients. CT scan performed in 90% of patients
|
SU: 28.3 days GMW: 35.8 days
|
3 weeks 3 months 1 year
|
++
|
|
Trondheim [25]
|
RCT
|
220
|
SU: 72 GMW: 74
|
SU: 49% GMW: 50%
|
Acute stroke (onset to admission < 7 days)
|
Multidisciplinary approach + standard examination (e.g. CT in 24 h of admission) + management on blood pressure, fever, glucose level, fluid, electrolyte balance, cardiac and pulmonary disorders, oxygen
|
Common treatment for patients with acute stroke in Norwegian hospitals. No standardized program for diagnostic evaluation and treatment
|
SU: 16 days
|
52 weeks 5 years 10 years
|
+
|
|
Joinville [26]
|
RCT
|
74
|
SU: 65 GMW: 71
|
SU: 43% GMW: 41%
|
Acute stroke (onset to admission < 7 days)
|
Multidisciplinary collaboration
|
Routine medical investigation or treatment by neurologists, physiotherapist, occupational therapist were identical to that undertaken at SU
|
SU: 11 days GMW: 13 days
|
10 days 1 month 3 months 6 months
|
-
|
|
Perth [27]
|
RCT
|
59
|
SU: 69 GMW: 71
|
SU: 59% GMW: 47%
|
Acute stroke (< 7 days duration)
|
Multidisciplinary collaboration
|
General physician, medical registrar and resident, ward nurse and allied health staff
|
SU: 24 days GMW: 27 days
|
6 months
|
+
|
