Akademik Veri Yönetim Sistemi
Turk Beyin Damar Hastaliklar Dergisi, cilt.14, sa.2, ss.49-52, 2008 (Scopus)
Background and Purpose: Results from the studies questioning the importance of stroke units in the treatment of acute stroke patients are increasing. In this manuscript, we aimed to share our stroke unit experience Materials and methods: We evaluated the records of 229 patients who had been treated in our stroke unit between May 2007 and May 2008. Clinical findings of these patients are presented in this manuscript. Results: In our stroke unit 229 patients (94 female (41.1%), 135 male (58.9%)) whom ages were between 24 - 94 years (mean 67.77±13.33 years) had been treated between May 2007- May 2008. Most of the ischemic stroke patients had large-artery atherosclerosis (63 patients 29%) and 52 patients (24%) had cardioembolic stroke. 38 patients (17%) were admitted to hospital within 3 hours of stroke onset. Lv. rtPA was given to15 of them (39.5%). 22 patients (10%), 11 patients (5%), 30 patients (14%) and 67 patients (31%) were admitted to hospital within 3-6 hours, 6-12 hours, 12-24 hours and more than 24 hours of stroke onset, respectively. Also, 39 patients (18%) were admitted to hospital with unknown time of stroke onset and 11 patients (5%) with stroke during sleep. National Institute of Health and Stroke Scale Scores of the patients were 8,07±6,59 before treatment and 6,48±6,72 after treatment. Number of days of the patients spent in stroke unit were changing from 2 to 39 with a mean of 5,63±4,03 days. 111 patients (50.9%) were discharged from stroke unit to home, 100 patients (45.8%) to Neurology service and 4 patients (1.8%) to Intensive Care Unit. 3 patients (1.5%) died. Conclusion: Studies about management of a stroke patient have been done for more than 10 years . Management of a stroke patient has 3 steps; pre-hospital period, hospital period and period after discharge. The most fascinating improvement is in hospital period; stroke units are the corner-stones of this period. In May 2007,specially designated 4-bed Stroke Unit was introduced in Dokuz Eylül University Neurology Service. We tried to share our one year stroke unit experience in this manuscript. The importance of stroke units will be more clear when the experience about this subject in our country is increased.