Ischemic stroke Circulatory System Ischemic stroke
Conditions
Interventions
The ?experimental? stroke service settings were those that provided ?Integrated Stroke unit and Stroke services care? as defined by an expert consensus committee. Methodologically, the assessment of i
Sponsors
The Netherlands Organisation for Health Research and Development (ZonMw)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: All patients in these experimental settings were compared to similar concurrent patients from general hospitals in three other Dutch regions. The latter were selected from a group of 23 hospitals participating in a previous national study. Based on the data collected in this already completed study, three hospitals were selected as representing the average Dutch patient, receiving the average current level of Dutch stroke care. The criteria for this selection were: 1. The average age of patients 2. Duration of hospital stay 3. Case-fatality 4. Barthel Index at discharge 5. Destination after discharge All consecutive hospital patients admitted in a region with an acute first or recurrent ischemic stroke or Transient Ischemic Attack (TIA) were included.
Exclusion criteria
Exclusion criteria: Dead on arrival.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Health-related quality-of-life (QALIES) at two and six months 2. Cumulative total societal costs at three months (direct and indirect costs) 3. "Length-of-stay" as the most important cost driver | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Other neurological health outcomes (Glasgow Coma Scale, 30 item version of the Sickness Impact Profile [SA-SIP30], Cambridge Cognitive Examination, modified Rankin Scale [mRS], The Barthel Index [BI]) 2. Care satisfaction 3. Indirect medical costs 4. Residence 5. Quality of care A qualitative study also observed the characteristics of the regional services. | — |
Countries
Netherlands
Outcome results
None listed