Centralizing Stroke Services Improves Outcomes
(HealthDay News) — Centralizing acute stroke services in urban areas can cut morality and length of hospital stay, according to a study published online August 5 in BMJ.
Stephen Morris, PhD, from University College London, and colleagues compared outcomes tied to acute stroke services in Greater Manchester (where hyperacute care was provided to patients presenting within four hours of developing stroke symptoms) and London (where hyperacute care was provided to all patients with stroke).
The researchers found that in London there was a significant decline in risk-adjusted mortality at three, 30, and 90 days after admission. The absolute reduction at 90 days was −1.1% (relative reduction of 5%), indicating 168 fewer deaths during the 21-month period after reconfiguration of stroke services in London. There was a significant decline in risk-adjusted length of hospital stay in both areas: −2.0 days in Greater Manchester and −1.4 days in London. Patients with ischemic stroke largely accounted for the reductions in mortality and length of hospital stay.
"A centralized model of acute stroke care, in which hyperacute care is provided to all patients with stroke across an entire metropolitan area, can reduce mortality and length of hospital stay," the authors write.