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One in Four Stroke Patients Die Within a Month
February 16, 2008 at 2:39 PM
General Health News
Their views follow a study published on bmj.com last month which found the more independent patients are six months after a stroke, the better their chances of long term survival.
Despite undoubted progress, we still have much to do, argue Richard Thomson and Helen Rodgers from Newcastle Universitys Medical Faculty.
For example, most acute trusts in the UK now have a stroke unit, but in 2006 only 62% of patients in the UK were admitted to a stroke unit and only 54% spent more than half of their inpatient stay on one, they say.
Thrombolysis (giving anti-clotting drugs within three hours of an acute stroke) reduces death and disability, yet in 2006 only 30 trusts in the UK provide this service, and even fewer provide it at all hours of the day, they add.
And, although up to 20% of stroke patients may be eligible for thrombolytic treatment, in 2006 only 218 patients less than 0.5% of patients with acute ischaemic stroke in England, Wales, and Northern Ireland received it.
Early supported discharge by a specialist stroke team can also improve outcome, yet provision of this service is limited.
Research has largely focused on prevention and care soon after stroke, and less upon interventions to improve care for survivors and on how to minimise the long term effects of stroke.
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