Home Hospitalization Service for Acute Uncomplicated First Ischemic Stroke in Elderly Patients: A Randomized Trial

Autor: Mario Molaschi, Dominga Salerno, Dario Amati, Nicoletta Aimonino Ricauda, Massimiliano Massaia, Fabrizio Fabris, Vittoria Tibaldi, Mario Bo
Rok vydání: 2004
Předmět:
Zdroj: Journal of the American Geriatrics Society. 52:278-283
ISSN: 1532-5415
0002-8614
DOI: 10.1111/j.1532-5415.2004.52069.x
Popis: Objectives: To evaluate whether home treatment of elderly patients with acute uncomplicated first ischemic stroke is associated with different mortality rates and clinical outcomes from those of patients treated on a general medical ward (GMW). Design: Randomized, controlled, single-blind trial. Setting: S. Giovanni Battista Hospital of Turin. Participants: One hundred twenty elderly patients admitted to the emergency department of the hospital with first acute ischemic stroke were randomized to home treatment from a geriatric home hospitalization service (GHHS) or to GMW treatment. Measurement: Main outcome was cumulative survival at 6 months in the two groups. Residual functional impairment, neurological deficit, depression, morbidity, and admission to rehabilitation and long-term care facilities were considered as secondary outcomes in survivors. Results: One hundred twenty patients (mean age 82; 54 men and 66 women) were enrolled (60 in each study arm). The cumulative proportion of cases surviving at 6 months was 0.65 in the GHHS group and 0.60 in GMW group (log-rank test P=.53). Functional and neurological parameters were significantly improved in both GHHS and GMW patients, without significant differences between the two groups. Depression score was significantly better in home-treated patients (P
Databáze: OpenAIRE
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