BACKGROUND AND PURPOSE Within clinical trials, stroke patients allocated to receive organized inpatient (stroke unit) care are more likely to survive, return home, and regain independence than those allocated to conventional care. However, there are concerns that the benefits seen in clinical trials may not be replicated in routine practice. We carried out a systematic review of observational s...

Models for Assessing the Impact of Resource Allocation in Hospitals Natalia Yankovic This dissertation focuses on three issues that reflect some of the most important challenges facing both hospital administrators and healthcare policy makers. First, we present an empirical research study on the effects of ambulance diversion on patients' safety. To determine whether increased diversion activit...

this descriptive study was aimed to identify how provided nursing care related to physical problems caused by traction and cast in patients with fracture and dislocation in cervical spinal cord in educational hospitals of tehran university of medical sciences. samples, including 46 patients were recruited from neurosurgery and orthopedic wards, and also from neurosurgical intensive care units d...

BACKGROUND AND PURPOSE Stroke incidence increases with age, and stroke survivors often require nursing home placement. Characteristics of these residents and factors associated with the secondary drug prevention of stroke in nursing homes have yet to be explored. METHODS We used a population-based data set of all nursing home residents in 5 states (1992 to 1995). We identified 53 829 (20.4%) ...

OBJECTIVES The objectives of the present study were to describe the knowledge and preferences of Hong Kong Chinese older adults regarding advance directives and end-of-life care decisions, and to investigate the predictors of preferences for advance directive and community end-of-life care in nursing homes. METHODS This was a cross-sectional survey conducted in 140 nursing homes in Hong Kong....

and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. Abstract Objectives: The objectives of the present study were to describe the knowledge and preferences of Hong Kong Chinese older adults regarding advance directives and end-of-life care decisions, and to investigate the predictors of prefe...

BACKGROUND To analyze the impact of multimorbidity (MM) on health care costs taking into account data heterogeneity. METHODS Data come from a multicenter prospective cohort study of 1,050 randomly selected primary care patients aged 65 to 85 years suffering from MM in Germany. MM was defined as co-occurrence of ≥3 conditions from a list of 29 chronic diseases. A conditional inference tree (CT...

Background: Geriatric patients are typically un derrep resen ted in studies on th e functional o u tc o m e of rehabili tation after stroke. Moreover, m os t geriatric stroke patients d o probably no t participate in intensive rehabili tation program s as offered by rehabili tation centers. As a result, very few studies have described the successfulness of geriatric stroke rehabili tation in nu...

Abstract Background A Multi-Disciplinary Team (MDT) approach is instrumental to post-stroke management in the Hyper Acute Stroke Unit (HASU). There strong evidence highlighting importance of patients’ social needs (UK National Clinical Guideline for Stroke, 2016) and need a clear plan resource combining both health care. This outlined Strategy (2020-2025). care involves cohesive multi-disciplin...

Introduction: We discuss current status and developments in the care of stroke patients in Portugal. Theory and methods: Stroke is the main cause of death in Portugal and the main cause of disability on elderly people. This situation has raised great concern and several initiatives have been put in place to deal with the problem. The Unidades de Acidentes Vasculares Cerebrais – (UAVC) (Stroke U...