LEADER 05218nam 2200745Ia 450 001 9910813644603321 005 20200520144314.0 010 $a9786611321727 010 $a9781281321725 010 $a1281321729 010 $a9780470760215 010 $a0470760214 010 $a9780470759943 010 $a0470759941 035 $a(CKB)1000000000406847 035 $a(EBL)351467 035 $a(OCoLC)476172380 035 $a(SSID)ssj0000252512 035 $a(PQKBManifestationID)11194558 035 $a(PQKBTitleCode)TC0000252512 035 $a(PQKBWorkID)10180828 035 $a(PQKB)10870797 035 $a(MiAaPQ)EBC351467 035 $a(Au-PeEL)EBL351467 035 $a(CaPaEBR)ebr10233192 035 $a(CaONFJC)MIL132172 035 $a(OCoLC)39980685 035 $a(FINmELB)ELB179182 035 $a(Perlego)2776261 035 $a(EXLCZ)991000000000406847 100 $a19981002d1998 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aStroke units $ean evidence based approach /$fPeter Langhorne, Martin Dennis 205 $a1st ed. 210 $aLondon $cBMJ Books$d1998 215 $a1 online resource (130 p.) 300 $aDescription based upon print version of record. 311 08$a9780727912114 311 08$a0727912119 320 $aIncludes bibliographical references (p. 100-107) and index. 327 $aStroke Units: An evidence based approach; Contents; Authorship; Contributors; Foreword by Iain Chalmers; Preface; 1 The stroke unit story; History of stroke unit care and its evaluation; Early studies; Definitions of a stroke unit; Stroke intensive care units; Later developments; The demands of evidence based practice; 2 How should we evaluate our interventions?; Levels of evidence; Sources of error; Systematic error (bias); Random error; Design of a reliable stroke unit trial; Why randomised trials may not be enough; Systematic reviews of randomised trials; Conduct of systematic reviews 327 $aSources of bias in systematic reviewsInterpretation of systematic reviews; 3 Assembling evidence about stroke units; Formulating the stroke unit question; Defining the intervention; Defining the patient group; Defining the context; Defining the outcomes; Identifying the relevant trials; Locating information from relevant trials; The stroke unit trials; General comments; Stroke unit characteristics; Characteristics of different models of stroke unit; 4 Effectiveness of organised (stroke unit) care; Conventions of meta-analysis; What is meta-analysis?; What is an odds ratio? 327 $aPresentation of resultsCoping with different types of outcome; Meta-analysis of the stroke unit trials; Can the risk of death be reduced?; Why were deaths reduced?; Preventing death at the expense of increased dependency among survivors?; Is the need for institutional care reduced?; Is dependency (disability) among survivors reduced?; Is quality of life among survivors improved?; What are the absolute benefits of stroke unit care?; Subgroup analysis; Which patients benefit?; What kind of stroke unit is effective?; Exploring the diversity of stroke unit trials 327 $aWhat general policies should be applied?5 Economics of stroke unit care; Economic analysis; Methods of economic analysis; Terminology; Sources of data for economic analysis; Costs of stroke; Identifying potential costs and benefits; Cost effectiveness analysis; Potential benefits; Potential costs; Measuring costs and benefits; Economic interpretation of results; Economic "balance sheet"; Factors missing from the analysis; Implications of the analysis; 6 Implications for planning stroke services; Evidence based stroke care; Comprehensive stroke services; What kind of stroke unit? 327 $aStroke patients only or mixed rehabilitation service?Stroke ward or mobile stroke team?; Acute or rehabilitation unit?; Staffing of the stroke unit; In which department should the unit be established?; What staff are needed?; Stroke unit policies; Stroke unit size; Patient selection criteria; Duration of stay; Practices and procedures; Communication: Multidisciplinary team; Communication: Carers; Care pathways; Education, training, and beliefs; Overcoming resistance to change; 7 Implications for future research; Current state of knowledge; Outstanding questions 327 $aAppendix: Descriptions of stroke unit care 330 $aBased on a major systematic review from international centres this concise text discusses the benefits of managing stroke patients in specialised units compared to management outside the hospital. It provides invaluable information in the most effective management for this chronically disabled sector 606 $aCerebrovascular disease 606 $aCerebral ischemia 615 0$aCerebrovascular disease. 615 0$aCerebral ischemia. 676 $a616.81 700 $aLanghorne$b Peter$0990789 701 $aDennis$b Martin$g(Martin S.)$0990790 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910813644603321 996 $aStroke units$92267098 997 $aUNINA