BMJ 2005;331:491-492 (3 September), doi:10.1136/bmj.38537.679479.E0 (published 10 August 2005)
Paper
Ten year follow-up of a randomised controlled trial of care in a stroke rehabilitation unit
Avril E R Drummond, research occupational therapist1,
Ben Pearson, consultant physician in emergency medicine2,
Nadina B Lincoln, professor of clinical psychology3,
Peter Berman, consultant stroke physician4
1 Division of Ageing and Rehabilitation, Queen's Medical Centre, Nottingham NG7 2UH,
2 Derbyshire Royal Infirmary, Derby DE1 2QY,
3 Institute of Work, Health and Organisations, University of Nottingham, Nottingham Science and Technology Park, Nottingham NG7 2RQ,
4 City Hospital, Nottingham NG5 1PB
Correspondence to: A E R Drummond Avril.Drummond@nottingham.ac.uk
| The first 150 words of the full text of this article appear below. |
Introduction
Decreased mortality and reduced disability are well recognised
short term benefits of care in a stroke unit.
1 Early organised
management improves survival up to five years after stroke.
2 Only one study has examined the effects of care in a stroke
unit for longer than five years,
3 and it showed that treatment
in a combined acute and rehabilitation stroke unit in Norway
conferred benefit even 10 years after stroke. We aimed to examine
whether the benefits of a non-acute stroke rehabilitation unit
persist for 10 years after stroke. This study was a continuation
of the five year follow-up by Lincoln and colleagues.
2
Participants, methods, and results
We identified participants who had been randomly allocated to
receive treatment in a non-acute stroke unit or on conventional
wards (general medical wards or wards for the elderly) as part
of an earlier trial.
4 Ten years after that randomisation, we
traced them on hospital and general practice databases. We
. . . [Full text of this article]
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