Stroke Units

Introduction

Organized strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. care (also known as ‘strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units’) is characterized by an interdisciplinary group of health professionals working cohesively and closely, to provide a comprehensive rehabilitation program for each patient. Although these programs may vary in terms of the types of therapies offered as well as their intensity and duration, they should, in order to be deemed a stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.), have routine, multi-disciplined input from therapists with experience in strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. rehabilitation.

Moreover, strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units and teams are attuned to prevention, recognition, and treatment of co-morbidities and medical complications, early goal-directed treatment, systematic assessment of patients, and modification of treatment to maximize benefits. Most programs focus on education and psycho-social issues of both the patient and family/caregiver.

Patient/Family Information

Author: Adam Kagan, BSc

What are Stroke Units?

There are three main categories of Stroke UnitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.):

• The first consists of a team of strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. specialists who provide specialized care to people where they are located within the hospital. These units are sometimes referred to as “mobile teams specialized in strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.”.
• Another type of unit is located in a specific area of the hospital or rehabilitation centre where people with strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. are admitted and treated by a specialized team. Usually these units do not admit people with other health problems.
• Finally, in some hospitals, “acute” and “rehabilitation” units are grouped in one place, assessments and treatments are provided by the same team.

These units include health professionals who specialize in the treatment of people with strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.; nurses, physicians, physical therapists, occupational therapists, social workers, speech language pathologists, nutritionists or clinical dieticians and possibly physiatrists, psychologists and neuropsychologists. These StrokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. Units work both in the acute and strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. rehabilitation phases.

Here are the descriptions of the phases:

1. Acute phase: During the first few days (or weeks if it is a more severe strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.) after a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain., the treatment focuses on the prevention of other illnesses and complications. Health professionals will assess you to determine the impact of strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. on your speech, how you work, your ability to eat solid foods, the strength of your arms and legs, and so on. During this time of assessment, your rehabilitation will be spread over short periods of time and will be consolidated as soon as you begin to recover your strength and regain your tolerance.

   Some patients return home directly after the acute phase. For others, treatments continue during a rehabilitation phase.

2. Rehabilitation Phase: You may be referred to a Rehabilitation Hospital where you will still be treated by specialized clinicians who will use various types of interventions to work on the skills and activitiesAs defined by the International Classification of Functioning, Disability and Health, activity is the performance of a task or action by an individual. Activity limitations are difficulties in performance of activities. These are also referred to as function.
   affected by the strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain..

Note: A link to a description of several of these interventions can be found on https://www.strokengine.ca/

The acute care hospital may have a different room or floor that offers rehabilitation services and you can be transferred there.

In conclusion, as mentioned above, in some hospitals, acute care and rehabilitation units are grouped together in one place, assessments and treatments are provided by the same team.

How can Stroke Units help me?

All members of a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. rehabilitation team are specially trained to treat people who have had a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.. Treatments should be specifically tailored to your needs. It is important that the team also considers goals that are important to you – for example, if you have stairs at home you might want to practise walking up the stairs more than someone who lives in an apartment with an elevator. It is also important that your family be involved in your rehabilitation. Various members of the stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.) team are trained to work with families. There is strong evidence that family support and education help the recovery process after a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.. One of the most important aspects of a stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.) is that the team adjusts to you and adapts to your changing state. So, when you get better, they focus on encouraging you to regain the skills that have been affected by the strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.. For example, shortly after a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. you may need the help of two people and a cane to walk. As your balance and strength improve, team members will let you know when it is safe to walk with only one person.

Do Stroke Units make a difference after a stroke?

Note: The research results presented in StrokEngine come from past and present studies, but as we write these lines, new studies are being conducted and new evidence is being released. Thus, if the answers to certain questions continue to show a lack of agreement or even remain unanswered, it only means that the studies have not mentioned this question specifically.

The researchers conducted studies to see if treatment in a stroke UnitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.), combining the acute and rehabilitative phases, helped people and that they demonstrated faster recovery. The researchers also looked specifically at the benefits gained from being treated within a rehabilitation unit or by the “mobile stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.)” teams. These various studies looked at the effects of different types of strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units and their impact on:

1. Function – this refers to basic activitiesAs defined by the International Classification of Functioning, Disability and Health, activity is the performance of a task or action by an individual. Activity limitations are difficulties in performance of activities. These are also referred to as function.
   such as eating, dressing, getting out of bed, going to the bathroom, etc.
2. Institutionalization – the need for institutionalization is felt when patients cannot recover enough to return home. In this case, the person may need long-term care and rehabilitation.
3. The length of hospital stay – the number of days or weeks that a patient stays in hospital after being admitted for a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain..
4. Mortality rate – It is rare, but possible, that some people who have had a very severe strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. die following the cessation of vital functions.

What are the benefits of combining acute care units with rehabilitation units?

High quality studies have shown that when acute and rehabilitative care is combined in a stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.), patients demonstrate better functional improvements.

There is strong evidence that strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units are useful in reducing the need for institutionalization, length of hospital stay, and mortality rates.

But when acute care is combined with rehabilitation units, they are not effective in reducing the rate of stroke-related hospital deaths.

It appears that recovery is best when acute care is given in an acute unit, and rehabilitation is offered in a department or Rehabilitation Center.

Stroke Units (with transfer from a unit or acute care unit)

Currently, high quality research provides strong evidence that when specialized rehabilitation teams are used during the rehabilitation phase, there is no additional functional gain over a regular rehabilitation unit.

The need for institutionalization is not reduced when patients are treated in an intensive rehabilitation unit compared to those treated by a regular rehabilitation team or a general medical team.

There are conflicting answers to the question of whether treatment by a specialized strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. rehabilitation team decreases mortality or reduces length of stay in hospital. High quality research supports the idea that mortality and length of stay are reduced, while other high quality studies indicate that they are not.

Post stroke a mobile team

Research shows that mobile strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. teams do not reduce the number of stroke-related deaths, the need for institutionalization, or the length of stay in hospital following a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.. We can also compare the level of recovery of patients followed by a mobile team with that of those followed in a department of general medicine. Studies have found that improvements in the ability to manage personal care and perform activitiesAs defined by the International Classification of Functioning, Disability and Health, activity is the performance of a task or action by an individual. Activity limitations are difficulties in performance of activities. These are also referred to as function.
of daily living are not better for patients treated by a mobile team.

What can I expect in Stroke Units?

StrokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. Units are designed so that patients make the most gains during their stay in the hospital or at the Rehabilitation Center. Treatment of the after-effects of a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. requires the active participationAs defined by the International Classification of Functioning, Disability and Health, participation is an individual’s involvement in life situations in relation to health conditions, body functions or structures, activities, and contextual factors. Participation restrictions are problems an individual may have in the manner or extent of involvement in life situations. of the person concerned. In the post-stroke unit, patients are expected to attend treatment sessions on their own, or possibly with the help of a family member or friend, and perform the exercises or activitiesAs defined by the International Classification of Functioning, Disability and Health, activity is the performance of a task or action by an individual. Activity limitations are difficulties in performance of activities. These are also referred to as function.
that their team of therapists explained to them.

The team approach is a key component of strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units. As mentioned previously, you can benefit from occupational therapy, physical therapy, speech therapy, and other therapies depending on the help you need. Sometimes, these professionals will ask you questions or use assessments that you think you have already done. Keep in mind that everyone is trying to identify ways to help you recover from the harmful effects of strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain..

The team should always work to help you improve and should work toward the goals that are important to you.

Are there any risks related to Stroke Units?

Being treated in a Stroke UnitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.) does not involve more risk to your health. In fact, the team is specifically trained to prevent and mitigate (if any) the consequences that might result from strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain..

Who works in a stroke rehabilitation unit?

• Doctors (neurologists and / or general practitioners, physiatrists)
• Physical therapists
• Occupational therapists
• Social workers
• Speech language pathologists
• Psychologists or neuropsychologists
• Nutritionists or clinical dieticians
• Specialized strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. nurses
• Team coordinators
• Pharmacists

For more details on all these professions, click on the titles or visit The National Institute of Health

Should I consider a stroke rehabilitation unit a good option for me or a family member?

Usually the decision regarding admission to a stroke unitStroke units are designed to provide multidisciplinary specialized care for patients who have had a stroke. In the best units, the team consists of nurses, pharmacists, social workers, medical staff, and occupational, physical and speech therapists. Stroke units can be located in a special unit in a defined location, or can used as a roving stroke specialist team. (Hill, M. Stroke Units in Canada. CMAJ. 2002:167:649-50.) is made as soon as a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. is diagnosed. This decision is made on the basis of several factors defined by the hospital’s administration and its ability to provide post-stroke care.

Choosing where to go for your rehabilitation may be difficult to determine if the Rehabilitation Center closest to your home does not have a strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. rehabilitation unit. The decision should be made carefully and it is important to discuss the different alternatives and what is best for you with your team of health professionals.

Clinician Information

Rating of interventions:

In this module, an intervention is given the rating of:

1. Effective if the meta-analysisMethod in which the results of two or more studies are statistically combined. Typically used when studies have few subjects, but similar designs. By increasing the available number of subjects, more weight can be given to the findings.
   revealed an effect of treatment that was significant
2. Effective* if the meta-analysisMethod in which the results of two or more studies are statistically combined. Typically used when studies have few subjects, but similar designs. By increasing the available number of subjects, more weight can be given to the findings.
   revealed an effect of treatment that approached significance,
3. May not be effective if an effect was found, however the effect was not significant nor did it approach significance,
4. Not effective if none of the 3 conditions above are met

The following list describes the different types of organized strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. care analyzed in this review, ranging from most organized to least organized:

Types of organized strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. care:

1. StrokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. ward: a multidisciplinary team including specialist nursing staff based in a discrete ward caring exclusively for patients with strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain.. This category includes the following sub-divisions:
   1. Acute strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units, which accept patients acutely but discharge early (usually within 7 days).
   2. Rehabilitation strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units, which accept patients after a delay, usually of seven days or more, and focus on rehabilitation; and,
   3. Comprehensive strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. units, which accept patients acutely but also, provide rehabilitation for at least several weeks if necessary. Both the rehabilitation unit and comprehensive unit models offered prolonged periods of rehabilitation.
2. Mixed rehabilitation ward: a multidisciplinary team including specialist nursing staff in a ward providing a generic rehabilitation service but not exclusively caring for patients with strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain..
3. Mobile strokeAlso called a “brain attack” and happens when brain cells die because of inadequate blood flow. 20% of cases are a hemorrhage in the brain caused by a rupture or leakage from a blood vessel. 80% of cases are also know as a “schemic stroke”, or the formation of a blood clot in a vessel supplying blood to the brain. team: a multidisciplinary team (excluding specialist nursing staff) providing care in a variety of setting.
4. General medical wards are defined as care in an acute medical or neurology ward without routine multidisciplinary input.

Outcomes

Overall organized stroke care

Rehabilitation stroke ward vs. general medical ward

Comprehensive stroke ward vs. general medical ward

Mixed rehabilitation ward vs. general medical ward

Mobile stroke team vs. general medical ward