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Early assessment by a mobile stroke team: a randomised controlled trial.
Paola Dey1, Miriam Woodman, Alan Gibbs
1University of Manchester, UK. PaolaDey62@hotmail.com
Age and Ageing
|June 16, 2005
Summary
A mobile stroke team did not significantly improve survival rates for acute stroke patients on general wards. This study found no long-term mortality benefit compared to standard care alone.
Area of Science:
- Neurology
- Clinical Medicine
- Public Health
Background:
- Specialist stroke rehabilitation is proven effective.
- Evidence for organized acute stroke care is limited.
- Impact of mobile teams in acute stroke is unclear.
Purpose of the Study:
- To assess the effect of a mobile stroke team on patient outcomes.
- Focus on patients admitted to general wards during the acute stroke phase.
Main Methods:
- Randomized controlled trial involving 308 acute stroke patients.
- Intervention: Mobile stroke team consultation and coordination.
- Control: Standard general ward care.
Main Results:
- No significant difference in all-cause mortality at 6 weeks or 12 months.
- No observed differences in morbidity or quality of life outcomes at 12 months.
- Trial terminated early due to insufficient sample size.
Conclusions:
- Mobile stroke teams may not provide significant long-term mortality benefits in acute stroke care.
- General ward care alone showed comparable outcomes in this trial.
- Further research may be needed with larger sample sizes.