[7 reasons for hospitalizing stroke patients in special treatment units]. 1999

D Leys

THE HELSINGBORG DECLARATION: One of the primary objectives of the Helsingborg declaration was that all patients should have access to care in a neurovascular unit. However to date, only a few specialized facilities are available in Europe. SEVEN GOOD REASONS: There are seven good reasons why patients suffering cerebral vascular events should be hospitalized in specialized care units. 1. Improve chances of survival and recovery: mortality at 3 and 12 months is 25% lower in patients hospitalized in specialized units and the combined risk of death and institutionalization is reduced by one-third. The beneficial effect in terms of survival and function persists at 5 years. 2. Provide optimal management for emergency conditions which may be confounded with cerebral vascular events and which require emergency care. 3. Optimize health care organization. 4. Favor research and teaching. 5. Reduce health expenditures related to cerebral vascular events. 6. Inform health authorities of the needs of this population. 7. Prepare for the possible development of intravenous thrombolytic therapies. OUTDATED ATTITUDE: Fatalism and nihilism is no longer an acceptable attitude. Cerebral vascular events must be considered as an emergency condition and our health care system must change, adapting health care facilities to this new situation. Neurovascular units provide one of the most effective tools to meet this challenge.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D010343 Patient Admission The process of accepting patients. The concept includes patients accepted for medical and nursing care in a hospital or other health care institution. Voluntary Admission,Admission, Patient,Admission, Voluntary,Admissions, Patient,Admissions, Voluntary,Patient Admissions,Voluntary Admissions
D002561 Cerebrovascular Disorders A spectrum of pathological conditions of impaired blood flow in the brain. They can involve vessels (ARTERIES or VEINS) in the CEREBRUM, the CEREBELLUM, and the BRAIN STEM. Major categories include INTRACRANIAL ARTERIOVENOUS MALFORMATIONS; BRAIN ISCHEMIA; CEREBRAL HEMORRHAGE; and others. Brain Vascular Disorders,Intracranial Vascular Disorders,Vascular Diseases, Intracranial,Cerebrovascular Diseases,Cerebrovascular Insufficiency,Cerebrovascular Occlusion,Brain Vascular Disorder,Cerebrovascular Disease,Cerebrovascular Disorder,Cerebrovascular Insufficiencies,Cerebrovascular Occlusions,Disease, Cerebrovascular,Diseases, Cerebrovascular,Insufficiencies, Cerebrovascular,Insufficiency, Cerebrovascular,Intracranial Vascular Disease,Intracranial Vascular Diseases,Intracranial Vascular Disorder,Occlusion, Cerebrovascular,Occlusions, Cerebrovascular,Vascular Disease, Intracranial,Vascular Disorder, Brain,Vascular Disorder, Intracranial,Vascular Disorders, Brain,Vascular Disorders, Intracranial
D004185 Disability Evaluation Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits. Disability Evaluations,Evaluation, Disability,Evaluations, Disability
D005260 Female Females
D005602 France A country in western Europe bordered by the Atlantic Ocean, the English Channel, the Mediterranean Sea, and the countries of Belgium, Germany, Italy, Spain, Switzerland, the principalities of Andorra and Monaco, and by the duchy of Luxembourg. Its capital is Paris. Corsica,Saint Pierre and Miquelon,Miquelon and Saint Pierre,Miquelon and St. Pierre,St. Pierre and Miquelon
D006301 Health Services Needs and Demand Health services required by a population or community as well as the health services that the population or community is able and willing to pay for. Health Services Needs,Needs,Needs and Demand, Health Services,Target Population,Health Services Need,Need, Health Services,Needs, Health Services,Population, Target,Populations, Target,Target Populations
D006757 Hospital Units Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards. Hospital Unit,Unit, Hospital,Units, Hospital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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