脳神経外科診療におけるｓｔｒｏｋｅ　ｃａｒｅ　ｕｎｉｔの現状と課題

概要

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A stroke care unit (SCU) was established in Nagasaki University Hospital in June 2008, and comprehensive stroke care, together with a neurologist, neurosurgeon, dentist, physiotherapist, nurse and case worker, started. Totally, 236 patients, 143 males and 93 females aged from 1 to 97 years old (mean 63.3 years), were treated in SCU over a period of 12 months. The diagnostic category treated in SCU was cerebral infarction in 89 patients, cerebral hemorrhage in 71 patients and subarachnoid hemorrhage in 31 patients. In addition to stroke patients, patients with epilepsy or head injury and patients requiring neurological surgery were also treated in SCU. Advanced acute rehabilitation was applied to 160 patients. Dysphasia was evaluated by the dentist, and 87 patients were received dysphasia management. The hospital stay was shortened from 28 days to 22. An SCU is useful for the treatment of stroke patients as well as neurosurgical patients.
一般社団法人日本脳卒中の外科学会の論文