alexa Impact of Acute Stroke Unit on Patient Outcomes in Saudi Arabia | OMICS International| Abstract
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International Journal of Physical Medicine & Rehabilitation
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  • Research Article   
  • Int J Phys Med Rehabil 2019, Vol 7(4): 523

Impact of Acute Stroke Unit on Patient Outcomes in Saudi Arabia

Ali M Al Khathaami1,2,3*, Shahla Aldhokair3, Maisoun Tarawneh1, Ismail Khatri1,2,3 and Nasser Alotaibi1,2,3
1King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia
2College of Medicine, King Saud Bin Abdul Aziz University for Health Sciences, Riyadh, Saudi Arabia
3King Abdulla International Medical Research Center, Riyadh, Saudi Arabia
*Corresponding Author : Ali M Al Khathaami, King Abdulaziz Medical City, National Guard Health Affairs, College of Medicine, Riyadh, Saudi Arabia, Tel: (858)-750- 9074, Email: [email protected]

Received Date: Jul 29, 2019 / Accepted Date: Aug 07, 2019 / Published Date: Aug 14, 2019

Abstract

Background: Evidence from developed countries indicates that acute stroke units (ASUs) improve stroke outcomes. Data from developing countries on efficacy of ASUs are limited.

Aims: To determine whether establishing an ASU impacts stroke outcomes in the Saudi health care system.

Methods: This improvement project was conducted at King Abdulaziz Medical City in Riyadh, Saudi Arabia from January 2012 to December 2013. An ASU was established to provide improved care for stroke patients. We compared death, unfavourable outcomes, independence at discharge, and NIHSS at discharge between patients treated by traditional practice versus those treated in an ASU using multiple regression analysis.

Results: Of 861 patients admitted with initial diagnoses of acute stroke, 525 were treated in an ASU. Patients admitted to the ASU were younger and had less medical comorbidity compared to those treated in traditional practices. After adjustment for age, sex, comorbidities, stroke severity, and stroke classification, ASU admission was associated with milder neurological deficit at discharge as measured by National Institutes of Health Stroke Scale (NIHSS). Furthermore, non-adherence to best practices was lower in patients treated in an ASU compared to general floors. Patients admitted to an ASU had shorter lengths of stay. There were no significant differences between the two groups in rate of death, unfavourable outcomes, or independence at discharge.

Conclusion: Establishment of an ASU in the Saudi health care system improved adherence to best practices, reduced LOS, and was associated with lower stroke severity at discharge.

Keywords: Stroke; Saudi Arabia; Stroke unit; Death; Complications

Citation: Khathaami AMA, Aldhokair S, Tarawneh M, Khatri I, Alotaibi N (2019) Impact of Acute Stroke Unit on Patient Outcomes in Saudi Arabia. Int J Phys Med Rehabil 7:523.

Copyright: © 2019 Khathaami AMA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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