Abstract

Of 2, 108 cerebrovascular accident patients discharged from a teaching hospital in Baltimore during eleven years, three-fourths of all deaths occurred within one week of admission. The median stay in hospital for live discharges was twelve days, and one per cent of patients remained in hospital after three months. Subarachnoid haemorrhage patients remained considerably longer than other diagnostic groups, possibly because it seemed more appropriate to allow this younger group to attain a greater degree of recovery. Mortality gradually fell and the frequency of surgical care gradually rose during the study period. Operative care was more frequent following the annual change of interns and residents; it was not certain that these phenomenon were related, however. Surgical care and deaths were more common in low-income patients; this group included more local residents, who were probably more seriously ill than those who travelled considerable distances for their care.

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