Abstract

Background: Spontaneous intracerebral hemorrhage (SICH) is a common type of stroke. The traditional medical care model for SICH has many disadvantages. The multidisciplinary team model emphasizes on physician-nurse and multidisciplinary collaboration. However, no studies have reported the effect of the multidisciplinary team model on SICH patients in a general hospital in mainland China. Our research presents some evidence by prospectively collecting the clinical medical records and follow-up data of our department in recent years. Methods: This study prospectively collected clinical data of hospitalized patients with SICH from December 2009 to December 2011 and followed up on them. The traditional mode group (n=92) (from December 2009 to November 2010) was managed by the traditional model. And the new model group (n=98) (from December 2010 to December 2011) was implemented by the new model of the multidisciplinary. Our research was to investigate indicators including hospital stay, cost of hospitalization, proportion of complications, and readmission rate in each group. Results: The difference was not statistically significant on the baseline data. The hospitalization time of the new model group was lower than that of the traditional model group (10.21±6.12 vs. 13.61±6.12 d, P<0.05). However, the hospitalization expenses of the new model group did not show statistical difference from the traditional model group (4.88±3.01 ten thousand yuan vs. 4.77±3.12 ten thousand yuan, P>0.05). The proportion of complications in the new model group (20.41%) was lower than in the traditional model group (40.22%), and the difference was statistically significant (P<0.05). Pulmonary infection rates of the new and the traditional model were 11.22% and 25.00%, respectively, which was statistically significant (P<0.05). A statistically significant difference (P<0.05) of readmission rate was found between the traditional model group (30.34%) and the new model group (17.20%). Conclusions: Compared with the traditional model group, the multidisciplinary team model showed lower hospitalization time, frequency of complications, and readmission rate. However, the hospitalization expenses had no differences.

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