Abstract

This is a good time to be involved in stroke care. The meta-analysis of Langhorne and colleagues, 1 Langhorne P Williams BO Gilchrist W Howie K Do stroke units save lives?. Lancet. 1993; 342: 395-398 Summary PubMed Scopus (558) Google Scholar which showed the effectiveness of organised stroke care, has provided objective evidence that stroke patients fare better when they are looked after by experts in a setting responsive to their complex needs. Lives are saved and disability is reduced, an effect that may be sustained in the long term. 2 Indredavik B Slordahl SA Bakke F Rokseth R Haheim LL Stroke unit treatment: long-term effects. Stroke. 1997; 28: 1861-1866 Crossref PubMed Scopus (229) Google Scholar There is some evidence that this beneficial effect is at least in part due to rehabilitation, in as much as more rehabilitation is sometimes associated with a better functional outcome. 3 Lanhorne P Wagenaar R Partridge C Physiotherapy after stroke: more is better?. Physiother Res Int. 1996; 1: 75-88 Crossref PubMed Scopus (232) Google Scholar

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