Stroke unit admission is associated with better outcome and lower mortality in patients with intracerebral hemorrhage Article Swipe
Matthias N. Ungerer
,
Peter A. Ringleb
,
Björn Reuter
,
Christian Stock
,
Franziska M. Ippen
,
Sonja Hyrenbach
,
Ingo Bruder
,
Peter Martus
,
Christoph Gumbinger
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/ene.14164
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/ene.14164
Background and purpose There is no clear consensus among current guidelines on the preferred admission ward [i.e. intensive care unit (ICU) or stroke unit (SU)] for patients with intracerebral hemorrhage. Based on expert opinion, the American Heart Association and European Stroke Organization recommend treatment in neurological/neuroscience ICUs (NICUs) or SUs. The European Stroke Organization guideline states that there are no studies available directly comparing outcomes between ICUs and SUs. Methods We performed an observational study comparing outcomes of 10 811 consecutive non‐comatose patients with intracerebral hemorrhage according to admission ward [ICUs, SUs and normal wards (NWs)]. Primary outcomes were the modified Rankin Scale score at discharge and intrahospital mortality. An additional analysis compared NICUs with SUs. Results Treatment outside an SU was associated with higher odds for an unfavorable outcome [ICU vs. SU: odds ratio (OR), 1.27; 95% confidence interval (CI), 1.09–1.46; NW vs. SU: OR, 1.28; 95% CI, 1.08–1.52] and higher odds for intrahospital mortality (ICU vs. SU: OR, 2.11; 95% CI, 1.75–2.55; NW vs. SU: OR, 1.52; 95% CI, 1.23–1.89). A subgroup analysis of severely affected patients treated in dedicated NICUs (vs. SUs) showed that they had a lower risk of a poor outcome (OR, 0.45; 95% CI, 0.26–0.79). Conclusions Treatment in SUs was associated with better functional outcome and reduced mortality compared with ICUs and NWs. Our findings support the current guideline recommendations to treat patients with intracerebral hemorrhage in SUs or NICUs and suggest that some patients may further benefit from NICU treatment.
Related Topics
Concepts
Medicine
Intracerebral hemorrhage
Stroke (engine)
Emergency medicine
Spontaneous intracerebral hemorrhage
Internal medicine
Cardiology
Subarachnoid hemorrhage
Engineering
Mechanical engineering
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ene.14164
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14164
- OA Status
- hybrid
- Cited By
- 27
- References
- 14
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3005464668
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3005464668Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/ene.14164Digital Object Identifier
- Title
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Stroke unit admission is associated with better outcome and lower mortality in patients with intracerebral hemorrhageWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-02-06Full publication date if available
- Authors
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Matthias N. Ungerer, Peter A. Ringleb, Björn Reuter, Christian Stock, Franziska M. Ippen, Sonja Hyrenbach, Ingo Bruder, Peter Martus, Christoph GumbingerList of authors in order
- Landing page
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https://doi.org/10.1111/ene.14164Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14164Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/ene.14164Direct OA link when available
- Concepts
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Medicine, Intracerebral hemorrhage, Stroke (engine), Emergency medicine, Spontaneous intracerebral hemorrhage, Internal medicine, Cardiology, Subarachnoid hemorrhage, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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27Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 5, 2023: 5, 2022: 5, 2021: 4Per-year citation counts (last 5 years)
- References (count)
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14Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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