On weekends, the chance of survival decreases in stroke
Suddenly the language is gone, the vision clouded, numbness spread to the arms or legs. A stroke occurs without warning and may be fatal.
Between 25 and 45 percent of these patients die within the first few weeks. Particularly poor prognosis is evident when people get on the weekend a stroke.
This is a study from Canada in the journal Stroke (online). Gustavo Saposnik The neurologist from Toronto and his colleagues have analyzed data from 26 676 patients who had a stroke during a year with the hospital. 2039 people died in the first seven days after the attack. Those who had been brought to the hospital at the weekend had to die, a 13 percent higher risk than the patients who came to the hospital on weekdays.
The weekend effect was even greater when the patients were in a rural hospital in an urban place, and if a general rather than a specialist service had. "The results do not surprise," says Werner Hacke, "President of the European Stroke Initiative." In no hospital available at all times the same quality of medical care. "Study leader Saposnik suggests the following possible reasons for the higher death rate on weekends a worse medical equipment, a lower number of doctors and nurses and lack of expertise.
"It does not rely on the expertise of the individual, but on a good team," says Hoe. In Germany, therefore - as in other countries - Stroke units (stroke units) was established. This will commence immediately after the acute treatment of swallowing training, language exercises and physiotherapy - regardless of whether the stroke occurred during the week or on weekends. "Swallowing training is important because many die patient, because they screw up and get pneumonia," says Hoe. comes Unfortunately not every stroke patient to a stroke unit - these are located mostly in urban centers. should be handled immediately if signs of a stroke. "Call the ambulance or equal to the clinic," said Saposnik. The sooner the better - with the motto "time is brain".
From: Sueddeutsche Zeitung No. 58, Saturday 10 March 2007
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