organised stroke care needed

2 VIEWS & REVIEWS Organised stroke care needed 'Hospitals must act now to develop organised· systems of care for patients with acute stroke', according to Peter Sandercock from Western General Hospital, Edinburgh, UK. There is now clear evidence that organised stroke care saves lives. However, more data is required on the cost-effectiveness of such care. An overview of available studies has indicated that organised stroke care reduces l2-month mortality by more than a quarter compared with routine management [see Inpharma 901: 2. 21 Aug 1993]. The publication of this overview is 'the greatest recent leap forward in managing stroke' says Peter Sandercock. As a result, Scandinavian countries have started to set up specialised stroke units, and other developed countries are now beginning to follow their example. It remains unclear which medical treatment is effective in the acute period of stroke, but this uncertainty is currently being addressed by many different clinical trials on new and existing medical treatments. Sandercock P Managing stroke: the way forward. Organised stroke care saves lives. British Medical Journal 307: 1297·1298.20 Nov 1993 ."",,,., "Z1 Nov 1993INPHARMA" ISSN 0156.2703/93/1127.0021$1.00° Ads Inlamllicnal iii

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2 VIEWS & REVIEWS

Organised stroke care needed 'Hospitals must act now to develop organised·

systems of care for patients with acute stroke', according to Peter Sandercock from Western General Hospital, Edinburgh, UK.

There is now clear evidence that organised stroke care saves lives. However, more data is required on the cost-effectiveness of such care. An overview of available studies has indicated that organised stroke care reduces l2-month mortality by more than a quarter compared with routine management [see Inpharma 901: 2. 21 Aug 1993]. The publication of this overview is 'the greatest recent leap forward in managing stroke' says Peter Sandercock. As a result, Scandinavian countries have started to set up specialised stroke units, and other developed countries are now beginning to follow their example.

It remains unclear which medical treatment is effective in the acute period of stroke, but this uncertainty is currently being addressed by many different clinical trials on new and existing medical treatments. Sandercock P Managing stroke: the way forward. Organised stroke care saves lives. British Medical Journal 307: 1297·1298.20 Nov 1993 ."",,,.,

"Z1 Nov 1993INPHARMA" ISSN 0156.2703/93/1127.0021$1.00° Ads Inlamllicnal iii

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Stroke Services...Foreword The way that stroke services are organised will have a major impact on outcomes after stroke. We have robust evidence that management on a stroke unit saves