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Acute stroke unit care and early neurological deterioration in ischemic stroke.

J Neurol

July 2008

Unitat d'Ictus, Servei de Neurologia, Hospital Universitari del Mar, Dept. de Medicina, Universitat Autònoma de Barcelona IMIM-Hospital del Mar, Passeig Marítim 25-29, 08003 Barcelona, Spain.

Objective: To evaluate the impact that monitored acute stroke unit care may have on the risk of early neurological deterioration (END), and 90-day mortality and mortality-disability.

Methods: Non-randomized prospective study with consecutive patients with acute ischemic stroke (AIS) admitted to a conventional care stroke unit (CCSU), from May 2003 to April 2005, or to a monitored acute stroke unit (ASU) from May 2005 to April 2006. END was defined as an increase in the NIHSS score >or= 4 points in the first 72 hours after admission.

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