Role of monitoring in management of acute XXXX @entity1 .

@entity1 @entity16 @entity64 @entity385
BACKGROUND AND PURPOSE: Although several studies have demonstrated the effectiveness of specialist @entity64 ( @entity64 ) care of @entity64 @entity1 , there is still disagreement over how these units are best organized. We sought to clarify the role of continuous monitoring of physiological parameters in acute @entity385 . METHODS: We conducted a prospective study of 268 first-ever @entity385 @entity1 admitted to our Cerebrovascular Department and allocated, according to the availability of beds, to the @entity64 or Cerebrovascular Unit (CU). Statistical analysis compared mortality and outcome at discharge, medical and @entity16 , and length of hospitalization in the 2 care settings. RESULTS: Two hundred sixty-eight @entity1 were enrolled. A good outcome at discharge, observed in 114 @entity64 @entity1 (85%) and 78 CU @entity1 (58%) (odds ratio, 2.63; 95% CI, 1.4 to 4.8; P<0.02), was found, on multivariate analysis, to be significantly related to type of care ( @entity64 versus CU). A significantly greater proportion of @entity64 @entity1 showed adverse changes in monitored parameters, which required acute medical treatment ( @entity64 : 64%; CU: 19%; P<0.0001). The mean duration of these complications was significantly shorter in the @entity64 @entity1 ( @entity64 : 1.0 day; CU: 2.4 days; P<0.02), and the outcome in @entity1 experiencing complications covered by the monitoring protocol was significantly better in the @entity64 (66%) than in the CU (35%) group (P<0.0001). CONCLUSIONS: Admission of @entity64 @entity1 to a monitoring @entity64 may positively influence their outcome at discharge. Confirmation of our findings in larger trials will indicate the need for a revision of the minimum requirements of SUs, with the addition of monitoring as a new requirement.
