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22. European Stroke Conference Table 1. Comparison of disability changed between the periods 2002-2009 and 2010-2012 of pa-tients referred to rehabilitation. Variável 2002 – 2009 (n = 79) 2010 – 2012 (n = 80) p value Age on admission (y) 57 (10 – 90) 65 (32 – 90) 0,002 (1) Male 49,4% 53,2% 0,634 (2) Time admission-discharged (m) 10,5 (0 – 60) 7 (0 – 60) 0,036 (1) Time discharged-rehabilitation (m) 1,3 (0 – 99) 1,0 (0 – 12) 0,095 (1) Stroke Ischaemic 96,1% 95,0% 1,000 (3) Hemorrhagic 3,9% 5,0% Topography Ataxia 1,5% 0,0% 1,000 (3) Hemiplegia 97,0% 100,0% Paraplegia 1,5% 0,0% mRS 0 a 2 48,1% 72,2% 3 36,7% 15,2% 0,004 (3) 4 13,9% 10,1% 5 1,3% 2,5% Legends: n: number of patients; y: years; m: months; mRS: modified Rankin Scale; (1) Mann-Whit-ney, (2) Qui-quadrado, (3) Fisher exact test 206 © 2013 S. Karger AG, Basel 7. Nurses & AHP‘s Meeting 2020 Difficult cases The management of patients with functional neurological disorder on a Hyper-acute Stroke Unit. K.A. Bull1, C. O’Neill2 University College Hospital, London, UNITED KINGDOM1, University College Hospital, Lon-don, UNITED KINGDOM2 Over a six month period an audit was completed on patients admitted to the Hyper-acute Stroke Unit (HASU) at University College Hospital with a Functional Neurological Disorder. The audit aimed to find out frequency of this patient group’s admission, their length of stay, diagno-sis as documented on their discharge summary and how they were followed up. This audit was completed by MDT therapy staff on the HASU and included patients seen by thera-pists between Monday-Friday. A patient was classed to be showing a functional Neurological disor-der by the auditing therapists when symptoms were inconsistent on formal assessment and in func-tion, for example collapsing weakness or variation with attention and symptoms were inconsistent with known neurological disease but with personal beliefs of physiology and anatomy. Classification was also made based on a clear CT and or MRI scan. Over the audit period 26 patients were admitted with these signs. Length of stay varied from 24 hours to 6 days with an average stay of 3 days. A large disparity was found in terminology used to describe the diagnosis on the discharge documentation showing inconsistencies of management. Follow up arranged also differed between patients. Most patients with symptoms on discharge had planned follow up in a neurology clinic bu those patients whose symptoms resolved were frequently not followed up or a GP visit was advised. Following the audit it was felt that a more consistent approach was required for this patient group who were highlighted as being seen on a frequent basis. A pathway for management of patients with neurological disorder was developed on the unit encompassing agreed terminology and MDT roles and responsibility to provide best care and to facilitate recovery based on available research on man-agement of these patients. Work has begun with a Consultant with specialist interest in patients with Neurological disorder within the Hospital Trust to create a clinic for early follow up to facilitate recovery and prevent re-admission.


Karger_ESC London_2013
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