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Acute stroke care in an Irish general hospital.

A majority of in-patients with acute stroke in Ireland are cared for by general physicians. We studied the process of care and outcomes of stroke patients admitted to an acute general hospital in a rural setting. Ninety-five patients (55 males and 40 females) were admitted over 36 weeks. A majority of patients had a CT brain scan (97%) and were assessed by the multidisciplinary team (59-70%). The mean length of stay was 16.6 days. In patient mortality was 18.9%. The commonest discharge destination was to the Medical Rehabilitation Unit (44%). A high prevalence of cardiovascular risk factors was identified indicating significant potential for secondary prevention.