Tony Urbas

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12.2 Million

New Strokes Per Year Worldwide

101 Million

People are Living with Stroke Aftermath

Can Architecture start to help lower these numbers??

Some studies are starting to highlight the importance of specialized units and layout of care facilities in aiding after care.

• In the U.S close to 800,000 people have a stroke per year.

• 20 Percent of those patients need 3 or more months of extended care.

800,000 New stroke patients per year*

• Of that 20 percent the majority of patients end up in unspecialized nursing homes.

• At home care has the best results but costs the most while nursing homes are the cheapest but patients have much less of a chance of leaving

• A stroke specific rehabilitation center can help to get more patients out of the hospital and back home with their families

20% of patients require +3 months of extended care*

*According to the CDC

u.S Stroke Demographic

Local Hospitals

• Cleveland Clinic Main campus -huge medical campus that severe stroke patients get transfered to.

• University Hospitals Main campus -huge medical campus that also serves many stroke patients.

• Many local hospitals in the suburbs of Cleveland.

• Parma could serve as a good central location outside of the city.

• Langhorne P, Ramachandra

S. Organised inpatient (stroke unit) care for stroke: network meta‐analysis. Cochrane Database of Systematic Reviews 2020, Issue 4. Art. No.: CD000197. DOI: 10.1002/14651858.CD000197. pub4. Accessed 11 January 2023.

• Site is on a quieter main road in Parma, Ohio.

• Site is directly South of the Local high school.

• To the East is a walking/exercise trail.

• Apartment complex to the south.

• Heidi Janssen, Louise Ada, Julie Bernhardt, Patrick McElduff, Michael Pollack, Michael Nilsson & Neil J. Spratt (2014) An enriched environment increases activity in stroke patients undergoing rehabilitation in a mixed rehabilitation unit: a pilot nonrandomized controlled trial, Disability and Rehabilitation, 36:3, 255-262, DOI: 10.3109/09638288.2013.788218

Site
Advanced Units Main Facility Community engagement Intermediate unit
5’ 10’ 15’ 25’ Micro-Unit 6 advanced patient beds
5’ 10’ 15’ 25’ Micro-Unit 6 advanced patient beds
5’ 10’ 15’ 25’ Main Building 8 new patient beds
5’ 10’ 15’ 25’ Main Building 8 patient beds
5’ 10’ 15’ 25’ main building 8 new patient beds
5’ 10’ 15’ 25’ Community building meeting spaces and restaurant
5’ 10’ 15’ 50’ Main Building 10 new patient Beds
5’ 10’ 15’ 50’ Main Building Level 2
5’ 10’ 15’ 50’ Intermediate Building 36 Patient beds
5’ 10’ 15’ 50’ intermediate building Level 2
5’ 10’ 15’ 25’ Micro-Unit 2 6 advanced patient beds
5’ 10’ 15’ 25’ Micro-Unit 6 advanced patient beds
5’ 10’ 15’ 25’ Micro-Unit 1 6 advanced patient beds
5’ 10’ 15’ 25’ Community space and Restaurant

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