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Neuro-imaging

Quality statement

Patients with acute stroke receive brain imaging within 1 hour of arrival at the hospital if they meet any of the indications for immediate imaging.

Quality measure

Structure

Evidence of local arrangements to ensure patients with acute stroke receive brain imaging within 1 hour of arrival at the hospital if they meet any of the indications for immediate imaging.

Process

Proportion of patients with acute stroke who meet any of the indications for immediate imaging who have had brain imaging within 1 hour of arrival at the hospital.

Numerator: the number of patients who have had brain imaging within 1 hour of arrival at the hospital.

Denominator: the number of patients with acute stroke attending hospital who meet any of the indications for immediate imaging.

Description of what the quality statement means for each audience

Service providers ensure facilities and protocols are available for patients to receive brain imaging within 1 hour of arrival at the hospital if they meet any of the indications for immediate imaging.

Healthcare professionals ensure that patients under their care with acute stroke receive brain imaging within 1 hour of arrival at the hospital if the criteria for immediate imaging are met.

Commissioners ensure that services they commission enable patients to receive brain imaging within 1 hour of arrival at the hospital if they meet any of the indications for immediate imaging.

Patients with acute stroke with any of the indications for immediate brain imaging can expect to receive this within 1 hour of arrival at the hospital.

Definitions

NICE clinical guideline 68 states that brain imaging should be performed immediately for people with acute stroke if any of the following apply:

  • Indications for thrombolysis or early anticoagulation treatment (for further information, please refer to NICE technology appraisal 122 ‘Alteplase for the treatment of acute ischaemic stroke'.)
  • On anticoagulant treatment.
  • A known bleeding tendency.
  • A depressed level of consciousness (Glasgow Coma Score below 13).
  • Unexplained progressive or fluctuating symptoms.
  • Papilloedema, neck stiffness or fever.
  • Severe headache at onset of stroke symptoms.

Data source

Structure

Local data collection.

Process

Trusts can collect data via the Sentinel Stroke Audit, Hospital Episode Statistics (HES) data and through local data collection.

Stroke
Ambulance screening and transfer to an acute stroke unit
Neuro-imaging
Admission of patients with suspected stroke
Swallowing screening and nutrition management
Assessment and management of patients with stroke
Ongoing inpatient rehabilitation
Ongoing rehabilitation
Continence management
Mood disturbance and cognitive impairments
Ongoing outpatient rehabilitation assessment
Carer provisions

This page was last updated: 22 November 2010

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.