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Admission of patients with suspected stroke

Quality statement

Patients with suspected stroke are admitted directly to a specialist acute stroke unit and assessed for thrombolysis, receiving it if clinically indicated.

Quality measure

Structure

Evidence of local arrangements to ensure thatpatients with suspected stroke are admitted directly to a specialist acute stroke unit and are assessed for thrombolysis, receiving it if clinically indicated.

Process

(a) Proportion of patients admitted directly to a specialist acute stroke unit and assessed for thrombolysis.

Numerator: the number of patients admitted directly to a specialist acute stroke unit and assessed for thrombolysis.

Denominator: the number of patients with suspected stroke admitted to hospital.

(b) Proportion of patients with suspected stroke assessed for thrombolysis who receive it in accordance with NICE technology appraisal guidance 122 (2007) and NICE clinical guideline CG68 (2008).

Numerator: the number of patients who received thrombolysis in accordance with NICE technology appraisal guidance 122 (2007) and NICE clinical guideline CG68 (2008).

Denominator: the number of patients with suspected stroke assessed to require thrombolysis.

Description of what the quality statement means for each audience

Service providers ensure that patients with suspected stroke are admitted directly to a specialist acute stroke unit to be assessed for thrombolysis, receiving it if clinically indicated.

Healthcare professionals admit all patients with suspected stroke directly to a specialist acute stroke unit to be assessed for thrombolysis, which is administered if clinically indicated.

Commissioners ensure services admit all patients with suspected stroke directly to a specialist acute stroke unit to be assessed for thrombolysis, which is administered if clinically indicated.

Patients with suspected stroke can expect to be admitted directly to a specialist acute stroke unit to be assessed for thrombolysis, which is administered if clinically indicated.

Definitions

Direct admission to a specialist acute stroke unit includes those who first attended emergency departments. It is not defined as transfers from other departments such as medical assessment units or emergency admission units.

Each specialist acute stroke unit should have immediate access to:

  • clinical staff specially trained in the delivery of acute medical care to stroke patients, including the diagnostic and administration procedures needed for the safe and effective delivery of thrombolysis
  • nursing staff trained in the management of acute stroke, covering both its neurological and general medical aspects
  • imaging and laboratory services
  • specialist rehabilitation staff.

Data Source

Structure

Local data collection.

Process

Trusts can collect data via Stroke Improvement Programme National Project 2009-10 (SINAP), 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.