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Stroke and transient ischaemic attack in over 16s: diagnosis and initial management [NG128]

Measuring the use of this guidance

Recommendation: 1.3.3

Perform scanning as soon as possible and within 24 hours of symptom onset in everyone with suspected acute stroke without indications for immediate brain imaging.

What was measured: Proportion of applicable stroke patients scanned within 1 hour of clock start.
Data collection end: March 2015
44.1%
Data collection end: March 2016
47.4%
Data collection end: March 2017
51.3%
Data collection end: March 2018
52.5%
Data collection end: March 2019
54.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.


Recommendation: 1.4.1

Alteplase is recommended within its marketing authorisation for treating acute ischaemic stroke in adults if: - treatment is started as soon as possible within 4.5 hours of onset of stroke symptoms and - intracranial haemorrhage has been excluded by appropriate imaging techniques.

What was measured: Proportion of eligible patients given thrombolysis.
Data collection end: March 2015
80.6%
Data collection end: March 2016
84.9%
Data collection end: March 2017
86.8%
Data collection end: March 2018
87.5%
Data collection end: March 2019
86.6%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.

What was measured: Proportion of patients who were thrombolysed within 1 hour of clock start.
Data collection end: March 2015
56%
Data collection end: March 2016
58.5%
Data collection end: March 2017
62.2%
Data collection end: March 2018
63.6%
Data collection end: March 2019
62.5%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.


Recommendation: 1.6.1

On admission, ensure that people with acute stroke have their swallowing screened by an appropriately trained healthcare professional before being given any oral food, fluid or medication.

What was measured: Proportion of applicable patients who receive a swallow screen within 4 hours of clock start.
Data collection end: March 2015
68%
Data collection end: March 2016
71.5%
Data collection end: March 2017
73.7%
Data collection end: March 2018
75.3%
Data collection end: March 2019
76.2%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.


Recommendation: 1.6.2

If the admission screen indicates problems with swallowing, ensure that the person has a specialist assessment of swallowing, preferably within 24 hours of admission and not more than 72 hours afterwards.

What was measured: Proportion of applicable patients who receive a formal swallow assessment within 72 hours of clock start.
Data collection end: March 2015
82.5%
Data collection end: March 2016
83.8%
Data collection end: March 2017
86.8%
Data collection end: March 2018
87.6%
Data collection end: March 2019
88.6%
Area covered: Great Britain
Source: Royal College of Physicians. Sentinel Stroke National Audit Programme.



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