Stroke Circulatory System Stroke
Conditions
Interventions
During the two year programme a 10-month breakthrough series (BTS) cycle ran twice. At the start of the study, hospitals were randomly allocated to intervention or control. In the first year only the
Sponsors
Salford Royal NHS Foundation Trust (UK)
Eligibility
Inclusion criteria
Inclusion criteria: Hospitals were included if they offered acute stroke services to patients living in the North West Strategic Health Authority (SHA).
Exclusion criteria
Exclusion criteria: Hospitals admitting fewer than 100 eligible patients per year, or unable to commit a dedicated team for participation, were excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Adherence to the two bundles of processes and percentage of compliance to the bundles of care, known as ?all or none? measurement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Process measures: hospitals in the intervention were asked to conduct a retrospective audit of up to 20 sets of stroke notes from the 6 months preceding the commencement of the collaborative and monthly thereafter. Data abstraction was carried out in accordance with the RCP sentinel audit guidelines (http://www.rcplondon.ac.uk/resources/national-sentinel-stroke-audit). Hospitals were asked to obtain the following process measures: - Time between admission and brain scan and the percentage of patients scanned within 24 hours - Time between admission and delivery of 1st dose of aspirin and the percentage of patients receiving aspirin within 24 hours - Percentage of patients receiving a swallow screen within 24 hours - Percentage of patients weighed during their inpatient stay - Percentage of patients assessed by a physiotherapist within 72 hours - Percentage of patients assessed by an Occupational Therapist within 7 days - Percentage of patients spending 50% or more of admission on an Acute Stroke Unit - Percentage of patients receiving a mood assessment - Percentage of patients with multidisciplinary team goals reviewed weekly - Crude inpatient and 30 day mortality - Length of stay - 30-day readmission rate - 30-day Modified Rankin (assessment of residual disability / functional outcome) | — |
Countries
United Kingdom
Outcome results
None listed