Acute stroke clinical care standard indicators: 2a-Transport to a hospital able to provide thrombolysis
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 2a-Transport to a hospital able to provide thrombolysis|
Proportion of patients with a final diagnosis of acute stroke who were transported by ambulance to a hospital able to provide thrombolysis.
Access to thrombolysis remains low in Australia, though some Australian centres have achieved thrombolysis rates of 20% (NSF 2013). Access to timely thrombolysis is a validated predictor of ischaemic stroke patient outcome, shown to reduce length of acute stay and potentially reduce in-hospital mortality (Hamidon & Dewey 2007).
|Indicator set:||Clinical care standard indicators: acute stroke|
Health, Recorded 14/03/2017
|Outcome area:||Time-critical therapy|
Health, Recorded 04/04/2017
Collection and usage attributes
The reference population for this indicator could be the ambulance service or local hospital network (LHN). The choice of reference population depends on the service that is generating the indicators for local review (i.e. ambulance or health service), and the structure of ambulance services (i.e. whether they map to LHNs).
Both the numerator and the denominator include patients with a final diagnosis of acute stroke. The final diagnosis is made at the hospital where the patient is admitted for the acute phase of management of their stroke.
Both the numerator and denominator exclude:
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke who were transported by ambulance to a hospital able to provide thrombolysis.
Number of patients with a final diagnosis of acute stroke.
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
Hamidon BB & Dewey HM 2007. Impact of acute stroke team emergency calls on in-hospital delays in acute stroke care. Journal of Clinical Neuroscience 14(9):831–834
NSF (National Stroke Foundation) 2013. National stroke audit: acute services clinical audit report. Melbourne: NSF
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