Acute stroke clinical care standard indicators: 1b-Assessment in the emergency department
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 1b-Assessment in the emergency department|
|Registration status:||Health, Candidate 14/03/2017|
Proportion of patients admitted to hospital following presentation to the emergency department (ED) with a final diagnosis of acute stroke who were screened for stroke in the ED using a validated stroke screening tool.
Early recognition of acute stroke symptoms is critical to ensuring optimal outcomes for stroke patients (NSF 2010).
|Indicator set:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Early assessment Health, Candidate 14/03/2017|
Collection and usage attributes
Both the numerator and the denominator include patients admitted to hospital following presentation to the ED with a final diagnosis of acute stroke. The final diagnosis may be made at the hospital where the patient presented to the ED, or at another hospital within the local hospital network where the patient was transferred subsequent to their presentation to the ED.
For the numerator, some validated screening tools for stroke include the F.A.S.T. (Face, Arm, Speech and Time) test (NSF 2015) and the Recognition of Stroke in the Emergency Room (ROSIER) scale (Nor et al. 2005).
The F.A.S.T. test is:
The ROSIER scale has been found to sensitively identify stroke, thereby helping ED staff to make appropriate referrals to the stroke team.
Both the numerator and denominator exclude:
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients admitted to hospital following presentation to an ED with a final diagnosis of acute stroke who were screened for stroke in the ED using a validated stroke screening tool.
Number of patients admitted to hospital following presentation to an ED with a final diagnosis of acute stroke.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF
Nor AM, Davis J, Sen B, Shipsey D, Louw SJ, Dyker AG et al. 2005. The recognition of stroke in the emergency room (ROSIER) scale: development and validation of a stroke recognition instrument. Lancet Neurology 4(11):727-734