Acute stroke clinical care standard indicators: 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit|
|Registration status:||Health, Candidate 14/03/2017|
Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit at any time during their hospital stay, in the reference Local Hospital Network (LHN) or other stroke network.
There is strong evidence that specialised stroke units, staffed with a multidisciplinary team of stroke specialists, improve patient outcomes and reduce stroke mortality (ACHS 2012; NSF 2013).
|Indicator set:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Stroke unit care Health, Standardisation pending 04/04/2017|
Collection and usage attributes
Both the numerator and the denominator include patients with a final diagnosis of acute stroke.
For the numerator, a ‘stroke unit’ is defined as care provided in a hospital ward with the following minimum elements:
There are two types of stroke units that treat acute stroke patients:
Each model has a service provided in a discrete ward or dedicated beds within a larger ward, with a specialised multidisciplinary team with allocated staff for the care of patients with stroke. The numerator includes patients admitted to either type of stroke unit.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke who separated from hospital with documented evidence of treatment in a stroke unit at any time during their acute hospital stay.
Number of patients with a final diagnosis of acute stroke who separated from hospital.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
ACHS (Australian Council on Healthcare Standards) 2012. ACHS Clinical indicator users’ manual 2012. Sydney: ACHS
NSF (National Stroke Foundation) 2013. National stroke audit: acute services clinical audit report. Melbourne: NSF
NSF 2015. Acute stroke services framework. Melbourne: NSF