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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:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 3a-Proportion of patients with a final diagnosis of acute stroke who have documented treatment in a stroke unit
METeOR identifier:Help on this term627765
Registration status:Help on this termHealth, Candidate 14/03/2017
Description:Help on this term

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.

Rationale:Help on this term

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:Help on this termClinical care standard indicators: acute stroke Health, Candidate 14/03/2017
Outcome area:Help on this termStroke unit care Health, Standardisation pending 04/04/2017

Collection and usage attributes

Computation description:Help on this term

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:

  • co-located beds within a geographically defined unit
  • dedicated, multidisciplinary team with members who have a special interest in stroke or rehabilitation
  • a multidisciplinary team that meets at least once per week to discuss patient care
  • the team has access to regular professional development and education relating to stroke (NSF 2015).

There are two types of stroke units that treat acute stroke patients:

  1. Acute stroke unit, which accepts patients acutely but separates patients early (usually within 7 days).
  2. Comprehensive stroke unit, which accepts patients acutely but also provides rehabilitation for at least several weeks.

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.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

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.

Denominator:Help on this term

Number of patients with a final diagnosis of acute stroke who separated from hospital.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

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

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