Acute stroke clinical care standard indicators: 3b-Proportion of stroke patients spending at least 90% of their acute hospital stay in a stroke unit
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 3b-Proportion of stroke patients spending at least 90% of their acute hospital admission in a stroke unit|
|Registration status:||Health, Candidate 14/03/2017|
Proportion of patients with a final diagnosis of acute stroke who spend at least 90% of their acute hospital stay in a stroke unit.
Good care on a dedicated stroke unit is the single most effective way to improve outcomes for people with stroke (National Health Service 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.
The percentage of time in a stroke unit is calculated as the number of days on the stroke unit divided by the total number of days where the patient was classified as acute (i.e. where the Hospital service—care type, code N[N] = 1 Acute care).
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke who separated from hospital and spent at least 90% of their acute hospital stay in a stroke unit.
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
National Health Service 2013. CCG outcomes patients who spend at least 90% of their time on a stroke unit (CV10). Acute care indicators 2012. Viewed December 2013, https://indicators.hscic.gov.uk