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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:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 3b-Proportion of stroke patients spending at least 90% of their acute hospital admission in a stroke unit
METeOR identifier:Help on this term627782
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 spend at least 90% of their acute hospital stay in a stroke unit.

Rationale:Help on this term

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: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.

‚ÄčThere 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.

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.

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 and spent at least 90% of their acute hospital stay in a stroke unit.

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

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

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