Acute stroke clinical care standard indicators: 4a-Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital presentation
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 4a-Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital presentation|
|Registration status:||Health, Candidate 04/04/2017|
Proportion of patients with a final diagnosis of acute stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital.
Early physiotherapy assessment is an important and clear starting point to the acute care assessment, management, rehabilitation, and discharge planning process. If applied systematically, early allied health assessment should improve the appropriateness of the ongoing care needs of the patient, when admitted, and also when separated from hospital (ACHS 2015).
Physiotherapy assessment is a good indicator of rehabilitation activity and is associated with improved patient outcomes (Pollock et al. 2014).
|Indicator set:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Early rehabilitation Health, Candidate 14/03/2017|
Collection and usage attributes
Both the numerator and the denominator include patients with a final diagnosis of acute stroke. The final diagnosis is made at the hospital where the patient is admitted for the acute phase of management of their stroke.
Hospital 'presentation' means the time of the patients initial physical contact with the hospital in relation to their acute stroke. This may be through presentation to the emergency department, or direct admission to a ward.
Both the numerator and the denominator exclude patients who refuse the assessment/decline rehabilitation.
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital.
Number of patients with a final diagnosis of acute stroke who separated from hospital.
This indicator has been slightly modified from the Australian Council on Healthcare Standards indicator used as part of the previous Stroke Foundation Acute Services Audit, which specifies an assessment within 48 hours of hospital admission.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
ACHS (Australian Council on Healthcare Standards) 2015. ACHS Clinical indicator user manual 2015—Internal medicine version 6. Sydney: ACHS
Pollock A, Baer G, Campbell P, Choo P, Forster A, Morris J et al. 2014. Physical rehabilitation approaches for the recovery of function and mobility following stroke. Cochrane Database of Systematic Reviews 4