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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:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4a-Assessment for rehabilitation by a physiotherapist within 24–48 hours of hospital presentation
METeOR identifier:Help on this term627792
Registration status:Help on this termHealth, Candidate 04/04/2017
Description:Help on this term

Proportion of patients with a final diagnosis of acute stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital.

Rationale:Help on this term

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:Help on this termClinical care standard indicators: acute stroke Health, Candidate 14/03/2017
Outcome area:Help on this termEarly rehabilitation Health, Candidate 14/03/2017

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. 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.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with a final diagnosis of acute stroke with a documented physiotherapy assessment within 24–48 hours of presentation to hospital.

Denominator:Help on this term

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

Comments:Help on this term

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.

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) 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

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