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Acute stroke clinical care standard indicators: 4b-Rehabilitation therapy within 48 hours of initial assessment

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4b-Rehabilitation therapy within 48 hours of initial assessment
METeOR identifier:Help on this term627797
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 start rehabilitation therapy within 48 hours of initial assessment.

Rationale:Help on this term

Patients managed in acute stroke units that offer active rehabilitation programs generally spend less time in bed and more time standing, walking and being active (Langhorne & Pollock 2002; Bernhardt et al. 2008). These units also have demonstrated good patient outcomes (Stroke Unit Trialists’ Collaboration 2013).

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.

Both the numerator and denominator exclude stroke patients who:

  • decline rehabilitation
  • return to pre-morbid function
  • are in a coma and/or unresponsive (not simply drowsy)
  • where there are limitations of therapy (i.e. advance care directive is enacted and/or the patient is on a palliative care pathway) (Australian Stroke Coalition Rehabilitation Working Group 2012).

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 commenced rehabilitation therapy within 48 hours of initial assessment.

Denominator:Help on this term

Number of patients with a final diagnosis of acute stroke 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

Australian Stroke Coalition Rehabilitation Working Group 2012. Assessment for Rehabilitation: Pathway and decision-making tool. Melbourne.

Bernhardt J, Chitravas N, Meslo IL, Thrift AG & Indredavik B 2008. Not all stroke units are the same: a comparison of physical activity patterns in Melbourne, Australia, and Trondheim, Norway. Stroke 39(7): 2059–2065

Langhorne P & Pollock A 2002. What are the components of effective stroke unit care? Age and Ageing 31(5):365–371

Stroke Unit Trialists’ Collaboration 2013. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews Issue 9

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