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Acute stroke clinical care standard indicators: 5d-Risk factor modification advice before separating from hospital

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 5d-Risk factor modification advice before separating from hospital
METeOR identifier:Help on this term627814
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 have documented evidence of advice on risk factor modification relating to both medications and lifestyle, before separation from hospital.

Rationale:Help on this term

Lifestyle changes focused on risk factor modification and adherence to medication will reduce the risk of subsequent stroke (NSF 2010). Risk factor modification advice is an important component of stroke health promotion.

Indicator set:Help on this termClinical care standard indicators: acute stroke Health, Candidate 14/03/2017
Outcome area:Help on this termMinimising risk of another stroke 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 the denominator only include patients separated to their usual residence, own accommodation or welfare institution following the acute episode of care (i.e. where Episode of admitted patient care—separation mode, code N = 9 Other). Welfare institutions include prisons, hostels and group homes providing primarily welfare services.

For the numerator, the advice on risk factor or lifestyle modification should include smoking cessation, improved diet, increased regular exercise and reduced alcohol consumption. The advice should be individualised and delivered using behavioural techniques such as educational or motivational counselling (NSF 2010). This advice should also be provided to carer(s).

Both the numerator and denominator exclude:

  • Stroke patients with minimal capacity to modify their risk factors. This includes patients whose cognitive impairment or communication difficulties were so great that the patient could not participate in education provided to them.
  • Stroke patients who refuse advice.
  • Patients for whom there are limitations of therapy (i.e. advance care directive is enacted/ the patient is on a palliative care pathway).

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 have documented evidence of advice on risk factor modification relating to both medications and lifestyle prior to separation from hospital.

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

NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF

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