Acute stroke clinical care standard indicators: 5d-Risk factor modification advice before separating from hospital
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 5d-Risk factor modification advice before separating from hospital|
|Registration status:||Health, Candidate 14/03/2017|
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.
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:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Minimising risk of another stroke 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.
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:
Presented as a percentage.
(Numerator ÷ denominator) x 100
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.
Number of patients with a final diagnosis of acute stroke separated from hospital.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF