Acute stroke clinical care standard indicators: 6b-Carer training
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 6b-Carer training|
|Registration status:||Health, Candidate 04/04/2017|
Evidence suggests that carers benefit from training in a range of activities related to patient care prior to the separation from hospital (Kalra et al. 2004). Such training has produced long-term benefits for stroke patients such as reduced institutionalisation and mortality (Grasel et al. 2006).
|Indicator set:||Clinical care standard indicators: acute stroke Health, Candidate 14/03/2017|
|Outcome area:||Carer training and support 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 who require assistance with activities of daily living following their acute 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, that is, where Episode of admitted patient care—separation mode, code N = 9 Other. Welfare institutions includes prisons, hostels and group homes providing primarily welfare services.
Both the numerator and denominator exclude:
For the numerator, carer training should have the following components:
Presented as a percentage.
(Numerator ÷ denominator) x 100
Number of patients with a final diagnosis of acute stroke who require assistance with activities of daily living and whose carer or carers received training prior to the patient's separation from hospital.
Number of patients with a final diagnosis of acute stroke requiring assistance with activities of daily living upon seperation from hospital and who have a carer or carers.
|Unit of measure:||Episode|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
Grasel E, Schmidt R, Biehler J & Schupp W 2006. Long-term effects of the intensification of the transition between inpatient neurological rehabilitation and home care of stroke patients. Clinical Rehabilitation 20(7): 577–583
Kalra L, Evans A, Perez I, Melbourn A, Patel A, Knapp M et al. 2004. Training carers of stroke patients: randomised controlled trial. BMJ 328(7448):1099
NSF (National Stroke Foundation) 2010. Clinical guidelines for stroke management. Melbourne: NSF