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Ischaemic stroke (Acute stroke clinical care standard)

Identifying and definitional attributes

Metadata item type:Help on this termGlossary Item
METeOR identifier:Help on this term721349
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019
Definition:Help on this term

An ischaemic stroke is a type of acute stroke that occurs when an artery supplying blood to the brain suddenly becomes blocked This is as opposed to a bleed from an artery, which is known as a haemorrhagic stroke (AIHW 2013).

Collection and usage attributes

Guide for use:Help on this term

For the purposes of the Indicator specification: acute stroke clinical care standard (ACSQHC 2019), ischaemic stroke includes patients where Episode of care—principal diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} or Episode of care—additional diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} (only when sequenced as one of the first two additional diagnoses) is one of the following:

  • I63.0 Cerebral infarction due to thrombosis of precerebral arteries
  • I63.1 Cerebral infarction due to embolism of precerebral arteries
  • I63.2 Cerebral infarction due to unspecified occlusion or stenosis of precerebral arteries
  • I63.3 Cerebral infarction due to thrombosis of cerebral arteries
  • I63.4 Cerebral infarction due to embolism of cerebral arteries
  • I63.5 Cerebral infarction due to unspecified occlusion or stenosis of cerebral arteries
  • I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
  • I63.8 Other cerebral infarction
  • I63.9 Cerebral infarction, unspecified
  • I64 Stroke, not specified as haemorrhage or infarction.

It also only includes acute cases, that is, where the Hospital service—care type, code N[N] = 1 Acute care.

It specifically excludes transient ischaemic attack. This is where Episode of care—principal diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} or Episode of care—additional diagnosis, code (ICD-10-AM 11th edn) ANN{.N[N]} (only when sequenced as one of the first two additional diagnoses) is one of the following:

  • G45.0 Vertebro-basilar artery syndrome
  • G45.1 Carotid artery syndrome (hemispheric)
  • G45.2 Multiple and bilateral precerebral artery syndromes
  • G45.3 Amaurosis fugax
  • G45.4 Transient global amnesia
  • G45.8 Other transient cerebral ischaemic attacks and related syndromes
  • G45.9 Transient cerebral ischaemic attack, unspecified (impending cerebrovascular accident/spasm of cerebral artery/ transient cerebral ischaemia NOS).

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

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2019. Acute stroke clinical care standard. Sydney: ACSQHC.

AIHW (Australian Institute of Health and Welfare) 2013. Stroke and its management in Australia: an update. Canberra: AIHW.

Relational attributes

Metadata items which use this glossary item:Help on this term

Acute stroke clinical care standard indicators: 2a-Proportion of patients with a final diagnosis of ischaemic stroke who were provided thrombolysis, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Acute stroke clinical care standard indicators: 2b- Proportion of patients with a final diagnosis of ischaemic stroke who received endovascular thrombectomy, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Acute stroke clinical care standard indicators: 2d-Time from arrival to hospital to endovascular thrombectomy, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Acute stroke clinical care standard indicators: 5b- Proportion of patients with a final diagnosis of ischaemic stroke on cholesterol lowering medication on separation from hospital, 2019 Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Acute stroke clinical care standard indicators: 5c-Proportion of patients with a final diagnosis of ischaemic stroke and atrial fibrillation prescribed oral anticoagulants on separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Acute stroke clinical care standard indicators: 5d- Proportion of patients with a final diagnosis of ischaemic stroke on antithrombotic medications on separation from hospital, 2019- Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

Clinical care standard indicators: acute stroke Australian Commission on Safety and Quality in Health Care, Standardisation pending 09/09/2019

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