Scottish Stroke Care Audit


Scottish Stroke Care Audit Standards

 

Scottish Stroke Care Audit Standards

Topic Standard
Access to Stroke Unit 90% within 1 day of admission (Day 0 and 1)
Brain imaging 90% within 12 hours of arrival
Swallow Screen 100% within 4 hours of admission
Aspirin Administration 95% of ischaemic strokes within 1 day of admission (Days 0 and 1)
Bundle Performance 80% of patients receive the 'appropriate' Stroke Care Bundle
Delay from receipt of referral to specialist stroke/TIA clinic 80% are assessed within 4 days of receipt of referral (Day 0 being day of receipt of referral)
Thrombolysis 50% of patients receive the bolus within 30 mins of arrival
80% of patients receive the bolus within one hour of arrival
Carotid Intervention 80% undergoing carotid endarterectomy for symptomatic carotid stenosis have the operation within 14 days of the event that first led them to seek medical assistance
   

Admission to Stroke Unit

90% of all patients admitted to hospital with a diagnosis of stroke are admitted to the Stroke Unit on the day of admission, or the day following presentation at hospital, and remain in specialist stroke care until in-hospital stroke-related needs are met.

Brain Imaging

90% of patients have CT/ MRI imaging within 12 hours of arrival at first hospital, unless there is a documented contraindication.

Swallow Screening Page

All appropriate patients (100%) are screened by a standardised assessment method to identify any difficulty swallowing safely due to low conscious level and/ or the presence of signs of dysphagia. This is carried out within 4 hours of arrival at admitting hospital and before giving food/ drink and oral medications and is clearly documented.

Aspirin Prescribing Page

95% of appropriate patients have their aspirin treatment initiated on day of admission or the following day and continued for all patients in whom a haemorrhagic stroke, or other contraindication, as specified in the national audit, has been excluded.

Outpatient Referral

80% of new patients with a stroke or TIA are seen within 4 days of receipt of referral to the neurovascular clinic.

Thrombolysis

50% of patients receive the bolus within 30 minutes of arrival.
80% of patients receive the bolus within one hour of arrival.

Carotid Intervention

80% of patients undergoing carotid endarterectomy for symptomatic carotid stenosis have an operation within 14 days of the stroke event.