Scottish stroke care audit: can we use routine data to investigate optimal care of stroke patients?

Mary Macleod, M E Turner, M H Barber, P Langhorne, H Dodds, M S Dennis

Research output: Contribution to journalAbstract

Abstract

Introduction: The Scottish Stroke Care Audit collects information from all Scottish hospitals managing acute stroke care. The audit data is used to inform and change practice and has the potential to be a powerful tool to investigate the impact of various aspects of stroke care on patient outcomes. We present some demographic data on the patient population within the audit.
Method: Anonymised data was extracted for all stroke patients admitted to Scottish hospitals between 2005 and 2010. The main outcome measure was alive at discharge. Standard descriptive statistics were obtained and multivariable logistic regression models were fitted.
Results: 46 561 patients were entered in the audit between 2003 and 2010. Mean age was 73.3 years at admission, 48.8% were male. 77% were admitted to a stroke unit for some part of their hospital stay and 78.4% had a scan within 24 hours of hospital admission. Mean length of hospital stay was 28.8 days. 1.48% of patients were thrombolysed, with a year on year increase. 38 353 (82.9%) were alive at discharge, of these 29 652 (77.3%) were discharged home. Increasing age at admission, current atrial fibrillation, and diagnosis of haemorrhagic stroke decreased the odds of being discharged alive. Being independent prestroke, having a normal GCS at admission, and admission to a stroke unit increased the odds of being alive at discharge.
Conclusion: Data confirms the validity of the six simple variables for stroke outcome. Age is not a barrier to stroke unit entry in the population. Ongoing work with linkage to SMR01 and mortality datasets will allow further detailed analysis of outcomes
Original languageUndefined/Unknown
Pages (from-to)64
Number of pages1
JournalInternational Journal of Stroke
Volume7
Issue number2 supplement
DOIs
Publication statusPublished - Dec 2012

Cite this

Scottish stroke care audit : can we use routine data to investigate optimal care of stroke patients? / Macleod, Mary; Turner, M E; Barber, M H; Langhorne, P; Dodds, H; Dennis, M S.

In: International Journal of Stroke, Vol. 7, No. 2 supplement, 12.2012, p. 64.

Research output: Contribution to journalAbstract

Macleod, Mary ; Turner, M E ; Barber, M H ; Langhorne, P ; Dodds, H ; Dennis, M S. / Scottish stroke care audit : can we use routine data to investigate optimal care of stroke patients?. In: International Journal of Stroke. 2012 ; Vol. 7, No. 2 supplement. pp. 64.
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abstract = "Introduction: The Scottish Stroke Care Audit collects information from all Scottish hospitals managing acute stroke care. The audit data is used to inform and change practice and has the potential to be a powerful tool to investigate the impact of various aspects of stroke care on patient outcomes. We present some demographic data on the patient population within the audit.Method: Anonymised data was extracted for all stroke patients admitted to Scottish hospitals between 2005 and 2010. The main outcome measure was alive at discharge. Standard descriptive statistics were obtained and multivariable logistic regression models were fitted.Results: 46 561 patients were entered in the audit between 2003 and 2010. Mean age was 73.3 years at admission, 48.8{\%} were male. 77{\%} were admitted to a stroke unit for some part of their hospital stay and 78.4{\%} had a scan within 24 hours of hospital admission. Mean length of hospital stay was 28.8 days. 1.48{\%} of patients were thrombolysed, with a year on year increase. 38 353 (82.9{\%}) were alive at discharge, of these 29 652 (77.3{\%}) were discharged home. Increasing age at admission, current atrial fibrillation, and diagnosis of haemorrhagic stroke decreased the odds of being discharged alive. Being independent prestroke, having a normal GCS at admission, and admission to a stroke unit increased the odds of being alive at discharge.Conclusion: Data confirms the validity of the six simple variables for stroke outcome. Age is not a barrier to stroke unit entry in the population. Ongoing work with linkage to SMR01 and mortality datasets will allow further detailed analysis of outcomes",
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N2 - Introduction: The Scottish Stroke Care Audit collects information from all Scottish hospitals managing acute stroke care. The audit data is used to inform and change practice and has the potential to be a powerful tool to investigate the impact of various aspects of stroke care on patient outcomes. We present some demographic data on the patient population within the audit.Method: Anonymised data was extracted for all stroke patients admitted to Scottish hospitals between 2005 and 2010. The main outcome measure was alive at discharge. Standard descriptive statistics were obtained and multivariable logistic regression models were fitted.Results: 46 561 patients were entered in the audit between 2003 and 2010. Mean age was 73.3 years at admission, 48.8% were male. 77% were admitted to a stroke unit for some part of their hospital stay and 78.4% had a scan within 24 hours of hospital admission. Mean length of hospital stay was 28.8 days. 1.48% of patients were thrombolysed, with a year on year increase. 38 353 (82.9%) were alive at discharge, of these 29 652 (77.3%) were discharged home. Increasing age at admission, current atrial fibrillation, and diagnosis of haemorrhagic stroke decreased the odds of being discharged alive. Being independent prestroke, having a normal GCS at admission, and admission to a stroke unit increased the odds of being alive at discharge.Conclusion: Data confirms the validity of the six simple variables for stroke outcome. Age is not a barrier to stroke unit entry in the population. Ongoing work with linkage to SMR01 and mortality datasets will allow further detailed analysis of outcomes

AB - Introduction: The Scottish Stroke Care Audit collects information from all Scottish hospitals managing acute stroke care. The audit data is used to inform and change practice and has the potential to be a powerful tool to investigate the impact of various aspects of stroke care on patient outcomes. We present some demographic data on the patient population within the audit.Method: Anonymised data was extracted for all stroke patients admitted to Scottish hospitals between 2005 and 2010. The main outcome measure was alive at discharge. Standard descriptive statistics were obtained and multivariable logistic regression models were fitted.Results: 46 561 patients were entered in the audit between 2003 and 2010. Mean age was 73.3 years at admission, 48.8% were male. 77% were admitted to a stroke unit for some part of their hospital stay and 78.4% had a scan within 24 hours of hospital admission. Mean length of hospital stay was 28.8 days. 1.48% of patients were thrombolysed, with a year on year increase. 38 353 (82.9%) were alive at discharge, of these 29 652 (77.3%) were discharged home. Increasing age at admission, current atrial fibrillation, and diagnosis of haemorrhagic stroke decreased the odds of being discharged alive. Being independent prestroke, having a normal GCS at admission, and admission to a stroke unit increased the odds of being alive at discharge.Conclusion: Data confirms the validity of the six simple variables for stroke outcome. Age is not a barrier to stroke unit entry in the population. Ongoing work with linkage to SMR01 and mortality datasets will allow further detailed analysis of outcomes

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