Stroke clinical care programme: model of care

Hdl Handle:
http://hdl.handle.net/10147/325086
Title:
Stroke clinical care programme: model of care
Authors:
HSE Quality and Clinical Care Directorate
Citation:
HSE Quality and Care Directorate. Stroke clincial care programme: model of care. Dublin: Health Services Executive; 2012. 52p.
Publisher:
Health Service Excutive (HSE)
Issue Date:
Apr-2012
URI:
http://hdl.handle.net/10147/325086
Additional Links:
http://www.hse.ie/portal/eng/about/Who/clinical/natclinprog/strokeprogramme/
Item Type:
Report
Language:
en
Description:
In recent years new techniques and strategies for improving the care of people with stroke have emerged. For example, the benefits of organised clinical services for stroke care have been clearly established. Hospital-based Stroke Units for acute and initial rehabilitation of patients with stroke and TIA are associated with a reduction in death and institutional care of around 20%, with one additional patient returned to community living for every 20 patients treated. Following emergency admission to hospital with stroke, administration of ‘clot-busting’ thrombolysis therapy can reverse or substantially reduce disability in one-third of patients treated within 90 minutes of stroke onset. However, strict administration guidelines mean that only 8-15% of confirmed ischaemic stroke patients are eligible for such treatment. Because of the potential for catastrophic brain haemorrhage associated with thrombolysis given inappropriately and the brief time-window for treatment, substantial organisation is needed to select appropriate patients on arrival in emergency departments and to safely deliver treatment to those most likely to benefit.
Keywords:
STROKE AND TIA; HEALTH SERVICES AND THEIR MANAGEMENT; QUALITY CONTROL

Full metadata record

DC FieldValue Language
dc.contributor.authorHSE Quality and Clinical Care Directorateen_GB
dc.date.accessioned2014-08-22T12:10:40Z-
dc.date.available2014-08-22T12:10:40Z-
dc.date.issued2012-04-
dc.identifier.citationHSE Quality and Care Directorate. Stroke clincial care programme: model of care. Dublin: Health Services Executive; 2012. 52p.en_GB
dc.identifier.urihttp://hdl.handle.net/10147/325086-
dc.descriptionIn recent years new techniques and strategies for improving the care of people with stroke have emerged. For example, the benefits of organised clinical services for stroke care have been clearly established. Hospital-based Stroke Units for acute and initial rehabilitation of patients with stroke and TIA are associated with a reduction in death and institutional care of around 20%, with one additional patient returned to community living for every 20 patients treated. Following emergency admission to hospital with stroke, administration of ‘clot-busting’ thrombolysis therapy can reverse or substantially reduce disability in one-third of patients treated within 90 minutes of stroke onset. However, strict administration guidelines mean that only 8-15% of confirmed ischaemic stroke patients are eligible for such treatment. Because of the potential for catastrophic brain haemorrhage associated with thrombolysis given inappropriately and the brief time-window for treatment, substantial organisation is needed to select appropriate patients on arrival in emergency departments and to safely deliver treatment to those most likely to benefit.en_GB
dc.language.isoenen
dc.publisherHealth Service Excutive (HSE)en_GB
dc.relation.urlhttp://www.hse.ie/portal/eng/about/Who/clinical/natclinprog/strokeprogramme/en_GB
dc.subjectSTROKE AND TIAen_GB
dc.subjectHEALTH SERVICES AND THEIR MANAGEMENTen_GB
dc.subjectQUALITY CONTROLen_GB
dc.titleStroke clinical care programme: model of careen_GB
dc.typeReporten
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