Acute stroke unit improves stroke management-four years on from INASC.

Hdl Handle:
http://hdl.handle.net/10147/559246
Title:
Acute stroke unit improves stroke management-four years on from INASC.
Authors:
Shanahan, E; Keenan, R; Cunningham, N; O'Malley, G; O'Connor, M; Lyons, D; Peters, C
Citation:
Acute stroke unit improves stroke management-four years on from INASC. 2015, 108 (2):51-3 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Feb-2015
URI:
http://hdl.handle.net/10147/559246
PubMed ID:
25803957
Abstract:
The Irish Heart Foundation carried out the Irish National Audit of Stroke Care (INASC) in 2008. Management practices were significantly poorer than those in the UK Sentinel audits. Since then an acute stroke unit has been established in University Hospital Limerick. A stroke database was established. 12 key indicators of stroke management audited by INASC were identified. Results were compared to those in INASC. 89 stroke patients were admitted. 8 of the 12 key indicators scored significantly better than in INASC. 92.5% had a brain scan within 24hrs (INASC-40%, p = < 0.001). 100% of ischaemic strokes received anti-thrombotics (INASC-85%, p = 0.001). 94% had rehab goals agreed by MDT (22% in INASC p = 0.0000). 55% were treated in stroke unit (2% in INASC, p = 0.0000). MDT input improved with regard to physiotherapy (87% vs 43% in INASC, p = < 0.02) and SALT (74% vs 26%, p = < 0.02). Stroke management has significantly improved from 2008, however some deficiencies remain.
Item Type:
Article
Language:
en
Keywords:
STROKE; CEREBROVASCULAR ACCIDENT
MeSH:
Adult; Aged; Aged, 80 and over; Anticoagulants; Aspirin; Deglutition; Female; Hospital Units; Humans; Male; Middle Aged; Neuroimaging; Platelet Aggregation Inhibitors; Prospective Studies; Stroke
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorShanahan, Een
dc.contributor.authorKeenan, Ren
dc.contributor.authorCunningham, Nen
dc.contributor.authorO'Malley, Gen
dc.contributor.authorO'Connor, Men
dc.contributor.authorLyons, Den
dc.contributor.authorPeters, Cen
dc.date.accessioned2015-07-08T14:05:45Zen
dc.date.available2015-07-08T14:05:45Zen
dc.date.issued2015-02en
dc.identifier.citationAcute stroke unit improves stroke management-four years on from INASC. 2015, 108 (2):51-3 Ir Med Jen
dc.identifier.issn0332-3102en
dc.identifier.pmid25803957en
dc.identifier.urihttp://hdl.handle.net/10147/559246en
dc.description.abstractThe Irish Heart Foundation carried out the Irish National Audit of Stroke Care (INASC) in 2008. Management practices were significantly poorer than those in the UK Sentinel audits. Since then an acute stroke unit has been established in University Hospital Limerick. A stroke database was established. 12 key indicators of stroke management audited by INASC were identified. Results were compared to those in INASC. 89 stroke patients were admitted. 8 of the 12 key indicators scored significantly better than in INASC. 92.5% had a brain scan within 24hrs (INASC-40%, p = < 0.001). 100% of ischaemic strokes received anti-thrombotics (INASC-85%, p = 0.001). 94% had rehab goals agreed by MDT (22% in INASC p = 0.0000). 55% were treated in stroke unit (2% in INASC, p = 0.0000). MDT input improved with regard to physiotherapy (87% vs 43% in INASC, p = < 0.02) and SALT (74% vs 26%, p = < 0.02). Stroke management has significantly improved from 2008, however some deficiencies remain.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.rightsArchived with thanks to Irish medical journalen
dc.subjectSTROKEen
dc.subjectCEREBROVASCULAR ACCIDENTen
dc.subject.meshAdulten
dc.subject.meshAgeden
dc.subject.meshAged, 80 and overen
dc.subject.meshAnticoagulantsen
dc.subject.meshAspirinen
dc.subject.meshDeglutitionen
dc.subject.meshFemaleen
dc.subject.meshHospital Unitsen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshNeuroimagingen
dc.subject.meshPlatelet Aggregation Inhibitorsen
dc.subject.meshProspective Studiesen
dc.subject.meshStrokeen
dc.titleAcute stroke unit improves stroke management-four years on from INASC.en
dc.typeArticleen
dc.identifier.journalIrish medical journalen
dc.description.fundingNo fundingen
dc.description.provinceMunsteren
dc.description.peer-reviewpeer-reviewen

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