Acute stroke unit improves stroke management-four years on from INASC.
Issue Date
2015-02Keywords
STROKECEREBROVASCULAR ACCIDENT
MeSH
AdultAged
Aged, 80 and over
Anticoagulants
Aspirin
Deglutition
Female
Hospital Units
Humans
Male
Middle Aged
Neuroimaging
Platelet Aggregation Inhibitors
Prospective Studies
Stroke
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Show full item recordCitation
Acute stroke unit improves stroke management-four years on from INASC. 2015, 108 (2):51-3 Ir Med JPublisher
Irish Medical JournalJournal
Irish medical journalPubMed ID
25803957Abstract
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
ArticleLanguage
enISSN
0332-3102Collections
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