Selected measures of the process of care (% compliance with standard)
| 50% of stay in stroke unit | All cases | ||||||
|---|---|---|---|---|---|---|---|
| 1998 | 1999 | ||||||
| Standard | Yes (n=1014) | No (n=4438) | Yes (n=1371) | No (n=4004) | 1998 (n=5589) | 1999 (n=5375) | 95% CI for change in % compliance |
| Results are shown for those trusts that took part in both audits. The table gives the number of cases for whom each standard was applicable and the percentage of these cases for whom the standard was met. | |||||||
| Median change for all 71 process audit items: +5%. | |||||||
| Median change for selected items in table 4: +11%. | |||||||
| Conscious level recorded | 991 (87%) | 4393 (88%) | 1342 (94%) | 3881 (91%) | 88% | 92% | 3.2 to 5.5 |
| Eye movements recorded | 979 (74%) | 4359 (67%) | 1312 (86%) | 3845 (74%) | 68% | 77% | 7.4 to 10.8 |
| Screening for swallowing disorders | 912 (67%) | 3465 (51%) | 1199 (79%) | 2872 (61%) | 54% | 66% | 9.9 to 14.0 |
| Formal mental test | 882 (34%) | 3355 (21%) | 997 (53%) | 2331 (35%) | 23% | 41% | 15.1 to 19.3 |
| Assessment of visual fields | 898 (58%) | 3372 (40%) | 1042 (75%) | 2410 (57%) | 44% | 63% | 16.5 to 20.9 |
| Assessment of visual inattention | 875 (50%) | 3354 (31%) | 1043 (66%) | 2401 (46%) | 35% | 53% | 15.6 to 20.0 |
| Sensory testing | 900 (60%) | 3383 (47%) | 1055 (80%) | 2437 (67%) | 50% | 71% | 19.0 to 23.2 |
| Brain scan carried out within 24 hours where appropriate | 529 (56%) | 2513 (48%) | 769 (68%) | 2125 (61%) | 49% | 63% | 11.2 to 16.2 |
| Patient weighed once during admission | 939 (58%) | 3409 (35%) | 1265 (61%) | 2979 (39%) | 40% | 46% | 4.0 to 8.1 |
| Assessment of nutritional needs | 777 (80%) | 2893 (66%) | 1043 (89%) | 2431 (77%) | 69% | 81% | 10.1 to 14.0 |
| Assessment of patients mood | 934 (60%) | 3329 (41%) | 1230 (60%) | 2872 (47%) | 45% | 51% | 3.8 to 8.0 |
| Physiotherapy assessment within 72 hours | 967 (66%) | 3762 (54%) | 1255 (76%) | 2973 (63%) | 56% | 67% | 8.6 to 12.6 |
| Agreed rehabilitation goals | 837 (74%) | 2343 (50%) | 1119 (77%) | 2381 (50%) | 56% | 59% | 0.1 to 4.9 |
| Plan for mood disturbance | 569 (32%) | 2441 (16%) | 663 (32%) | 1619 (20%) | 19% | 24% | 2.7 to 7.1 |
| Management plan to promote urinary continence | 438 (63%) | 1649 (42%) | 426 (68%) | 979 (52%) | 46% | 57% | 7.3 to 13.9 |
| Treatment plan for treatment of hypertension | 301 (86%) | 1009 (78%) | 460 (88%) | 1011 (81%) | 80% | 83% | 0.1 to 6.7 |
| Aspirin prescribed for secondary prevention of infarction | 683 (91%) | 2232 (87%) | 982 (92%) | 2154 (89%) | 88% | 90% | 0.05 to 3.6 |
| Diagnosis and prognosis discussed with patient | 810 (62%) | 2666 (47%) | 1233 (82%) | 2952 (76%) | 51% | 78% | 25.0 to 29.1 |
| Post-stroke complication discussed | 792 (44%) | 2600 (29%) | 1189 (61%) | 2671 (50%) | 32% | 54% | 19.5 to 23.9 |
| Discharge planning discussed | 800 (78%) | 2641 (64%) | 1147 (86%) | 2567 (80%) | 67% | 82% | 12.9 to 16.8 |
| Home visit performed | 568 (82%) | 1455 (60%) | 611 (85%) | 943 (66%) | 66% | 74% | 4.8 to 10.8 |
| GP informed of discharge/death within 1 day of discharge | 1002 (62%) | 4329 (52%) | 1252 (64%) | 3679 (59%) | 54% | 60% | 4.7 to 8.5 |
| Carers' needs assessed separately | 705 (43%) | 2829 (28%) | 930 (39%) | 2192 (34%) | 31% | 36% | 3.3 to 7.7 |