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Stroke clinical care programme: model of care
HSE Quality and Clinical Care Directorate
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.
Keyword(s): STROKE AND TIA; HEALTH SERVICES AND THEIR MANAGEMENT; QUALITY CONTROL
Publication Date:
2012
Type: Report
Peer-Reviewed: Unknown
Language(s): English
Institution: Lenus
Publisher(s): Health Service Excutive (HSE)
Related Link(s): http://www.hse.ie/portal/eng/about/Who/clinical/natclinprog/strokeprogramme/
First Indexed: 2016-04-23 07:01:44 Last Updated: 2017-05-12 07:10:05