Excellence in regional stroke care: An evaluation of the implementation of a stroke care unit in regional australia

Australian Journal of Rural Health

Volumn 17, Issue 5, 2009, Pages 273-278

  McCann, Leanne ^a   Groot, Patrick ^a   Charnley, Chris ^a   Gardner, Anne ^b  

^a South West Healthcare ^*  (Australia)

^b JAMES COOK UNIVERSITY   (Australia)

Author keywords

Acute stroke unit; Nursing; Regional health; Rural health; Stroke care

Indexed keywords

ACETYLSALICYLIC ACID; ALTEPLASE;

ADULT; AGED; ARTICLE; AUSTRALIA; CEREBROVASCULAR ACCIDENT; CLINICAL ASSESSMENT; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; ELDERLY CARE; EVALUATION; EVIDENCE BASED PRACTICE; FAMILY; FEMALE; HEALTH SERVICE; HOSPITAL CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; OCCUPATIONAL THERAPY; OUTCOME ASSESSMENT; PATIENT CARE; PATIENT COMPLIANCE; PRETEST POSTTEST DESIGN; PRIORITY JOURNAL; REGIONALIZATION; REHABILITATION CARE; SAMPLE SIZE; SELF CARE; STROKE; STROKE PATIENT; SWALLOWING; TIME;

AGED; AGED, 80 AND OVER; FEMALE; HOSPITALS, DISTRICT; HUMANS; MALE; MIDDLE AGED; QUALITY OF HEALTH CARE; RURAL HEALTH; STROKE; VICTORIA;

EID: 70350192128     PISSN: 10385282     EISSN: 14401584     Source Type: Journal    
DOI: 10.1111/j.1440-1584.2009.01098.x     Document Type: Article

References (24)

1. Heart, Stroke and Vascular Diseases - Australian Facts 2004 2004, Australian Institute of Health and Welfare, Canberra, AIHW and National Heart Foundation of Australia, Report No.: AIHW Cat. No. CVD 27
2. Australia's Health 2008 2008, Australian Institute of Health and Welfare, Canberrra, AIHW, Report No.: Cat. No. AUS99
3. Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA stroke trials. Lancet 2004, 363(9411):768-774. The ATLANTIS ECASS and NINDS rt-PA Stroke Trials
4. International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations, 2005 Nov. Dallas. Circulation 2005, 112:110-114. 22 Suppl
5. Hankey GJ, Jamrozik K, Broadhurst RJ. Five-year survival after first-ever stroke and related prognostic factors in the Perth community stroke study. Stroke 2000, 31:2080-2086.
6. Cadilhac DA, Lalor EE, Pearce DC, Levi CR, Donnan GA. Access to stroke care units in Australian public hospitals: facts and temporal progress. International Medicine Journal 2006, 36:700-704.
7. Phillips SJ, Eskes GA, Gubitz GJ. Description and evaluation of an acute stroke unit. Canadian Medical Association Journal 2002, 167:655-660.
8. Duffy BK, Phillips PA, Davis SM, Donnan GA, Vedadhaghi ME. Evidence-based care and outcomes of acute stroke managed in hospital specialty units. Medical Journal of Australia 2003, 178:318-323.
9. How We Manage Stroke in Australia 2006, AIHW: Senes S, Canberra, Australian Institute of Health and Wefare, Report No.: AIHW cat. no. CVD 31
10. Cadilhac DA, Thrift AGT, Dewey HMD, Carter RC. Investing in stroke: what are the potential cost offsets from the Strokesafe Program. 2005, Final Report. Melbourne, Victoria: National Stroke Research Institute
11. Facts, figures and statistics. 2009, http://www.strokefoundation.com.au/facts-figures-and-stats, National Stroke Foundation Australia, [cited 10 Feb 2009]. Available from URL:
12. National Stroke Audit Acute Services Organisational Survey Report 2009. National Stroke Foundation, Melbourne, Australia
13. Organised inpatient (stroke unit) care for stroke. Cochrane Database of Systematic Reviews 2006, Stroke Unit Trialists' Collaboration, Issue 4. Art. No.: CD000197. DOI: 10.1002/14651858.CD000197.pub2
14. Collaborative systematic review of the randomised trials of organised inpatient (stroke unit) care after stroke. British Medical Journal 1997, 314(7088):1151-1159. Stroke Unit Trialists' Collaboration
15. Gattellari M, Worthington J, Jalaludin B, Mohsin M. Stroke unit care in a real-life setting can results from randomized controlled trials be translated into every-day clinical practice? An observational study of hospital data in a large Australian population. Stroke 2009, 40(1):10-17. Jan
16. Crump N, Talman P, Gates P. What defines an effective stroke unit?. International Medicine Journal 2005, 35:443-445.
17. Zhu H, Newcommon N, Cooper M. Impact of a stroke unit on length of hospital stay and in-hospital case fatality. Stroke 2009, 40(1):18-23.
18. Clinical Guidelines for Acute Stroke Management 2007, National Stroke Foundation Australia, Canberra, Australian Government
19. Khaja AM. Acute ischemic stroke management: administration of thrombolytics, neuroprotectants, and general principles of medical management. Neurologic Clinics 2008, 26:943-961. Nov
20. ischemic stroke. The New England Journal of Medicine 1995, 333:1581-1587. The National Institute of Neurological Disorders and Stroke Rt-pa Stroke Study Group
21. Hacke W, Kaste M, Bluhmki E. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. The New England Journal of Medicine 2008, 359:1317-1329. Sep
22. Dewey HM, Thrift AG, Mihalopoulos C. Lifetime cost of stroke subtypes in Australia: findings from the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke 2003, 34:2502-2507.
23. Rankin J. Cerebral vascular accidents in patients over the age of 60. II. Prognosis. Scottish Medical Journal 1957, 2:200-215.
24. National Stroke Audit Clinical Report Acute Services 2007, National Stroke Foundation, Canberra, Australian Government