Quality in Acute Stroke Care (QASC): process evaluation of an intervention to improve the management of fever, hyperglycemia, and swallowing dysfunction following acute stroke

Peta Drury, Christopher R Levi, Cate D'Este, Patrick McElduff, Elizabeth McInnes, Jennifer Hardy, Simeon Dale, N Wah Cheung, Jeremy M Grimshaw, Clare Quinn, Jeanette Ward, Malcolm Evans, Dominique Ann-Michelle Cadilhac, Rhonda Griffiths, Sandy Middleton

Research output: Contribution to journalArticleResearchpeer-review

31 Citations (Scopus)

Abstract

Our randomized controlled trial of a multifaceted evidence-based intervention for improving the inpatient management of fever, hyperglycemia, and swallowing dysfunction in the first three-days following stroke improved outcomes at 90 days by 15 . We designed a quantitative process evaluation to further explain and illuminate this finding. METHODS: Blinded retrospective medical record audits were undertaken for patients from 19 stroke units prior to and following the implementation of three multidisciplinary evidence-based protocols (supported by team-building workshops, and site-based education and support) for the management of fever (temperature =37?5?C), hyperglycemia (glucose >11?mmol/l), and swallowing dysfunction in intervention stroke units. RESULTS: Data from 1804 patients (718 preintervention; 1086 postintervention) showed that significantly more patients admitted to hospitals allocated to the intervention group received care according to the fever (n?=?186 of 603, 31 vs. n?=?74 of 483, 15 , P?
Original languageEnglish
Pages (from-to)766 - 776
Number of pages11
JournalInternational Journal of Stroke
Volume9
Issue number6
DOIs
Publication statusPublished - 2014

Cite this