TY - JOUR
T1 - Quality in Acute Stroke Care (QASC): process evaluation of an intervention to improve the management of fever, hyperglycemia, and swallowing dysfunction following acute stroke
AU - Drury, Peta
AU - Levi, Christopher R
AU - D'Este, Cate
AU - McElduff, Patrick
AU - McInnes, Elizabeth
AU - Hardy, Jennifer
AU - Dale, Simeon
AU - Cheung, N Wah
AU - Grimshaw, Jeremy M
AU - Quinn, Clare
AU - Ward, Jeanette
AU - Evans, Malcolm
AU - Cadilhac, Dominique Ann-Michelle
AU - Griffiths, Rhonda
AU - Middleton, Sandy
PY - 2014
Y1 - 2014
N2 - 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?
AB - 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?
UR - http://onlinelibrary.wiley.com/doi/10.1111/ijs.12202/pdf
UR - https://www.scopus.com/pages/publications/84904674079
U2 - 10.1111/ijs.12202
DO - 10.1111/ijs.12202
M3 - Article
SN - 1747-4930
VL - 9
SP - 766
EP - 776
JO - International Journal of Stroke
JF - International Journal of Stroke
IS - 6
ER -