Secondary prevention for stroke in the United Kingdom: Results from the National Sentinel Audit of Stroke

A G Rudd, D Lowe, A Hoffman, P Irwin, M Pearson

Research output: Contribution to journalArticlepeer-review

56 Citations (Scopus)

Abstract

Study objectives: to measure the quality of secondary prevention of stroke provided to patients in England, Wales and Northern Ireland. Design: retrospective case note analysis. Setting: 235 hospitals (95% of all such hospitals), providing care for acute stroke patients in England, Wales and Northern Ireland and primary health care for follow-up data. Patients: 8,200 patients admitted with stroke between 1(st) April and 30(th) June 2001. Data on up to 40 consecutive cases submitted by each hospital. Audit tool: Royal College of Physicians Intercollegiate Stroke Working Party Stroke Audit. Results: 24% of patients with previous cerebrovascular disease were not on anti-thrombotic medication at the time of admission. Nine percent of appropriate patients were not taking anti-thrombotic medication at discharge. Patients left with moderate to very severe disability (Barthel scores 14 or less) compared with those independent with mild disability (Barthel score 15-20) were more likely not to have anti-thrombotic treatment (18% versus 8%). Fifty-four percent of patients with known hyperlipidaemia and 21% of those with previous ischaemic heart disease were on lipid lowering therapy on admission. Sixty-four percent of patients had lipids measured during their hospital stay and of those with high total cholesterol or LDL the rate of non-treatment was 36%. Older patients (75+ years) were less likely to be treated (54%) than those
Original languageEnglish
Pages (from-to)280 - 286
Number of pages7
JournalAge and Ageing
Volume33
Issue number3
DOIs
Publication statusPublished - May 2004

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