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Stroke is a leading causeof disability and death in Australia. There is a clear benefit in caring forstroke patients in stroke care units. Access to these centres is limitedparticularly in the rural setting. Certified stroke care units in the privatehealth care setting are also unheard of. The superiority of these units isthought to be due to better adherence to processes of care early utility of CTscan, allied health input within 24 hours, neurological observations, DVTprophylaxis and appropriate use of antiplatelet and anticoagulant use. Weaudited care of 100 patients who presented to the St. John of God Hospitalrural private hospital over a period of 3 years. This included baselinedemographics, adherence of processes of care, utility of appropriateinvestigations, and outcome measures such as discharge destination, level offunction at discharge and complication rates. These data were compared with thenational stroke report AuSCR and adherence to processes of care was comparedwith the SCOPE study the first study to establish the benefit of POC. Whencompared with data from the AuSCR national report 2012, we found a highermortality rate, an increased rate of disability on discharge, and a mixedadherence to processes of care. We also found a significant proportion ofpatients 40% who were eligible to receive thrombolysis but did not. Overallwe found that there were significant strengths to be drawn upon in the ruralprivate healthcare setting and a more organised approach could improveoutcomes.

KEYWORDS

Stroke, Outcomes, Processes of Care, Stroke Care Units, Rural Private Healthcare

Cite this paper

Vijiaratnam, N. , Yan, B. , Anjara, P. , Kraemer, T. , Lau, M. and Knight, B. 2015 Stroke Care in an Australian Rural Private Health Care Setting. World Journal of Neuroscience, 5, 7-12. doi: 10.4236-wjns.2015.51002.





Autor: Nirosen Vijiaratnam1,2*, Bernard Yan3, Pamela Anjara2, Thomas Kraemer1, Mandy Lau1, Brett Knight1

Fuente: http://www.scirp.org/



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