Authors
Paul McElwaine, Joan McCormack, Michael McCormick, Anthony Rudd, Carmel Brennan, Heather Coetzee, Paul E Cotter, Rachel Doyle, Anne Hickey, Frances Horgan, Cliona Loughnane, Chris Macey, Paul Marsden, Dominick McCabe, Riona Mulcahy, Imelda Noone, Emer Shelley, Tadhg Stapleton, David Williams, Peter Kelly, Joseph Harbison
Publication date
2017/9
Journal
European Stroke Journal
Volume
2
Issue
3
Pages
238-243
Publisher
Sage Publications
Description
Introduction
Outcomes in stroke patients are improved by a co-ordinated organisation of stroke services and provision of evidence-based care. We studied the organisation of care and application of guidelines in two neighbouring health care systems with similar characteristics.
Methods
Organisational elements of the 2015 National Stroke Audit (NSA) from the Republic of Ireland (ROI) were compared with the Sentinel Stroke National Audit Programme (SSNAP) in Northern Ireland (NI) and the United Kingdom (UK). Compliance was compared with UK and European guidelines.
Results
Twenty-one of 28 ROI hospitals (78%) reported having a stroke unit (SU) compared with all 10 in NI. Average SU size was smaller in ROI (6 beds vs. 15 beds) and bed availability per head of population was lower (1:30,633 vs. 1:12,037 p < 0.0001 Chi Sq). Fifty-four percent of ROI patients were admitted to SU care compared with 96 …
Total citations
Scholar articles
P McElwaine, J McCormack, M McCormick, A Rudd… - European Stroke Journal, 2017