New Zealand Hospital Stroke Service Provision: A National Survey

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aut.relation.conferenceAustralian and New Zealand Association of Neurologists (ANZAN) annual scientific meetingen_NZ
aut.relation.endpage34
aut.relation.issuee7en_NZ
aut.relation.startpage33
aut.relation.volume90en_NZ
aut.researcherFeigin, Valery
dc.contributor.authorThompson, Sen_NZ
dc.contributor.authorDouwes, Jen_NZ
dc.contributor.authorBarber, Aen_NZ
dc.contributor.authorCadilhac, Den_NZ
dc.contributor.authorMcNaughton, Hen_NZ
dc.contributor.authorGommans, Jen_NZ
dc.contributor.authorFink, Jen_NZ
dc.contributor.authorDavis, Aen_NZ
dc.contributor.authorFeigin, Ven_NZ
dc.contributor.authorRanta, Aen_NZ
dc.date.accessioned2019-08-04T22:58:49Z
dc.date.available2019-08-04T22:58:49Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractIntroduction The REGIONS Care study assesses stroke care throughout New Zealand. It includes a national audit and here we present organisational survey results assessing current availability of interventions and management approaches in each hospital. Methods All 20 District Health Boards were invited to complete a survey about patients managed per annum, care setting, and service provision. Results were grouped into rural and urban groups to assess for geographic differences. Results All NZ hospitals managing stroke patients completed the survey. Results found that of these hospitals 92% have an acute stroke unit, 85% have a TIA pathway, but only 58% offer rapid access specialist TIA services. 100% offer thrombolysis, 92% use pre-hospital notification and rapid ED triage system, and 73% an in-hospital ‘code stroke’ alert. 50% have access to thrombectomy. Only 32% offer a dedicated inpatient stroke rehabilitation unit. While 92% provide community rehabilitation, only 11% offer early supported discharge programmes. 87% routinely provide stroke patient education, but only 54% provide individualised stroke care plans at discharge. Only 28% have access to a psychologist. In-hospital stroke alerts (p=0.014), access to thrombectomy (p=0.016), access to stroke unit care (p=0.027), and routine referral to stroke foundation (p=0.049) were more common in urban areas. Conclusion The results of this organisational survey indicates that stroke care provision has improved since the last audit in 2009, but important gaps remain. These results will help services focus on specific areas for improvement, some of which such as pre-hospital alerts should be relatively easy to address.
dc.identifier.citationJournal of Neurology, Neurosurgery & Psychiatry 2019;90:A33-A34.
dc.identifier.doi10.1136/jnnp-2019-anzan.91
dc.identifier.issn0022-3050en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12717
dc.publisherBMJ Publishing Groupen_NZ
dc.relation.urihttps://jnnp.bmj.com/content/90/e7/A33.3en_NZ
dc.rights© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.
dc.rights.accessrightsOpenAccessen_NZ
dc.titleNew Zealand Hospital Stroke Service Provision: A National Surveyen_NZ
dc.typeConference Contribution
pubs.elements-id362556
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Public Health & Psych Studies
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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