% Files meeting this criteria* | 2009 | 2010 | 2011 | 2013 | % Change overall | ||||
N (%) | 95% CI | N (%) | 95% CI | N (%) | 95% CI | N (%) | 95% CI | ||
Communication | |||||||||
Aphasia screening | 8/15 (53%) | 28% to 79% | 8/10 (80%) | 55% to 105% | 15/15 (100%) | – | 11/11 (100%) | – | +47% |
Aphasia standardised assessment (MAST) | 0/15 (0%) | – | 8/10 (80%) | 55% to 105% | 12/15 (80%) | 60% to 100% | 1/11 (9%) | −8% to 26% | +9% |
Aphasia intervention† | 1/4 (25%) | −17% to 67% | 5/5 (100%) | – | 4/5 (80%) | 45 to 115% | 4/4 (100%) | – | +75% |
Motor speech disorders intervention† | 0/0 (0%) | – | 3/8 (38%) | 4% to 72% | 5/9 (56%) | 24 to 88% | 1/1 (100%) | – | +100% |
Swallowing | |||||||||
Dysphagia screening | 12/15 (80%) | 60% to 100% | 10/10 (100%) | – | 14/14 (100%) | – | 11/13 (85%) | 65% to 104% | +5% |
Mobility | |||||||||
Treadmill training† | 2/11 (18%) | −5% to 41% | 1/6 (17%) | 13% to 47% | 2/8 (25%) | 5% to 55% | 2/4 (50%) | −19% to 119% | +33% |
Sitting balance† | 2/8 (25%) | −5% to 55% | 6/6 (100%) | – | 8/11 (73%) | 47% to 99% | 4/6 (67%) | 29% to 104% | +42% |
Sensation impairments (upper limb) | |||||||||
Screening | 0/15 (0%) | – | 11/11 (100%) | – | 10/13 (77%) | 54% to 100% | 9/12 (75%) | 51% to 100% | +75% |
Standardised assessment (NSA)† | 0/0 (0%) | – | 2/5 (40%) | −15% to 55% | 1/2 (50%) | −19% to 119% | 0/1 (0%) | – | 0% |
Sensation intervention† | 0/4 (0%) | – | 0/4 (0%) | – | 1/1 (100%) | – | 1/1 (100%) | – | +100% |
Neglect (body/space) | |||||||||
Screening | 8/15 (53%) | 28% to 79% | 13/15 (87%) | 70% to 104% | 13/14 (93%) | 80% to 106% | 11/12 (92%) | 76% to 107% | +39% |
Standardised assessment (CBS)† | 0/11 (0%) | – | 11/13 (85%) | 66% to 104% | 5/12 (42%) | 14% to 70% | 6/6 (100%) | – | +100% |
Neglect training† | 0/8 (0%) | – | 5/5 (100%) | – | 5/6 (83%) | 53% to 113% | 3/5 (60%) | 17% to 103% | +60% |
Patient education | |||||||||
Nature of stroke | 4/15 (27%) | 4% to 49% | 6/15 (40%) | 15 to 65% | 4/15 (27%) | 5% to 50% | 5/15 (33%) | −8% to 75% | +6% |
Impairments and management | 1/15 (7%) | −6% to 19% | 7/15 (47%) | 22% to 72% | 13/15 (87%) | 70% to 104% | 9/13 (69%) | 44% to 94% | +62% |
Depression/cognitive impairment | 0/15 (0%) | – | 1/15 (7%) | −6% to 20% | 2/14 (14%) | −4% to 32% | 2/12 (17%) | −4% to 38% | +17% |
Caregiver training/environmental adaptations | 0/13 (0%) | – | 4/13 (31%) | 6% to 56% | 8/13 (62%) | 36% to 88% | 5/10 (50%) | 19% to 81% | +50% |
Discharge planning | 2/14 (14%) | −4% to 33% | 9/15 (60%) | 35% to 85% | 13/13 (100%) | – | 11/15 (73%) | 51% to 96% | +59% |
Carer education | |||||||||
Nature of stroke | 2/14 (14%) | −4% to 33% | 1/14 (7%) | −6% to 20% | 5/14 (36%) | 11% to 61% | 6/14 (43%) | 17% to 69% | +29% |
How to provide care and support | 1/12 (8%) | −7% to 24% | 1/13 (8%) | −7% to 23% | 6/12 (50%) | 22% to 78% | 5/11 (45%) | 16% to 75% | +37% |
Secondary prevention | 1/12 (8%) | −7% to 24% | 2/15 (13%) | −4% to 30% | 1/12 (8%) | −7% to 23% | 2/11 (18%) | −5% to 41% | +10% |
Anxiety and depression | |||||||||
Anxiety screening | 4/15 (27%) | 5% to 49% | 5/13 (38%) | 12% to 64% | 0/14 (0%) | – | 0/12 (0%) | – | −27% |
Depression screening | 4/15 (27%) | 5% to 49% | 4/13 (31%) | 6% to 56% | 0/14 (0%) | – | 0/12 (0%) | – | −27% |
Return to driving | |||||||||
Asked redriving poststroke† | 3/9 (33%) | 2% to 64% | 5/7 (71%) | 37% to 105% | 1/6 (17%) | −13% to 47% | 4/8 (50%) | 15% to 85% | +17% |
Local doctor informed† | 0/10 (0%) | – | 2/7 (29%) | 5% to 63% | 0/6 (0%) | – | 0/9 (0%) | – | 0% |
Given information† | ‡ | – | ‡ | ‡ | – | 2/9 (22%) | 5% to 49% | +22% | |
Return to work | |||||||||
Requirements established and/or referred for assistance† | 0/8 (0%) | – | 1/2 (50%) | −19% to 119% | 1/1 (100%) | – | ‡ | – | +100%§ |
No. of areas achieving ≥10% improvement | 20/27 (74%) |
*Based on written evidence.
†For ‘eligible’ patients.
‡Compliance not assessed during this audit period.
§Overall compliance calculated using audit 3 results.