Pathways of Care for People with Stroke in Ontario Core – Canadian Institute for Health Information – 12 July 2012

Posted on July 17, 2012. Filed under: Health Mgmt Policy Planning, Neurology | Tags: |

Pathways of Care for People with Stroke in Ontario Core – Canadian Institute for Health Information – 12 July 2012

“This report provides information on pathways of stroke care in Ontario over a four-year period, by following individuals being treated for stroke across hospital settings; including emergency department, acute care, inpatient rehabilitation and complex continuing care. The report sheds light on some important transition points in a stroke patient’s hospital care and on how well the system is integrated and functions for patients. It also identifies key areas where improvements in stroke care can be considered. ”

Media release: Earlier diagnosis, improved flow across care settings key to timelier stroke care in Ontario. Study finds room for improvement in identification and treatment of stroke patients – 12 July 2012

“The number of stroke deaths is declining in Ontario and the rest of Canada, due in part to better management and treatment of the disease. However, a new study released today by the Canadian Institute for Health Information (CIHI) shows that there may still be room for improvement in the early diagnosis and treatment of stroke patients. For example, the study found that about 1 in 10 Ontario stroke patients seen in a hospital emergency department (ED)—representing more than 5,000 cases over a four-year-period—was documented as having had a stroke only after being admitted to a hospital ward.

The study found that these patients had no stroke or stroke symptoms (such as headache or dizziness) listed on their ED records and were less likely to have received a brain imaging scan during the course of their emergency stay than other stroke patients. Best practice recommends that suspected stroke patients should receive brain scans within one hour of their arrival in the ED to identify the type of stroke and appropriate course of treatment.

“Carrying out rapid assessments and confirming that a person has had a stroke most often begin in the ED. It is a coordinated effort among many providers and can present a challenge,” explains Dr. Paul Ellis, emergency physician at the University Health Network. “But the earlier this is done, the sooner appropriate treatment can begin and the greater the chances a patient can recover.” ”

… continues on the site

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