Key Stroke Interventions

Organised Stroke Care (OSC) is made-up of a combination of Key Stroke Interventions (KSI) that, as a bundle, has been proven to be an extremely effective intervention in reducing morbidity and mortality in stroke patients.

The OSCAIL study team has identified important Key Stroke Interventions that will be introduced to the study sites participating in the OSCAIL study.

 

Initial assessment, diagnosis, and documentation

  • Immediate assessment and management
    • Identify presenting symptoms that indicate possible stroke
    • Immediate assessment to identify key patient information
    • Record vital signs
    • Obtain a brief history and assessment sufficient to establish that the patient has had a stroke.
  • Identify patients for urgent medical assessment
    • Commence immediate treatment measures
    • Commence routine observations
  • Full patient history
    • History of presenting complaint
    • Previous medical history, drug history, social history & previous function
  • Full patient examination
    • Investigations
    • Routine and Selected
  • Stroke unit admission
    • Prioritization of acute stroke patients

Recanalisation therapy

  • Thrombolysis
    • Stroke onset-to-needle and door-to-needle times
    • Proportion of eligible patients treated
  • Mechanical thrombectomy
    • Stroke onset-to-puncture and door-to-puncture times
    • Proportion of eligible patients treated

ICH management


ongoing general medical management, assessment, and monitoring

  • Physiological management (FeSS)
  • Bowel and bladder (continence care)
  • Pressure care
  • Mobilization
  • Hydration and feeding

Multidisciplinary teamwork to provide comprehensive care

  • Early referral to specialist care according to patients' needs
  • Individualised goal driven rehabilitation
  • Decision when doctor is to be informed

multidisciplinary in-patient review/meeting

  • Diagnostic tests have been carried out
  • Acute management
  • Complications

Secondary prevention

  • Ischaemic stroke
  • Haemorrhagic stroke

Caregiver involvement


Discharge planning