AIMS: To characterise the nature of acute stroke services provided by District Health Boards (DHBs) in New Zealand. METHODS: An audit of all 21 DHBs was carried out in 2009 via an online survey examining the structural and process elements of acute stroke service provision. A clinical audit involving a retrospective review of consecutive admitted stroke patients is reported separately. RESULTS: The organisational survey found that most patients (82%) are admitted to hospitals in the 13 large and medium DHBs. Only 8 DHBs had stroke units and 5 of the large and medium DHBs did not have stroke units. On audit day, only 39% of all New Zealand patients were being managed in a stroke unit, compared with 51% of all Australian patients. Even in the 8 DHBs with stroke units, only 64% of patients were actually being managed in the stroke unit on the day of the audit. New Zealand compared favourably with Australia in aspects of TIA management and in access to brain imaging. CONCLUSION: There is significant regional variation in the provision of organised stroke care and the level of stroke unit care is low by international standards. This audit provides a benchmark against which to compare future changes in the delivery of stroke care.
AIMS: To characterise the nature of acute stroke services provided by District Health Boards (DHBs) in New Zealand. METHODS: An audit of all 21 DHBs was carried out in 2009 via an online survey examining the structural and process elements of acute stroke service provision. A clinical audit involving a retrospective review of consecutive admitted strokepatients is reported separately. RESULTS: The organisational survey found that most patients (82%) are admitted to hospitals in the 13 large and medium DHBs. Only 8 DHBs had stroke units and 5 of the large and medium DHBs did not have stroke units. On audit day, only 39% of all New Zealand patients were being managed in a stroke unit, compared with 51% of all Australian patients. Even in the 8 DHBs with stroke units, only 64% of patients were actually being managed in the stroke unit on the day of the audit. New Zealand compared favourably with Australia in aspects of TIA management and in access to brain imaging. CONCLUSION: There is significant regional variation in the provision of organised stroke care and the level of stroke unit care is low by international standards. This audit provides a benchmark against which to compare future changes in the delivery of stroke care.
Authors: Annemarei Ranta; Stephanie Thompson; Matire Louise Ngarongoa Harwood; Dominique Ann-Michele Cadilhac; Peter Alan Barber; Alan John Davis; John Henry Gommans; John Newton Fink; Harry Karel McNaughton; Hayley Denison; Marine Corbin; Valery Feigin; Virginia Abernethy; William Levack; Jeroen Douwes; Jacqueline Girvan; Andrew Wilson Journal: JMIR Res Protoc Date: 2021-01-12