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dc.contributor.authorBernaitis, Nijole
dc.contributor.authorAnoopkumar-Dukie, Shailendra
dc.contributor.authorBills, Sean
dc.contributor.authorCrilly, Julia
dc.date.accessioned2019-06-18T04:55:48Z
dc.date.available2019-06-18T04:55:48Z
dc.date.issued2019
dc.identifier.issn1755-599X
dc.identifier.doi10.1016/j.ienj.2019.02.007
dc.identifier.urihttp://hdl.handle.net/10072/385621
dc.description.abstractBackground: Stroke is a leading cause of mortality and morbidity which places high demands on emergency departments (EDs). Currently there is limited data on stroke presentations to Australian EDs and the time performance management of these presentations. Therefore, the aim of this study was to evaluate stroke presentations at an ED in Queensland, Australia in terms of demographics and time performance measures over a five year period. Methods: Retrospective analysis of ED presentations by patients ≥18 years with a final diagnosis of stroke between 1 July 2010 and 30 June 2015. Results: Over the five years there was a 51.4% increase in presentations diagnosed with stroke. The majority of these patients arrived by ambulance (71.0%) and were admitted (94.9%) with death in ED for 1.4% of presentations. From 2010 to 2015 for both haemorrhagic and ischaemic stroke there was a significant decrease in median LOS in ED (435 to 215 min, p < 0.05 and 451 to 238 min, p < 0.001 respectively) and in the proportion of patients in ED greater than four hours (82.4% to 44%, p < 0.05 and 92.4% to 45.8%,p < 0.0001 respectively). Conclusion: Despite increased presentations of stroke, the ED improved in multiple time performance measures. Improving time-based targets in ED is particularly important for stroke presentations given the time critical nature of stroke management.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherELSEVIER
dc.relation.ispartofpagefrom25
dc.relation.ispartofpageto29
dc.relation.ispartofjournalInternational Emergency Nursing
dc.relation.ispartofvolume44
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode1110
dc.titleEvaluation of adult stroke presentations at an Emergency Department in Queensland Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.description.versionPost-print
gro.rights.copyright© 2019 Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (http://creativecommons.org/licenses/by-nc-nd/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited.
gro.hasfulltextFull Text
gro.griffith.authorBernaitis, Nijole L.
gro.griffith.authorAnoopkumar-Dukie, Shailendra
gro.griffith.authorCrilly, Julia


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