Journal article

Vital sign monitoring following stroke associated with 90-day independence: A secondary analysis of the QASC cluster randomized trial

Sandy Middleton, Patrick McElduff, Peta Drury, Catherine D'Este, Dominique A Cadilhac, Simeon Dale, Jeremy M Grimshaw, Jeanette Ward, Clare Quinn, N Wah Cheung, Chris Levi

INTERNATIONAL JOURNAL OF NURSING STUDIES | PERGAMON-ELSEVIER SCIENCE LTD | Published : 2019

Abstract

BACKGROUND: The Quality in Acute Stroke Care Trial implemented nurse-initiated protocols to manage fever, hyperglycaemia and swallowing (Fever, Sugar, Swallow clinical protocols) achieving a 16% absolute improvement in death and dependency 90-day post-stroke. OBJECTIVE: To examine associations between 90-day death and dependency, and monitoring and treatment processes of in-hospital nursing stroke care targeted in the trial. DESIGN: Secondary data analysis from a single-blind cluster randomised control trial. SETTING: 19 acute stroke units in New South Wales, Australia. PARTICIPANTS: English-speakers ≥18 years with ischaemic stroke or intracerebral haemorrhage arriving at participating strok..

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University of Melbourne Researchers

Grants

Awarded by National Health & Medical Research Council (NHMRC)


Awarded by NHMRC


Awarded by Heart Foundation


Funding Acknowledgements

This trial was funded by the National Health & Medical Research Council (NHMRC; Project Grant ID 535803), St Vincent's Clinic Foundation, the Curran Foundation, Australian Diabetes Society-Servier, the College of Nursing, and Australian Catholic University. The following authors received research fellowship funding from the NHMRC: Dominique Cadilhac (co-funded with Heart Foundation: 1063761) and Chris Levi (Practitioner: 1043913). Jeremy Grimshaw holds a Canada Research Chair in Health Knowledge Transfer and Uptake.