Included: all patients are included, except those who either refused or were medically unwell for entire admission and those who are discharged from inpatient care within 7 days of clock start without receiving both mood and cognition screens.
| Excluded: patients who refused either or both screens, patients who were medically unwell for entire admission, and patients who were discharged from inpatient care within 7 days of clock start without receiving both screens are excluded from this indicator |
Numerator = the number of patients who have mood and cognition screening by discharge.
Denominator = all the applicable patients in the cohort. Patients who are applicable but did not have mood and cognition screening by discharge are included in the denominator.
To calculate whether a patient is included in the numerator:
For newly arrived patients, the difference between the dates patient screened for mood using a validated tool/date patient screened for cognition using a simple standardised measure (Q 6.7/Q 6.8) and date of arrival (Q 1.13) both must be greater than or equal to 0 weeks and less than or equal to 6 weeks.
For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between the dates patient screened for mood using a validated tool/date patient screened for cognition using a simple standardised measure (Q 6.7/Q 6.8) and the date of symptom onset (Q 1.11) both must be greater or equal to 0 weeks and less than or equal to 6 weeks.
Cohort percentage:
| For team-centred | For patient-centred |
| All patients in the team-centred post-72h cohort (records attributed to discharging team) who were applicable for both mood and cognition screening, except where the patient does not receive both screenings AND the patient’s length of stay in inpatient care is less than 7 days | All patients in the patient-centred post-72h cohort who were applicable for both mood and cognition screening, except where the patient does not receive both screenings AND the patient’s length of stay in inpatient care is less than 7 days |
Example
Patient W onset in hospital (clock start) on the 1st February, and was discharged to a care home on the 4th February. They did not have mood and cognition screening for organisational reasons. Patient W is excluded from this indicator because their length of stay in hospital is less than 7 days and they did not receive both screens.
Patient X arrived (clock start) at hospital on 1st January. They had a mood and cognition screening on 14th January. Patient X has achieved the indicator because 1st January – 14th January = 2 weeks.
Patient Y arrived (clock start) at hospital on 2nd January. They had mood and cognition screening on 30th January. Patient Y has achieved the indicator because 2nd January – 30th January = 4 weeks.
Patient Z arrived (clock start) at hospital on 3rd January and was discharged home on the 3rd February. They did not have mood and cognition screening for organisational reasons. Patient Z therefore did not achieve this indicator.
Therefore the cohort percentage is 0.67 or 67% or
