Included: all patients are included in this indicator, except those who are either medically unwell, refused to be assessed or passed swallow screening.
| Excluded: patients who are medically unwell, refused to be assessed or passed swallow screening (ie patients where Q 3.8.1 is answered ‘Patient refused’, ‘Patient medically unwell’ or ‘Patient passed swallow screening’) are excluded from this indicator |
Numerator = the number of patients who were given a formal swallow assessment within 72h of clock start.
Denominator = all the applicable patients in the cohort. Patients who are applicable but not given a formal swallow assessment are included in the denominator.
To calculate whether a patient is included in the numerator:
For newly arrived patients, the difference between the date and time of formal swallow assessment by a Speech and Language Therapist or another professional trained in dysphagia assessment (Q 3.8) and date and time of arrival (Q 1.13) must be greater than 0 minutes and less than or equal to 4320 minutes.
For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between the date and time of formal swallow assessment by a Speech and Language Therapist or another professional trained in dysphagia assessment (Q 3.8) and the date and time of symptom onset (Q 1.11) must be greater than 0 minutes and less than or equal to 4320 minutes.
Cohort percentage:
| For team-centred | For patient-centred |
| All patients in the team-centred 72h cohort except those who are medically unwell, refused to be assessed or passed swallow screening | All patients in the patient-centred 72h cohort except those who are medically unwell, refused to be assessed or passed swallow screening |
Example
Patient W arrived (clock start) at hospital at 10:00 on Monday. They were medically unwell until 10:00 on Friday. Patient W is excluded from the indicator because they were medically unwell.
Patient X arrived (clock start) at hospital at 15:00 on Tuesday. They were given a swallow assessment at 16:30 on Wednesday. Patient X has achieved the indicator because Tuesday 15:00 – Wednesday 16:30 = 1530 minutes.
Patient Y arrived (clock start) at hospital at 12:15 on Saturday. They were given a swallow assessment on Wednesday 12:15. Patient Y has not achieved the indicator because Saturday 12:15 – Wednesday 12:15 = 5760 minutes.
Patient Z arrived (clock start) at hospital at 20:08 on Thursday. They were not given a swallow assessment for organisational reasons so have not achieved the indicator.
Therefore the cohort percentage is 0.33 or 33% or
