1.7: What postcode should I enter for overseas patients or those with no fixed abode?
1.9: How do I record a change of diagnosis?
1.11: What onset time should be recorded if a patient has a stroke during sleep?
1.14: For an inpatient stroke what should I enter as the first ward of admission?
2.3: What should be recorded as the patient’s NIHSS score on arrival if they are unconscious or comatose?
2.3 & 2.9: Will selecting “not known” for components of NIHSS affect the audit compliance level for my team?
2.4: If a patient is scanned as an outpatient and an infarct is detected but is not admitted to hospital until a later date (eg 24 hours or 48 hours later) what should be entered for arrival and scanning date/time?
2.4: What happens when a stroke patient has a brain scan at a hospital and is then immediately transferred to another hospital?
2.9: What NIHSS score should I enter for ‘What was the patient’s NIHSS score at 24 hours after thrombolysis?’ if the patient died within 24 hours after receiving thrombolysis?
3.1: How should I record a patient who was for palliative care in the first 72 hours but whom then recovers?

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7.4: What should be entered if there is not an up to date Modified Rankin Scale (MRS) score on discharge available?

George Dunn

September 21, 2018 09:17
Updated

Although every effort should be made to record this accurately, if the MRS is not known then a best estimate should be entered based on clinical judgment. However, MRS should be achievable for all patients, therefore a ‘not known’ option is unavailable. MRS on discharge gives incredibly important data on outcomes.

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