Included: all patients considered to require communication/swallowing therapy are included in this indicator.
Excluded: patients considered to not require communication/swallowing therapy are excluded from this indicator
To calculate the length of stay at an inpatient team:
The team centred length of stay at a team if team was the first team the patient was seen by:
For newly arrived patients, the difference between:
- either: the date the patient died (Q7.1.1), the date the patient was discharged from the team (Q7.3) or the date the patient was considered by the MDT to no longer require inpatient care (Q7.3.1), whichever is earliest, with a time component of 00:00.
- and date and time of arrival (Q 1.13).
For patients already in hospital at the time of their stroke (Q 1.10 is ‘Yes’), the difference between:
- either: the date the patient died (Q7.1.1), the date the patient was discharged from the team (Q7.3) or the date the patient was considered by the MDT to no longer require inpatient care (Q7.3.1), whichever is earliest, with a time component of 00:00.
- and date and time of symptom onset (Q 1.11).
The team centred length of stay at a team if the team was NOT the first team the patient was seen by:
The difference between:
- either: the date the patient died (Q7.1.1), the date the patient was discharged from the team (Q7.3) or the date the patient was considered by the MDT to no longer require inpatient care (Q7.3.1), whichever is earliest, with a time component of 00:00.
- and: date and time of arrival at this hospital (Q 4.1).
Team-centred: The length of stay at that team (if the patient was considered to require communication/swallowing therapy) is the patient’s length of stay minus 1 day. The shortest length of stay in a given team is set at 24 hours, therefore any shorter lengths of stay are rounded up to reflect this.
Patient-centred: The length of stay at each team where the patient is considered to require communication/swallowing therapy are summed together to give the patient’s total length of stay. 1 day is subtracted from the total length of stay. The shortest length of stay in a given team is set at 24 hours, therefore any shorter lengths of stay are rounded up to reflect this.
To calculate the number of days on which a patient received communication/swallowing therapy:
For team-centred: the number of days of communication/swallowing therapy the patient received (Q 4.5.3) at the specific team.
For patient-centred: the number of days of communication/swallowing therapy the patient received (Q 4.5.3) at each inpatient team the patient was considered to require communication/swallowing therapy are summed together to give the total number of days on which communication/swallowing therapy was received.
To calculate the percentage of patient’s days in hospital on which communication/swallowing therapy is received:
Divide the total number of days on which communication/swallowing therapy was received by the patients’ length of stay.
Due to the way length of stay is calculated some patients’ percentages may be over 100%. This is capped at 100%.
Cohort median:
To find the median percentage, all percentages for each patient need to be listed in numerical order. The median is then the number in the middle of this list.
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For team centred |
For patient centred |
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All patients in the team-centred post-72 cohort (all teams) who are considered to require communication/swallowing therapy by the specific team |
All patients in the patient-centred post-72h cohort who are considered to require communication/swallowing therapy by at least one inpatient team that the patient has been seen by. |