1. Thrombolysis in the Lothians

2. Lothian Stroke Care Audit
NHS Lothian around 900 stroke admissions per year
2007 – 2008: 46 Thrombolysed
2.5% of stroke patients

3. Collecting Thrombolysis data
From start 2006 we collected :
Thrombolysis and/or Clot retrieval? Y/N
Autumn 2008 request to collect data for all patients.
Forms completed by stroke reg
My job to get notes and enter data
Last patient entered a week ago

4. Thrombo data challenges
Data completeness
Several sites WGH, SJH, RIE
6 with missing ‘times’: onset(1), arrival (1), CT (1), thromb (3)
1 still admitted (no discharge Rankin)
Clot retrieval in/exclude from analysis?
CT done in other hospital
Standard export not yet available

5. Delays Onset to arrival at thrombolysing hospital 1:24
Arrival – CT 0:43
Delay CT to treatment 1:02
Total delay onset – treatment 3:03

6. Mean 3:03 Minimum 1:56 Maximum 5:00

7. Discharge

8. 12 patients deceased 26 % of 46 patients
Discharge
12 patients deceased
26 % of 46 patients

9. Thank you! Margrethe van Dijke Stroke audit coordinator WGH