Royal College of Surgeons in Ireland
From Prevention to Nursing Home Care: A Comprehensive National Au.pdf (326.6 kB)

From Prevention to Nursing Home Care: A Comprehensive National Audit of Stroke Care.

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posted on 2021-10-11, 10:56 authored by Frances HorganFrances Horgan, Hannah Mc GeeHannah Mc Gee, Anne HickeyAnne Hickey, David Whitford, Sean Murphy, Maeve Royston, Seamus CowmanSeamus Cowman, Emer Shelley, Ronan ConroyRonan Conroy, Miriam Wiley, Desmond O'Neill


Background: Many countries are developing national audits of stroke care. However, these typically focus on stroke care from acute event to hospital discharge rather than the full spectrum from prevention to long-term care. We report on a comprehensive national audit of stroke care in the community and hospitals in the Republic of Ireland. The findings provide insights into the wider needs of people with stroke and their families, a basis for developing stroke-appropriate health strategies, and a global model for the evaluation of stroke services.

Methods: Six national surveys were completed: general practitioners (prevention and primary care), hospital organisational and clinical audit of 2,570 consecutive stroke admissions (acute and hospital care), allied health professionals and public health nurses (discharge to community care), nursing homes (needs of patients discharged to long-term care), and patient and carers (post-hospital phase of rehabilitation and ongoing care).

Results: The audit identified substantial deficits in a number of areas including primary prevention, emergency assessment/investigation and treatment in hospital, discharge planning, rehabilitation and ongoing secondary prevention, and communication with patients and families. There was a lack of coordination and communication between the acute and community services, with a dearth of therapy services in both home and nursing home settings.

Conclusion: This multi-faceted national stroke audit facilitated multiple perspectives on the continuum of stroke prevention and care. An overall synthesis of surveys supports the development of a multidisciplinary perspective in planning the development of comprehensive stroke services at the national level, and may assist in regional and global development of stroke strategies.



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Published Citation

Horgan F, McGee H, Hickey A, Whitford DL, Murphy S, Royston M, Cowman S, Shelley E, Conroy RM, Wiley M, O'Neill D. From Prevention to Nursing Home Care: A Comprehensive National Audit of Stroke Care. Cerebrovascular Disease 2011;32:385-392.

Publication Date

8 October 2011

PubMed ID



  • Data Science Centre
  • Faculty of Nursing and Midwifery
  • Health Psychology
  • RCSI Bahrain
  • School of Physiotherapy




  • Accepted Version (Postprint)