SCOTTISH STROKE CARE PROGRESS
The latest Scottish Stroke Care Audit has shown that improvements in stroke care are continuing to be made across Scotland.
amongst adults. It is estimated that about 15,000 people in Scotland have a stroke each year. Hospital care for these patients accounts for seven per cent of all NHS beds and five per cent of the entire NHS budget.
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Established in 2002, the Scottish Stroke Care Audit provides information about stroke care across the region and, in doing so, has, for almost twenty years, helped to drive evidence-based improvements in stroke care.
The latest Audit – which now includes all hospitals managing acute stroke in Scotland - has, once again, highlighted the areas in which improvements have been made and, at the same, helped to signpost healthcare professionals to areas which still require some attention:
• Establish and maintain relevant high quality validated datasets;
• Establish and maintain electronic database for collection of SSCA data;
• Develop and regularly review evidence based national standards of stroke care;
Nearly 10,000 stroke patients were admitted to Scottish hospitals in 2019. Overall, 86 per cent were ischaemic strokes and the average age was 76 years old for women and 71 years old for men.
There is variation between NHS boards, with NHS Greater Glasgow and Clyde and NHS Lanarkshire, in particular, seeing a younger stroke population. These are also the boards with higher numbers of patients in the two most deprived Scottish Index of Multiple Deprivation (SIMD) categories, with around 60 per cent of stroke cases within SIMD categories one and two.
Of these 10,000, 11.7 per cent were haemorrhagic strokes. Compliance with the Stroke Care Bundle, which comprises four standards - stroke unit admission, brain scan, swallow screen and aspirin - was 64 per cent across Scotland: an improvement on the 2018 figure of 59 per cent.
‘This measure,’ says the Audit, ‘is an important one, because achieving the Stroke Care Bundle is associated with a reduced risk of dying and an
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troke is the third commonest cause of death in Scotland and the most common cause of severe physical disability
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