The Information Services Division of NHS Scotland recently published the 2019 Annual National Report for the Scottish Stroke Improvement Programme. The report describes the quality of stroke care across Scottish hospitals evaluated against the Scottish Stroke Care Standards.
Key findings from the report include the following:
- A total of 9641 patients with stroke were admitted to hospitals in Scotland and an additional 1085 patients presented to neurovascular clinics.
- The performance of stroke care bundle across the country improved slightly from 65 per cent in 2017 to 68 per cent in 2018; however, it remains well below the 80 per cent standard.
- A total of 1033 patients received thrombolysis in 2018, similar to the number in 2017 (1056).
- Of the patients who were thrombolysed, 60 per cent had a door-to-needle time of ≤1 hour. This represents a slight improvement from 2017 (59%) and is comparable to the rate in the rest of the UK (61%).
- Two hospitals were able to exceed the standard of 80 per cent patients achieving a door-to-needle time of ≤1 hour in 2018.
Professor Derek Bell, President of the Royal College of Physicians of Edinburgh, said: "This report shows continuing improvement in the delivery of many aspects of stroke care in Scotland. However, we believe that a full range of effective treatments should be available to Scottish patients. It is therefore disappointing that a key treatment – mechanical thrombectomy – is still not available in Scotland."