Professor Sandy Middleton, Professor Dominique Cadilhac, Simeon Dale, James Dunne, Dan Comerfield, Mark Longworth, Dr Anne Lydtin, Professor Jeanette Ward.
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The Quality in Acute Stroke Care (QASC) Trial showed that multidisciplinary, evidence-based, nurse-led interventions to manage fever, hyperglycaemia and swallowing following stroke significantly improved outcomes. Results, published in the Lancet, demonstrated that supported implementation of Fever, Sugar, and Swallow (FeSS) Protocols decreased 90-day death and dependency by 16% (p=0.002), reduced in-hospital temperatures over the first 72 hours (p=0.001), glucose levels (p=0.02), improved swallowing management (p=<0.001), and had a clinically-important two-day length of stay reduction even though this was not statistically significant (p>0.144).1
Partnering with the New South Wales Agency for Clinical Innovation and the Stroke Foundation, we were tasked to ‘scale-up and spread’ the QASC program to all 36 stroke services in New South Wales. Using a pre-test/ post-test study design, we significantly increased the proportion of patients who received care according to the FeSS Protocols.2
Professor Sandy Middleton, Professor Dominique Cadilhac, Simeon Dale, James Dunne, Dan Comerfield, Mark Longworth, Dr Anne Lydtin, Professor Jeanette Ward.
Professor Dominique Cadilhac, Professor N Wah Cheung, Simeon Dale, Dr Peta Drury, Professor Cate D'Este, Professor Jeremy Grimshaw, Kelvin Hill, Eva Katalinic, Professor Christopher Levi, Mark Longworth, Dr Anne Lydtin, Professor Sandy Middleton, Elizabeth O'Brien, Sigrid Patterson, Clare Quinn, Fiona Ryan, Melissa Tinsley, Sonia Wutzke.
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