107PATIENT RELATED OUTCOME MEASURES IN STROKE

Le résumé fourni par la source

Patient Related Outcome Measures (PROMs) are patient facing outcome measures that relate to their health, quality of life and functional status. The International Consortium for Health Outcome Measurement (ICHOM) have developed a standard set of questions that looks at outcome measures that matter most to patients. This study collected data from stroke patients discharged from a District General Hospital six months after their stroke using the ICHOM standardised set. The evaluation involved five questions regarding current level of function and ten questions centred on health and wellbeing. Most responses were given on a five point scale. Six month outcome data was reported for thirty five consecutive patients; Twenty-two (63%) female; mean age 72, range 40 to 97. The PROM data evaluated overall health, plus measures related quality of life in different domains. As example, nineteen patients (54%) rated their fatigue as moderate, severe or very severe. No patients reported being pain free; the mean pain score was 4.0, ranging from 2 to 5. Seventeen patients (49%) were unable to walk, with the majority of the remainder (16, 46%) requiring help to mobilise. Twenty-seven (77%) patients required help dressing/undressing, and twenty-five (71%) required help using the toilet. However, no patients reported requiring a tube to feed and none reported problems with communication or understanding. The standard set also assesses smoking behaviour prior to and following the stroke. Twenty-one patients responded; although five (24%) smoked prior to their stroke only one (5%) patient admitted to still smoking. This study enabled the team to evaluate patients six months following their stroke. It has highlighted areas important to patients that may have previously been overlooked, such as pain and fatigue, that can be addressed by treating clinicians. Patient Related Outcome Measures offer an opportunity to evaluate aspects of care that matter to patients. The data can then be used to guide future service planning across the health board and nationally. Also, as they is derived from standardised metrics, it can be used for comparisons across hospital sites to drive improvements in ongoing care.

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