Fever, hyperglycaemia and swallowing dysfunction management in acute stroke: a cluster randomised controlled trial of knowledge transfer

  • Middleton, Sandy
  • Levi, Christopher
  • Cadilhac, Dominique
  • Ward, Jeanette
  • Grimshaw, Jeremy
  • Griffiths, Rhonda
  • D'Este, Catherine
  • Dale, Simeon
  • Cheung, N. Wah
  • Quinn, Clare
  • Evans, Malcolm
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Publication date
January 2009
Publisher
BioMed Central
ISSN
1748-5908
Journal
ISSN:1748-5908
Citation count (estimate)
17

Abstract

Background: Hyperglycaemia, fever, and swallowing dysfunction are poorly managed in the admission phase of acute stroke, and patient outcomes are compromised. Use of evidence-based guidelines could improve care but have not been effectively implemented. Our study aims to develop and trial an intervention based on multidisciplinary team-building to improve management of fever, hyperglycaemia, and swallowing dysfunction in patients following acute stroke. Methods and design: Metropolitan acute stroke units (ASUs) located in New South Wales, Australia will be stratified by service category (A or B) and, within strata, by baseline patient recruitment numbers (high or low) in this prospective, multicentre, single-blind, cluster randomised contro...

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