CCU085: STROKE-IMPACT: What are the long-term consequences of stroke on the patient and to the NHS, and how does COVID-19 contribute to variation?

Project lead:
Michael Allen, University of Exeter

When someone has a stroke, they are taken to hospital for emergency treatment and rehabilitation. We wish to understand the long-term consequences of stroke on the patient and to the NHS (especially the length of time patients spend in hospital in the year after their stroke).

It is important to understand the impact of the COVID on the use of healthcare resources in people affected by stroke. We wish to understand how post-stroke hospital use varies for people with different characteristics (such as COVID history, age, gender, ethnicity, stroke severity, the wealth of their home area) and what emergency treatments they received. Our motivation is to reduce unnecessary variation in stroke care, improve outcomes, and make best use of NHS resources.

We work with the Sentinel Stroke National Audit Programme (SSNAP), NHS England and NHS Elect to help teams to improve emergency stroke care. An important part of this is to help the teams understand how different emergency treatments affect patient outcomes and longer-term NHS resource use. This project will allow us better understanding of long-term consequences of stroke and the effect of emergency treatments, allowing better selection of the right treatments for the right patients, improving patient outcomes and reducing longer-term NHS resource use. The lessons learnt from COVID-19 may be used as an exemplar for new health emergencies.