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Table 1 Comparison of processes collected in QASC, QASCIP and National Audits, with outline of FeSS processes included for analyses

From: Inclusion of a care bundle for fever, hyperglycaemia and swallow management in a National Audit for acute stroke: evidence of upscale and spread

  Processes included in the FeSS protocols QASC QASCIP National Audits Processes included in the current study and definition foranalysis
2013 2015 2017
   Temperature recorded at least four times on day 1, day 2 and day 3a × ×  
   Received paracetamol within 1 h of the first febrile event (recorded in first 72 h)
F1  Overall fever treatment   Patients without fever classified as receiving appropriate fever treatment
   Formal venous blood glucose level recorded in the ED × ×  
   Finger prick glucose recorded at least four times on day 1, day 2 and day 3a × ×  
   Insulin within 1 h if glucose > 10 mmol/Lb (recorded in the first 72 h)
G1 Overall hyperglycaemia treatment       Patients without high glucose classified as receiving appropriate hyperglycaemia treatment
S1  Swallow screen or swallow assessment by speech pathologist within 24 h of admission
S2  Swallow screen or assessment before food or drink
S3  Swallow screen or assessment before oral medications
S4  Overall swallow monitoring       Met all of S1, S2 and S3 (total cohort)
S5  Swallow assessment by speech pathologist if failed swallow screen
Those who did not fail swallow screen or did not receive the screen were classified as receiving appropriate swallow treatment
S6  Overall swallow monitoring and treatment       If monitoring elements S1, S2, S3 and treatment element S5 all met
  Composite outcome
All fever, sugar and swallow elements
      Met all of F1, G1 and S6
  1. FeSS fever, sugar swallow; QASC Quality in Acute Stroke; QASCIP Quality in Acute Stroke Implementation Project; ED emergency department
  2. aQuestion was asked individually for each of day 1, day 2 and day 3
  3. bFinger prick glucose greater than 10 mmol/L (in QASC used 11 mmol/L, with changes reflecting recent updates in Australian guidelines)