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Updated: Jun 12, 2026
09:52
Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Protocol and pilot data for establishing the Australian Stroke Clinical Registry
Dominique A Cadilhac1, Natasha A Lannin, Craig S Anderson
1National Stroke Research Institute a subsidiary of Florey Neuroscience Institutes, Heidelberg Heights, Vic., Australia. dcadilhac@nsri.org.au
Summary
The Australian Stroke Clinical Registry collects prospective data to improve stroke care. While established, further refinements are needed for widespread implementation and to enhance patient outcomes through comparative data.
Area of Science:
- Clinical Informatics
- Public Health
- Neurology
Background:
- Disease registries are crucial for enhancing clinical practice.
- The Australian Stroke Clinical Registry (ASCR) was established to gather national, prospective data on stroke processes and outcomes.
- This initiative aims to systematically improve stroke care across Australia.
Purpose of the Study:
- To describe the establishment and initial operational experiences of the Australian Stroke Clinical Registry.
- To outline the methods employed in setting up a national stroke data collection system.
- To evaluate the early performance and identify areas for improvement in the ASCR.
Main Methods:
- The ASCR adheres to national operating principles and technical standards for clinical quality registers.
- It features online data capture from public and private hospitals, utilizing an opt-out consent model.
- A core minimum dataset, agreed upon by expert consensus, includes standard definitions and 3-month post-stroke outcome assessments, supported by formal governance and evaluations.
Main Results:
- Pilot data from four hospitals (June-October 2009) included 204 patients with various stroke types (72% ischemic).
- Qualitative feedback indicated the web-tool and training were appropriate, but sites desired automated data entry.
- The opt-out consent process presented some challenges, though only one patient opted out.
Conclusions:
- The Australian Stroke Clinical Registry has been successfully established.
- Further refinements and a broad rollout are necessary to fully realize its potential in improving patient care.
- The registry aims to facilitate clinician feedback and enable local, national, and international comparative data analysis for stroke management.
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