Subarachnoid Haemorrhage Study
This study has been commisioned by Healthcare Quality Improvement Partnership
as part of the Clinical Outcome Review Programme, under the contract awarded in 2011
Data collection for study: Closed
Publication date: Autumn 2013
To explore remediable factors in the process of care of patients admitted with with aneurysmal subarachnoid haemorrhage, looking both at patients that underwent an interventional procedure and those managed conservatively.
We will be reviewing the care of adult (>16 years old) patients who were admitted to hospital with a diagnosis of aneurysmal subarachnoid haemorrhage. The included ICD10 codes are:
Inclusion criteria: Patients will be selected for the study from all initially identified cases where the patient was admitted with an aneurysmal subarachnoid haemorrhage during the period 01 July 2011 and 30th September 2011. Please note cases of SAH with a non-aneurysmal cause (e.g. trauma) will be excluded.
- I60.0 Subarachnoid haemorrhage from carotid siphon and bifurcation
- I60.1 Subarachnoid haemorrhage from middle cerebral artery
- I60.2 Subarachnoid haemorrhage from anterior communicating artery
- I60.3 Subarachnoid haemorrhage from posterior communicating artery
- I60.4 Subarachnoid haemorrhage from basilar artery
- I60.5 Subarachnoid haemorrhage from vertebral artery
- I60.6 Subarachnoid haemorrhage from other intracranial arteries
- I60.7 Subarachnoid haemorrhage from intracranial artery, unspec
- I60.8 Other subarachnoid haemorrhage
- I60.9 Subarachnoid haemorrhage, unspecified
Sample size: A sample size of 500-600 patients will be included.
To identify cases to us for inclusion in the study, please download the spreadsheet and instructions by clicking here.
For patients that were transferred from a secondary acute care hospital to a tertiary specialist neurosurgical centre for treatment, we will be collecting data from both hospitals and we will be matching patients on NHS number, it is therefore, essential that this data is included on the spreadsheet.
Clinician questionnaire: There are 2 questionnaires associated with this study
1) Secondary care clinician questionnaire
For cases of patients that were admitted to secondary care (i.e. patients admitted to hospitals other than neurosurgical-specialist tertiary centres or admitted to non-neurosurgical departments of hospitals that are neurosurgical specialist tertiary centres), a secondary care clinician questionnaire has been sent to the admitting clinician.
2) Tertiary care clinician questionnaire
For cases of patients that were admitted to tertiary specialist neurosurgical care (i.e patients admitted to neurosurgery/ neuroradiology etc. within a tertiary neurosurgical specialist centre) a Tertiary Care clinician questionnaire has been sent to the responsible clinician within those specialties.
Organisational questionnaire: This questionnaire gains aspects of organisational care at your site that are related to this study.
Case note extracts: Selected case note extracts will be requested.
Protocol: To download the protocol for the study please click here.
Data Collection for this study is now closed.
Launch: For information about the study launch and to reserve a place, please click here.
This webpage is updated regularly, so please check back for more information shortly.
Further questions about the study may be directed to:firstname.lastname@example.org
- Do we have to take part?
- Yes- participation in our studies is a hospital trust requirement for the NHS quality accounts, it is also mandatory for trusts that are signed up to the NHSLA’s CNST. Participation of individual clinicians is also strongly encouraged by the GMC’s good medical practice.
- Would you include a patient that was admitted for another problem but had a subarachnoid haemorrhage in hospital?
- Yes, these patients would be included, but please indicate that this is the case in the comments section.