Identify patients with a stroke or TIA not on antiplatelet therapy
Antiplatelet therapy significantly reduces stroke, MI or vascular death (17.8% compared with 21.4%). Aspirin remains common although duel therapy with extended release dipyridamole (200mg bd) is more effective (relative risk reduction 18%) if tolerated 1. Clopidogrel alone may also be used and is as effective as aspirin and dipyridamole2.
Identify all active stroke/TIA patients who are not on antiplatelet therapy.
CAT Starting Point:
*The decision to select either "Active" or "All" patients is left to the practice to make
1 National Stroke Foundation. Clinical Guidelines for Stroke and TIA Management: A guide for general practice, pp4, 2008.
In the Filters Pane:
1. In the "Conditions" tab select "Stroke" – Yes
2. In the "Medications" tab under "Medications – Heart" select
- Aspirin - No
- Clopidogrel - No
3. Click "Recalculate"
4. Click "View Pop"
This will list all active (if selected on the general filter tab) patients who had a stroke currently not taking anti-platelet medication and their last visit and assigned provider.
To Export Patient List to Microsoft Excel:
1. Click on the “Export Icon”at the top of the Patient Reidentification window.
2. Click on “Excel”
3. Choose a file name and a location to save to (eg. Create a folder C:/ClinicalAudit/CAT Patient FollowUp)
4. Click “Save”
The steps above will produce a list of patients with contact details in MS Excel which can then be used to:
1. Go back through the individual patient records in the GP Clinical Desktop System (CDS) and update known records
2. Phone patients to update their record
3. Produce a mail merge to recall patients for follow up
This CAT Recipe was submitted by
National Stroke Foundation
and supports their Clinical Guidelines for Stroke
and TIA Management: A guide for general practice, 2008.