Priority 10 Stroke Prevention, Diagnosis, Pre-hospital and Hospital Care

UNCERTAINTY: Do patients’ other health conditions, and characteristics such as age, ethnicity and frailty, affect stroke symptoms, outcomes, interventions and care pathways? (JLA PSP Priority 10)
Overall ranking	10
JLA question ID	0106/10a
Explanatory note	Stroke can have a devastating impact on a person’s life and the lives of those close to them. Each stroke is different depending on the cause, size and area of the brain affected. However, there are other complex and variable factors at play, with the potential to influence many aspects of stroke care (from workshop discussions). While there is evidence that may partially address this question (e.g. effects of certain other health conditions), it is not clear how to adapt services (from workshop discussions). Evidence is required to understand the effects of multiple health conditions, frailty and demographic characteristic on stroke to inform and improve stroke care.
Evidence	No evidence identified
Health Research Classification System category	Stroke

Extra information provided by this PSP
Original uncertainty examples	How do frailty and stroke interact? ~ How do frailty and stroke interact? ~ I would like to know more about the effect of stroke on people from BAME backgrounds. ~ Is a stroke likely to be more severe the younger you are when a stroke strikes? ~ What disabilities and comorbidities are people living with as a result of their stroke? Are certain disabilities more prevalent by age, gender or deprivation score. Geographically are their more people living with a particular disability in a particular council area and with the information could support be better tailored to the needs of certain areas?
Submitted by	Stroke Survivor x 14, Carer x 4, Health/Social Care professional x 12, Not stated x 4

Extra information provided by this PSP

Original uncertainty examples

How do frailty and stroke interact? ~ How do frailty and stroke interact? ~ I would like to know more about the effect of stroke on people from BAME backgrounds. ~ Is a stroke likely to be more severe the younger you are when a stroke strikes? ~ What disabilities and comorbidities are people living with as a result of their stroke? Are certain disabilities more prevalent by age, gender or deprivation score. Geographically are their more people living with a particular disability in a particular council area and with the information could support be better tailored to the needs of certain areas?

Submitted by

Stroke Survivor x 14, Carer x 4, Health/Social Care professional x 12, Not stated x 4

PSP information
PSP unique ID	0106
PSP name	Stroke prevention, diagnosis, pre-hospital and hospital care
Total number of uncertainties identified by this PSP.	93 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	30th April 2021