An Audit of Steroid Treatment within a two-week relapse period at - - PowerPoint PPT Presentation

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an audit of steroid treatment within a two week relapse
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An Audit of Steroid Treatment within a two-week relapse period at - - PowerPoint PPT Presentation

Apr 25, 2023 438 likes •556 views

An Audit of Steroid Treatment within a two-week relapse period at Salford Royal Hospital Mo Hakmi Consultant Neurologist Methods Retrospective audit twenty patients/relatives Contacted the MS service Jan 19- March 19 reporting

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An Audit of Steroid Treatment within a two-week relapse period at Salford Royal Hospital

Mo Hakmi Consultant Neurologist

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Methods

  • Retrospective audit twenty patients/relatives

Contacted the MS service Jan 19- March 19 reporting ‘’possible relapse’’

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Aim

1-To evaluate our compliance against NICE In terms of prescribing steroids within Two weeks of relapse 2-relapse to T/C period 3-T/C to clinic period

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Demographics

  • 17 F
  • 3 M
  • Oldest:69
  • Youngest:29
  • Average:39
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Relapse to T/C

Longest:35 days Shortest: 2 days Average: 14 days

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T/C to clinic appointment

  • Longest: 13 days
  • Shortest: 1 day
  • Average: 5 days
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Results

  • 12 patients had real relapses

3 did not receive steroids (better)/SE 9 received ( six within two weeks)

  • ther 30 -40 days!

8 (mimics/ pseudo) Reasons: Migraine, anxiety, functional, infection Or no diagnosis given!

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Conclusion

  • 66% compliance with NICE (can be better)
  • Relapse to T/C significantly high
  • T/C to appointment needs to improve
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Recommendations

1-Better education for patients about importance of reporting relapses This also has implications on DMT decision 2-Inclusion of advice about relapses/mimics in clinic letters ( similar to PD) 3- ?Appointing more MS nurses

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Thank you

  • Questions