Narrative
Based on underpinning research from the University of Manchester, the ‘ABC’ care bundle was developed and implemented at Salford Royal NHS Foundation Trust from 1 June 2015 to 31 May 2016, with the aim of improving stroke care. During this period, 30-day case fatality fell by a third (35.5% to 24.2%), equivalent to 2 less deaths per month. The care bundle was then scaled up to the hyperacute stroke unit at Stockport and Bury NHS Foundation Trust from 1 April 2017, leading to a similar reduction in deaths (34.3% to 26.8%).A phased scale-up of the ABC-ICH project across the North of England commenced in 2021, covering 27 hospitals and a population of 11 million. A Stroke Association project grant (2021-23) will allow us to determine the reduction in long term disability.
National projects to implement ABC bundle are being planned with collaborators in Norway and Sweden.
In September 2022 ABC-ICH was 'highly commended' in the Innovation Spread Award category at the Innovate Awards from the AHSN Network and NHS Confederation.
Impact date | 2015 |
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Category of impact | Health and wellbeing |
Impact level | Benefit |
Documents & Links
Related content
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Research output
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Which factors influence decisions to transfer and treat patients with acute intracerebral haemorrhage and which are associtade with prognosis? A retrospective cohort study
Research output: Contribution to journal › Article › peer-review
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Cutting delays in reversing anticoagulation after intracerebral haemorrhage: three key changes at a UK comprehensive stroke centre.
Research output: Contribution to journal › Article › peer-review
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Scale-up of ABC care bundle for intracerebral haemorrhage across two hyperacute stroke units in one region in England: a mixed methods evaluation of a quality improvement project
Research output: Contribution to journal › Article › peer-review
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Poor utility of grading scales in acute intracerebral hemorrhage: results from the INTERACT2 trial
Research output: Contribution to journal › Article › peer-review
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Outcome of intracerebral hemorrhage associated with different oral anticoagulants
Research output: Contribution to journal › Article › peer-review
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Care-limiting decisions in acute stroke and association with survival: analyses of UK national quality register data
Research output: Contribution to journal › Article › peer-review
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Reversal strategies for vitamin K antagonists in acute intracerebral hemorrhage.
Research output: Contribution to journal › Article › peer-review