Eligibility confirmed |
+ |
+ |
+ |
Consent confirmed |
+ |
+ |
+ Patient only |
Participant’s names |
+ |
+ |
+ |
Date of birth |
+ |
+ |
+ |
Gender |
+ |
+ |
+ |
Ethnicity |
+ |
+ |
+ |
Living arrangements |
+ |
+ |
+ |
Employment |
+ |
+ |
+ |
Co-morbidities (existing) |
|
|
|
• Previous ischaemic stroke/TIA |
+ |
+ |
+ |
• Previous intracranial bleeding |
+ |
+ |
+ |
• Coronary heart disease |
+ |
+ |
+ |
• Current or past depression |
+ |
+ |
+ |
• Diabetes |
+ |
+ |
+ |
• Gastrointestinal bleeding |
+ |
+ |
+ |
• Hyponatraemia |
+ |
+ |
+ |
• Fractures |
+ |
+ |
+ |
Current medication |
+ |
+ |
+ |
NIHSS including subsections [28] |
+ |
+ |
+ |
Prior independence |
1 Question |
mRS |
1 Question |
Ability to walk alone |
+ |
+ |
+ |
Ability to lift both arms |
+ |
+ |
+ |
Post-stroke disability (smRSq) [31–33] |
|
+ |
|
Patient health questionnaire (PHQ) [43, 56] |
2-Question version |
9-Question version |
2-Question version |
Haemorrhage on brain imaging? |
+ |
+ |
+ |
OCSP classification for ischaemic stroke [57] |
+ |
+ |
+ |
Modified TOAST classification [58] |
+ |
+ |
+ |
Renal and liver function test results |
|
+ |
|
Contact details to facilitate central follow-up |
+ |
|
+ |
Unique identifier to facilitate central follow-up |
+ |
|
|