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Post-stroke memory deficits and barriers to seeking help: views of patients and carers
ConclusionsWith an ageing population and increase in stroke-survival, the burden of post-stroke cognitive impairment and dementia will only increase. Stroke-survivors and their family carers in this study have identified issues that may hinder their presentation to health care professionals at a personal and organizational level. Health professionals need to be aware of these potential issues when planning services for stroke-survivors.
Source: Family Practice - November 19, 2018 Category: Primary Care Source Type: research

Predictors of health-related quality of life in community-dwelling stroke survivors: a cohort study
Conclusion. These results contribute to an understanding of HRQoL in the first year post-stroke. Community participation and stroke-related disability are potentially modifiable risk factors affecting post-stroke HRQoL. Interventions aimed at addressing participation and disability post-stroke should be developed and tested.
Source: Family Practice - July 21, 2016 Category: Primary Care Authors: White, J., Magin, P., Attia, J., Sturm, J., McElduff, P., Carter, G. Tags: Health Service Research Source Type: research

GP detection of health risk factors among general practice patients at risk of primary and secondary stroke
Conclusion. Given low sensitivity and specificity of GP detection of risk factors among patients, alternate methods of identification are needed. Research is required to determine strategies to facilitate secondary care of patients with a history of stroke or heart disease by GPs.
Source: Family Practice - May 27, 2015 Category: Primary Care Authors: Grady, A., Carey, M., Oldmeadow, C., Bryant, J., Mazza, D., Sanson-Fisher, R. Tags: Health Service Research Source Type: research

Is screening for AF worthwhile? Stroke risk in a screened population from the SAFE study
Conclusion. Stroke risk profiles of patients detected via opportunistic and systematic screenings were similar. Data derived from the SAFE study suggest that active screening for AF in patients aged ≥65 years in primary care is a useful screening programme with 78–83% of patients identified eligible for anticoagulation treatment according to the CHADS2 criteria.
Source: Family Practice - May 17, 2014 Category: Primary Care Authors: Fitzmaurice, D. A., McCahon, D., Baker, J., Murray, E. T., Jowett, S., Sandhar, H., Holder, R. L., Hobbs, F. D. R. Tags: Epidemiology Source Type: research

GPs' adherence to guidelines for structured assessments of stroke survivors in the community and care homes
Conclusions. This survey suggests that at least one-third of GPs provide no formal review of the needs of stroke patients and that in only a minority are identified needs addressed in a structured way. Standardization is required for what is included in reviews and how needs are being identified and met.
Source: Family Practice - November 19, 2015 Category: Primary Care Authors: Goncalves-Bradley, D. C., Boylan, A.-M., Koshiaris, C., Vazquez Montes, M., Ford, G. A., Lasserson, D. S. Tags: Health Service Research Source Type: research

Association of obesity and diabetes with physical activity and fruit and vegetable consumption in stroke survivors
ConclusionsResults indicated a joint effect of obesity and diabetes with low PA among stroke survivors. Regardless of obesity –diabetes status, however, prevalence of low FV consumption and low PA exceeded 50%. Targeted interventions that modify these unhealthy behaviours among stroke survivors should be explored.
Source: Family Practice - September 24, 2020 Category: Primary Care Source Type: research

Home blood pressure monitoring in hypertensive stroke patients: a prospective cohort study following a randomized controlled trial
Conclusion. Around half of hypertensive stroke patients offered a blood pressure monitor but no support continued to use it after 6 and 18 months. Monitoring in the first month was common in those who were not anxious or disabled.
Source: Family Practice - July 24, 2013 Category: Primary Care Authors: Ovaisi, S., Oakeshott, P., Kerry, S., Crabtree, A. E., Kyei, G., Kerry, S. M. Tags: Original Article Source Type: research

Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China
ConclusionsThe Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.
Source: Family Practice - February 22, 2021 Category: Primary Care Source Type: research

How reliable are stroke patients' reports of their numbers of general practice consultations over 12 months?
Conclusions. Patients modestly under-reported the number of consultations they had with a GP. Obtaining patient records from practices required more effort than obtaining information from patient questionnaires at the same time as assessing main trial outcomes. If patient self-reports of health care usage are used in economic evaluations in primary care, researchers should consider validating a sample against electronic records.
Source: Family Practice - January 23, 2013 Category: Primary Care Authors: Chishti, T., Harris, T., Conroy, R., Oakeshott, P., Tulloch, J., Coster, D., Kerry, S. R., Kerry, S. M. Tags: Original Article Source Type: research

Absolute cardiovascular risk and GP decision making in TIA and minor stroke
Conclusion. In patients presenting with transient or minor neurological symptoms, calculation of ACVR did not improve diagnostic accuracy for TIAMS beyond that of age and sex.
Source: Family Practice - November 18, 2014 Category: Primary Care Authors: Clarey, J., Lasserson, D., Levi, C., Parsons, M., Dewey, H., Barber, P. A., Quain, D., McElduff, P., Sales, M., Magin, P. Tags: Epidemiology Source Type: research

How do stroke survivors and their carers use practitioners ’ advice on secondary prevention medications? Qualitative study of an online forum
ConclusionsSide effects of secondary prevention medications and statins in particular, cause anxiety and resentment in some patients, and their concerns are not always addressed by practitioners. Practitioners could consider more proactive strategies to manage such side effects. Forum feedback was appropriate and supportive of the practitioners ’ advice received. Our findings from peer-to-peer online conversations confirm and widen previous research.
Source: Family Practice - April 10, 2017 Category: Primary Care Source Type: research

Understanding TIA: an ethnographic study of TIA consultations
ConclusionsTIA is a complex medical diagnosis with multiple risk factors that may make the management complex and hence difficult for patients to undertake. Our findings found variability in the conduct, provision of information and patient understanding. Guidance on nationally agreed consultation framework may prove useful. Improved patient education may include individualized/sustained education utilizing multidisciplinary team members across family/primary and secondary care, video or greater online education and improved general public education.
Source: Family Practice - February 4, 2020 Category: Primary Care Source Type: research

Nonadherence to guidelines for prescribing antiplatelet/anticoagulant therapy in patients with atrial fibrillation
Conclusions. Nonadherence to guidelines was found in three out of every five patients. A greater cerebrovascular risk and a lower haemorrhagic risk were associated with this behaviour. Qualitative studies are needed to determine the causes.
Source: Family Practice - July 3, 2016 Category: Primary Care Authors: Navarro-Juan, M., Carbonell-Torregrosa, M. A., Palazon-Bru, A., Martinez-Diaz, A. M., Gil-Guillen, V. F. Tags: Health Service Research Source Type: research

An evaluation of a multifaceted, local Quality Improvement Framework for long-term conditions in UK primary care
ConclusionThere are concerns about the unintended consequences of large pay-for-performance schemes in health care, but in a population with a high prevalence of disease, they may at least initially be beneficial. This study also provides evidence that a local, additional scheme may further improve the health of populations. Such schemes, whether national or local, require periodic review to evaluate the balance of their benefits and risks.
Source: Family Practice - December 21, 2018 Category: Primary Care Source Type: research

Evidence for depression and anxiety as risk factors for heart disease and stroke: implications for primary care
Source: Family Practice - June 10, 2021 Category: Primary Care Source Type: research