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Total 326 results found since Jan 2013.

Gender differences in stroke prevention in atrial fibrillation in general practice: using the GRASP‐AF audit tool
ConclusionWomen with AF are at higher risk of stroke than men without OAC. The gender‐related differences in risk of stroke disappear if OAC is used. Despite this, women are more likely not to receive OAC.
Source: International Journal of Clinical Practice - March 1, 2015 Category: Internal Medicine Authors: E. Shantsila, A. Wolff, G. Y. H. Lip, D. A. Lane Tags: Original Paper Source Type: research

Influenza and pneumococcal vaccination and risk of stroke or transient ischaemic attack-Matched case control study.
CONCLUSIONS: Influenza vaccination was associated with a 24% reduction in risk of stroke but not TIA. Pneumococcal vaccination was not associated with reduced risk of stroke or TIA. This has important implications for potential benefits of influenza vaccine. PMID: 24486370 [PubMed - as supplied by publisher]
Source: Vaccine - January 28, 2014 Category: Allergy & Immunology Authors: Siriwardena AN, Asghar Z, Coupland CA Tags: Vaccine Source Type: research

Clinical Manifestation of Depression after Stroke: Is It Different from Depression in Other Patient Populations?
Conclusions The findings suggest that depression after stroke is not a different type of depression. This finding indicates that all depressive symptoms should be evaluated in stroke patients, including somatic symptoms.
Source: PLoS One - December 4, 2015 Category: Biomedical Science Authors: Janneke M. de Man-van Ginkel et al. Source Type: research

Systematic review of rehabilitation programmes initiated within 90 days of a transient ischaemic attack or 'minor' stroke: a protocol
Discussion This review will be of value to clinicians and healthcare professionals working in TIA and stroke services as well as to general practitioners/family physicians who care for these patients in the community and to researchers involved in designing and evaluating rehabilitation interventions. Trial registration number CRD42015016450.
Source: BMJ Open - June 18, 2015 Category: Journals (General) Authors: Heron, N., Kee, F., Donnelly, M., Cupples, M. E. Tags: Open access, Cardiovascular medicine, General practice / Family practice, Neurology, Rehabilitation medicine, Sports and exercise medicine Protocol Source Type: research

Influenza vaccination and risk of stroke: Self-controlled case-series study.
CONCLUSIONS: Influenza vaccination is associated with a reduction in incidence of stroke. This study supports previous studies which have shown a beneficial association of influenza vaccination for stroke prevention. PMID: 26296496 [PubMed - as supplied by publisher]
Source: Vaccine - August 18, 2015 Category: Allergy & Immunology Authors: Asghar Z, Coupland C, Siriwardena N Tags: Vaccine Source Type: research

Barriers to medication adherence for the secondary prevention of stroke: a qualitative interview study in primary care.
CONCLUSION: Patients who have had a stroke are faced with multiple barriers to taking secondary prevention medications in UK general practice. This research suggests that a collaborative approach between caregivers, survivors, and healthcare professionals is needed to address these barriers and facilitate medication-taking behaviour. PMID: 27215572 [PubMed - as supplied by publisher]
Source: The British Journal of General Practice - May 22, 2016 Category: Primary Care Authors: Jamison J, Graffy J, Mullis R, Mant J, Sutton S Tags: Br J Gen Pract Source Type: research

Saving bones without risking brain —bisphosphonates and risk of stroke: matched case-control study
ConclusionsWe found no association between bisphosphonate treatment and risk of stroke, after adjusting for other confounders.
Source: Osteoporosis International - June 16, 2019 Category: Orthopaedics Source Type: research

Consultations Decline for Stroke, Transient Ischemic Attack, and Myocardial Infarction during the COVID-19 Pandemic in Germany
Conclusion: Although the decline in the number of patients presenting with stroke, TIA, and MI was not as noticeable in the ambulatory sector as it was in the area of emergency hospital-based care, our data indicate that the COVID-19 pandemic affected all sectors within the medical care system.Neuroepidemiology
Source: Neuroepidemiology - February 2, 2021 Category: Epidemiology Source Type: research

Patients experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
Conclusions MLAS was a positive experience for participants but many stroke survivors did not feel it was appropriate for them. Participation in self-management programmes after stroke might be improved by offering them sooner after the stroke and providing a range of delivery options beyond group-based, face-to-face learning. Trial registration number NCT03353519, NIH.
Source: BMJ Open - November 15, 2022 Category: General Medicine Authors: Blatchford, E. G., Aquino, M. R. J., Grant, J., Johnson, V., Mullis, R., Lim, L., Mant, J. Tags: Open access, Public health Source Type: research

Prospective study of IL-18 and risk of MI and stroke in men and women aged 60-79years: A nested case-control study.
CONCLUSIONS: Circulating IL-18 levels were strongly associated with a range of established and novel risk factors but were not independently associated with risk of MI or stroke in our study. PMID: 23207179 [PubMed - as supplied by publisher]
Source: Cytokine - November 30, 2012 Category: Molecular Biology Authors: Jefferis BJ, Whincup PH, Welsh P, Wannamethee SG, Rumley A, Ebrahim S, Lawlor DA, Lowe GD Tags: Cytokine Source Type: research

The importance of normative integration in stroke services: case study evidence from Sweden and England
Conclusions: Emphasis on the need to treat stroke as an emergency condition in both countries has created a context in which normative and systemic integration often occurs among clinicians that deliver emergency and acute stroke care, aiding the development of organizational, functional, service and clinical integration across the case study sites. In contrast, integration between hospital and community (rehabilitation and general practice) care is frequently less successful.
Source: Health Services Management - April 3, 2013 Category: Health Management Authors: Baeza, J. I., Boaz, A., Fraser, A., Fulop, N., McKevitt, C., Wolfe, C., On behalf of the European Implementation Score (EIS) Collaborative Group Tags: Primary Research Source Type: research

Receptionist rECognition and rEferral of patients with stroke (RECEPTS) study - protocol of a mixed methods study
This study therefore aims to understand the role of General Practice receptionists, with particular interest in receptionist's ability to recognise people who may be suffering from a stroke and to handle such patients as a medical emergency. Methods: The Receptionist rECognition and rEferral of PaTients with Stroke (RECEPTS) study will be a Primary Care based mixed methods study. 60 General Practices in the West Midlands will be recruited. Each practice will receive 10 unannounced simulated patient telephone calls, after the 10 calls questionnaires will be administered to each receptionist. These will examine the behaviour...
Source: Epidemiologic Perspectives and Innovations - May 12, 2014 Category: Epidemiology Authors: James P SheppardSatinder SinghJanet JonesElizabeth BatesJohn SkeltonConnie WiskinRichard J McManusRuth M Mellor 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

Receptionist rECognition and rEferral of Patients with Stroke (RECEPTS): unannounced simulated patient telephone call study in primary care.
CONCLUSION: General practice receptionists refer patients with stroke for immediate care when they present with several symptoms; however, they are less likely to refer patients presenting with only one symptom or less common symptoms of stroke. Optimum management of acute stroke in primary care requires interventions that improve receptionists' knowledge of lesser-known stroke symptoms. PMID: 26120134 [PubMed - in process]
Source: The British Journal of General Practice - June 30, 2015 Category: Primary Care Authors: Mellor RM, Sheppard JP, Bates E, Bouliotis G, Jones J, Singh S, Skelton J, Wiskin C, McManus RJ Tags: Br J Gen Pract Source Type: research

Under-prescribing of Prevention Drugs and Primary Prevention of Stroke and Transient Ischaemic Attack in UK General Practice: A Retrospective Analysis
ConclusionsIn our study, over half of people eligible for lipid-lowering, anticoagulant, or antihypertensive drugs were not prescribed them prior to first stroke/TIA. We estimate that approximately 12,000 first strokes could potentially be prevented annually in the UK through optimal prescribing of these drugs. Improving prescription of lipid-lowering, anticoagulant, and antihypertensive drugs is important to reduce the incidence and burden of stroke and TIA.
Source: PLoS Medicine - November 14, 2016 Category: Internal Medicine Authors: Grace M. Turner Source Type: research