Query: stroke

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Total 527 results found since Jan 2013.

Exploring barriers to stroke coordinator roles in Australia: A national survey
Coordinator roles are integral to delivering best practice stroke care. Evidence related to the challenges faced by clinicians working in these positions is lacking.
Source: Collegian - January 19, 2022 Category: Nursing Authors: Tara Purvis, Sandy Middleton, Anne W Alexandrov, Monique F Kilkenny, Skye Coote, Sarah Kuhle, Dominique A Cadilhac Source Type: research

The economic burden of stroke: a systematic review of cost of illness studies
J Med Life. 2021 Sep-Oct;14(5):606-619. doi: 10.25122/jml-2021-0361.ABSTRACTStroke is one of the leading causes of morbidity and mortality worldwide. As the number of stroke cases is rising from one year to another, policymakers require data on the amount spent on stroke to enforce better financing policies for prevention, hospital care, outpatient rehabilitation services and social services. We aimed to systematically assess the economic burden of stroke at global level. Cost of stroke studies were retrieved from five databases. We retrieved the average cost per patient, where specified, or estimated it using a top-down a...
Source: Journal of Medicine and Life - January 14, 2022 Category: General Medicine Authors: Stefan Strilciuc Diana Alecsandra Grad Constantin Radu Diana Chira Adina Stan Marius Ungureanu Adrian Gheorghe Fior-Dafin Muresanu Source Type: research

Tenecteplase use in the management of acute ischemic stroke: Literature review and clinical considerations
CONCLUSION: Current clinical evidence shows that tenecteplase is not inferior to alteplase for the treatment of ischemic stroke and suggests that tenecteplase may have a superior safety profile. Furthermore, tenecteplase also has practical advantages in terms of its administration. This can potentially lead to a decrease in medication errors and improvement in door to thrombolytic time.PMID:35020806 | DOI:10.1093/ajhp/zxac010
Source: American Journal of Health-System Pharmacy : AJHP - January 12, 2022 Category: Drugs & Pharmacology Authors: Kirubel Hailu Chad Cannon Sarah Hayes Source Type: research

Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus
Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
Source: BMJ Open - January 6, 2022 Category: General Medicine Authors: Mahmood, A., Deshmukh, A., Natarajan, M., Marsden, D., Vyslysel, G., Padickaparambil, S., TS, S., Direito, A., Kumaran, S., N, G., Sachdev, H., Kumar Veluswamy, S., Karthikbabu, S., Unnikrishnan, B., English, C., Solomon, J. M. Tags: Open access, Neurology Source Type: research

Associations of Serum Testosterone and Sex Hormone-Binding Globulin With Incident Cardiovascular Events in Middle-Aged to Older Men
CONCLUSION: Men with lower total testosterone concentrations were not at increased risk for MI, stroke, HF, or MACE. Calculated free testosterone may be associated with risk for MACE. Men with lower SHBG concentrations have higher risk for MI but lower risk for IS and HF, with causality to be determined.PRIMARY FUNDING SOURCE: Western Australian Health Translation Network, Medical Research Future Fund, and Lawley Pharmaceuticals.PMID:34958606 | DOI:10.7326/M21-0551
Source: Annals of Internal Medicine - December 27, 2021 Category: Internal Medicine Authors: Bu B Yeap Ross J Marriott Leen Antonio Suchitra Raj Girish Dwivedi Christopher M Reid Bradley D Anawalt Shalender Bhasin Adrian S Dobs David J Handelsman Graeme J Hankey Robin Haring Alvin M Matsumoto Paul E Norman Terence W O'Neill Claes Ohlsson Eric S O Source Type: research

Optimal measures for primary care physician encounters after stroke and association with survival: a data linkage study
Conclusions: Our persistence measure of regularity or composite measure may be useful when measuring physician encounters following stroke.
Source: Neuroepidemiology - December 22, 2021 Category: Epidemiology Source Type: research

One-Year Risk of Stroke After Transient Ischemic Attack or Minor Stroke in Hunter New England, Australia (INSIST Study)
Conclusion: One-year risk of stroke in TIAMS participants was lower than reported in previous studies. Early implementation of antiplatelet/anticoagulant therapies may have contributed to the low stroke recurrence.
Source: Frontiers in Neurology - December 20, 2021 Category: Neurology Source Type: research

Reflecting on experiences of care: an exploratory qualitative descriptive study of the perspectives of stroke survivors, families and staff
Conclusion Seeking patient, family and staff experiences of care can provide valuable insights into facilitating better patient, family and staff engagement for preparation for home-based rehabilitation for stroke survivors and their caregivers. Further research with a larger sample across diverse hospital settings would provide even greater insight into strategies to best address the reality of rehabilitation care and readiness of patients when returning home to the community.
Source: BMJ Open - December 20, 2021 Category: General Medicine Authors: Bulsara, C., Saunders, R., Emery, L., Etherton-Beer, C. Tags: Open access, Rehabilitation medicine Source Type: research

Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review
CONCLUSION: Stroke survivors recovering in rural and remote locations want to live their life by doing what matters to them, despite the challenges they face. They want support in ways that work for them in their environment. Further research is required to tailor support for stroke survivors that is specific to their life in rural and remote locations.PMID:34918349 | DOI:10.1111/1440-1630.12779
Source: Rural Remote Health - December 17, 2021 Category: Rural Health Authors: Sarah M Jackson Bridee A Neibling Ruth N Barker Source Type: research

Real-time reviews of research findings will help policymakers address global crises such as COVID-19
Real-time reviews of research findings could help policymakers address global crises such as COVID-19, saysthis   articlepublished   inNature. Living evidence was first developed by Cochrane and an important recommendation for future health emergencies that came out of the recent Cochrane Convenes meetings. According to scientists writing in the peer-reviewed journal  Nature, policy missteps will continue to overshadow the global response to COVID-19 because policymakers are overwhelmed with rapidly shifting research evidence. Faced with new challenges such as the Omicron variant, decision-makers can ’t keep up wi...
Source: Cochrane News and Events - December 15, 2021 Category: Information Technology Authors: Lydia Parsonson Source Type: news

Real-World Cost-Effectiveness of Late Time Window Thrombectomy for Patients With Ischemic Stroke
Conclusions: Treating patients not meeting the DAWN or DEFUSE 3 clinical trial criteria in the extended time window for EVT was associated with less gain in QALYs and higher cost. Caution should be exercised when considering this procedure for patients not satisfying the trial perfusion imaging criteria for EVT.
Source: Frontiers in Neurology - December 14, 2021 Category: Neurology Source Type: research

Serum NT-Pro-BNP versus Noninvasive Bedside Inotropic Index in Paediatric Shock: A Contest of Myocardial Performance in Response to Fluid Loading
CONCLUSION: Higher NT-pro-BNP and lower SMII in the absence of cardiac diseases were associated with poor response to fluid loading. The SMII is affected by low preload conditions.PMID:34888103 | PMC:PMC8651364 | DOI:10.1155/2021/7458186
Source: Critical Care Research and Practice - December 10, 2021 Category: Intensive Care Authors: Antonius Hocky Pudjiadi Tuty Rahayu Stephanie Wijaya Fatima Safira Alatas Source Type: research

Hand Motion Analysis Illustrates Differences When Drilling Cadaveric and Printed Temporal Bone
CONCLUSIONS: Significant differences in hand motions were present between simulations, however the significance is unclear. This may indicate that printed bone is not best positioned to be the principal training schema.PMID:34872376 | DOI:10.1177/00034894211059310
Source: The Annals of Otology, Rhinology, and Laryngology - December 7, 2021 Category: ENT & OMF Authors: Jordan B Hochman Justyn Pisa Katrice Kazmerik Bertram Unger Source Type: research

How to live longer: The most 'powerful' way to protect yourself against ageing
AN AUSTRALIAN study comparing medication and nutrition found that diet has the more profound impact on controlling diabetes, stroke and heart disease.
Source: Daily Express - Health - December 4, 2021 Category: Consumer Health News Source Type: news

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Front Neurol. 2021 Nov 11;12:665808. doi: 10.3389/fneur.2021.665808. eCollection 2021.ABSTRACTDelays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTI...
Source: Rural Remote Health - December 3, 2021 Category: Rural Health Authors: Rebecca J Hood Steven Maltby Angela Keynes Murielle G Kluge Eugene Nalivaiko Annika Ryan Martine Cox Mark W Parsons Christine L Paul Carlos Garcia-Esperon Neil J Spratt Christopher R Levi Frederick R Walker Source Type: research

Telestroke Assessment With Perfusion CT Improves the Diagnostic Accuracy of Stroke vs. Mimic
Conclusions: In the telehealth setting, the absence of an ischaemic lesion on CTP adds to the diagnostic accuracy in distinguishing mimic from stroke, above that from clinical features.
Source: Frontiers in Neurology - December 3, 2021 Category: Neurology Source Type: research

Denial of Cerebrovascular Events in a National Clinical Quality Registry for Stroke: A Retrospective Cohort Study
To investigate cerebrovascular event (CVE) denials reported by registered patients to the Australian Stroke Clinical Registry, and to examine the factors associated with CVE denial.
Source: Journal of Stroke and Cerebrovascular Diseases - December 2, 2021 Category: Neurology Authors: Karen M. Barclay, Monique F. Kilkenny, Sibilah J. Breen, Olivia F. Ryan, Kathleen L. Bagot, Natasha A. Lannin, Vincent Thijs, Dominique A. Cadilhac, AuSCR Consortium Source Type: research

A Multicentre Study Comparing Cerebrovascular Disease Profiles in Pacific Islander and Caucasian Populations Presenting with Stroke and Transient Ischaemic Attack
Conclusion: Distinct cerebrovascular disease profiles are identifiable in PI-born patients who present with TIA or stroke symptoms in Australia. These may be used in the future to direct targeted approaches to stroke prevention and care in culturally and linguistically diverse populations.Neuroepidemiology
Source: Neuroepidemiology - December 1, 2021 Category: Epidemiology Source Type: research

Using experience-based codesign to coproduce aphasia rehabilitation services: study protocol
We present a protocol for the development of coproduced aphasia service elements. We will use experience-based codesign (EBCD), an approach that enables service users and providers to collaboratively develop services and care pathways. Drawing on the experiences of people with aphasia, their families and clinicians we will establish priorities for the development of new services and later work together to codesign them. Methods and analysis This research will be coproduced with people with aphasia (n=30–60), their families (n=30–60) and speech pathologists (n=30–60) in Queensland, Australia, using EBCD. ...
Source: BMJ Open - November 18, 2021 Category: General Medicine Authors: Anemaat, L., Palmer, V. J., Copland, D. A., Mainstone, K., Druery, K., Druery, J., Aisthorpe, B., Binge, G., Mainstone, P., Wallace, S. J. Tags: Open access, Rehabilitation medicine Source Type: research

Patients' experiences of a Communication Enhanced Environment model on an acute/slow stream rehabilitation and a rehabilitation ward following stroke: a qualitative description approach
CONCLUSIONS: While findings are encouraging, further exploration of the feasibility of a CEE model in this complex setting is indicated to inform the development of this intervention.Implications for rehabilitationPatient access to a CEE model is challenging in a hospital setting.Patients who were able to access elements of the CEE model described positive opportunities for engagement in language activities.Patients' access to the CEE model was influenced by patient factors, staff factors, hospital features as well as staff time pressures.PMID:34780322 | DOI:10.1080/09638288.2021.1965226
Source: Disability and Rehabilitation - November 15, 2021 Category: Rehabilitation Authors: Sarah D'Souza Deborah Hersh Erin Godecke Natalie Ciccone Heidi Janssen Elizabeth Armstrong Source Type: research

Feasibility of national living guideline methods: the Australian Stroke Guidelines
Key findingsIt is feasible to produce living evidence-based guidelines covering a wide range of topics related to management of stroke or transient ischaemic attack.What this adds to what is knownLiving evidence synthesis methods are becoming more common particularly in response to the COIVD-19 crisis. However, whether these methods can be applied to a large national guideline was unclear. This work shows that it is possible to develop rigorous living guidelines and update them by considering all major randomised trials and systematic reviews each month.
Source: Journal of Clinical Epidemiology - November 13, 2021 Category: Epidemiology Authors: Kelvin Hill, Coralie English, Bruce C.V. Campbell, Steve McDonald, Loyal Pattuwage, Peta Bates, Chris Lassig, Living Stroke Guidelines Executive Group and Content Development Group Source Type: research

Development and Pilot Implementation of TACTICS VR: A Virtual Reality-Based Stroke Management Workflow Training Application and Training Framework
Delays in acute stroke treatment contribute to severe and negative impacts for patients and significant healthcare costs. Variability in clinical care is a contributor to delayed treatment, particularly in rural, regional and remote (RRR) areas. Targeted approaches to improve stroke workflow processes improve outcomes, but numerous challenges exist particularly in RRR settings. Virtual reality (VR) applications can provide immersive and engaging training and overcome some existing training barriers. We recently initiated the TACTICS trial, which is assessing a “package intervention” to support advanced CT imaging and s...
Source: Frontiers in Neurology - November 11, 2021 Category: Neurology Source Type: research

Cross-sectional survey of rehabilitation service availability for stroke and hip fracture in Australian public hospitals
CONCLUSION: There was reduced availability of rehabilitation services and health disciplines in rural/regional settings. A follow-up study is underway investigating relationships between reduced outpatient service availability and inpatient length of stay in rural/regional versus metropolitan hospitals.PMID:34757624 | DOI:10.1111/ajr.12803
Source: The Australian Journal of Rural Health - November 10, 2021 Category: Rural Health Authors: Angela Vratsistas-Curto Christine T Shiner Linda Klein Steven G Faux Source Type: research

Treatment with Multiple Therapeutic Classes of Medication is Associated with Survival after Stroke
Conclusion: Treatment with all three classes of guideline-recommended medications within 90 days post-discharge was associated with better survival. Ongoing efforts are required to ensure optimal pharmacological intervention for secondary prevention of stroke.
Source: Neuroepidemiology - November 10, 2021 Category: Epidemiology Source Type: research