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Total 797 results found since Jan 2013.

Prevent 2nd Stroke: a pilot study of an online secondary prevention program for stroke survivors.
CONCLUSIONS: The results indicated that online programs are an acceptable way to address these health outcomes. Implications to public health: Further research is needed to assess the effectiveness of these interventions using powered trials. PMID: 29888829 [PubMed - as supplied by publisher]
Source: Australian and New Zealand Journal of Public Health - June 11, 2018 Category: International Medicine & Public Health Authors: Denham AMJ, Halpin S, Twyman L, Guillaumier A, Bonevski B Tags: Aust N Z J Public Health Source Type: research

Factors influencing self-reported anxiety or depression following stroke or TIA using linked registry and hospital data
ConclusionsIdentification of those with prior mental health problems for early intervention and support may help reduce the prevalence of post-stroke anxiety or depression.
Source: Quality of Life Research - August 4, 2018 Category: Health Management Source Type: research

Stroke communication partner training: a national survey of 122 clinicians on current practice patterns and perceived implementation barriers and facilitators.
CONCLUSION & IMPLICATIONS: A significant evidence-practice gap exists. Research exploring the implementation of stroke CPT in healthcare settings, expanding evidence to support CPT for the range of post-stroke communication disorders, developing freely accessible step-by-step CPT programmes that consider restrictions in current practice and providing explicit instructions of CPT best practice are warranted. A supportive workplace culture and freely accessible formal training opportunities are also needed. PMID: 30151877 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - August 27, 2018 Category: Speech-Language Pathology Authors: Chang HF, Power E, O'Halloran R, Foster A Tags: Int J Lang Commun Disord Source Type: research

Insights into the nature of female sexuality from the perspective of female stroke survivors.
CONCLUSIONS: The findings of this study underline the importance of addressing sexuality as part of rehabilitation and provide some guidance about what might be important to address. Implications for Rehabilitation Sexuality should be addressed by clinicians as part of person-centred rehabilitation. Understanding "the being" and "the doing" of female sexuality is a pre-requisite for understanding female sexuality post-stroke. Idealised constructions of being female formulated pre-stroke may continue to be points of reference for self-assessment post-stroke, hence need to be understood when seeking to support a positive sen...
Source: Disability and Rehabilitation - September 6, 2018 Category: Rehabilitation Authors: Pryor J, Lever S Tags: Disabil Rehabil Source Type: research

Access to rehabilitation for patients with stroke in Australia.
CONCLUSIONS: Access to stroke units and to early and ongoing rehabilitation for patients after stroke can be improved in Australia, both to optimise outcomes and to reduce the burden of care on underresourced community and primary care providers. PMID: 30636312 [PubMed - in process]
Source: Med J Aust - January 1, 2019 Category: General Medicine Authors: Lynch EA, Mackintosh S, Luker JA, Hillier SL Tags: Med J Aust Source Type: research

Early Mobilization After Stroke: Do Clinical Practice Guidelines Support Clinicians' Decision-Making?
Conclusions: The lack of specificity, clinical applicability, and adaptability of current CPGs to effectively respond to the heterogeneous clinical stroke context has provided a clear direction for improvement.
Source: Frontiers in Neurology - February 5, 2021 Category: Neurology Source Type: research

COVID-19 Pandemic Impact on Care for Stroke in Australia: Emerging Evidence From the Australian Stroke Clinical Registry
We present information on acute stroke care for the first wave of the COVID-19 pandemic in Australia using data from the Australian Stroke Clinical Registry (AuSCR). The first case of COVID-19 in Australia was recorded in late January 2020 and national restrictions to control the virus commenced in March. To account for seasonal effects of stroke admissions, patient-level data from the registry from January to June 2020 were compared to the same period in 2019 (historical-control) from 61 public hospitals. We compared periods using descriptive statistics and performed interrupted time series analyses. Perceptions of stroke...
Source: Frontiers in Neurology - February 26, 2021 Category: Neurology Source Type: research

Systematic Review of Existing Stroke Guidelines: Case for a Change
CONCLUSIONS: This systematic review has identified a significant evidence-practice gap in all existing national stroke guidelines published in English medium as of October 2020. These guidelines included the only current "living stroke guidelines," stroke guidelines from Australia with a real opportunity to modernize the living stroke guidelines with systems biology approach, and provide 2020 vision towards better stroke care globally. Investigation of complex disease such as stroke is best served through a systems biology approach. One of the easiest places to start is simple blood tests such as total white cell count and...
Source: Biomed Res - June 20, 2022 Category: Research Authors: Tissa Wijeratne Carmela Sales Chanith Wijeratne Leila Karimi Mihajlo Jakovljevic Source Type: research

Cost-effectiveness of mechanical thrombectomy for acute ischemic stroke: an Australian payer perspective.
CONCLUSIONS: Mechanical thrombectomy is a cost-effective treatment option for AIS, with clinical benefits translating to short and long-term cost benefits. This analysis supports rapid update of stroke care pathways to incorporate this therapy as a treatment option. PMID: 29741126 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - May 11, 2018 Category: Health Management Tags: J Med Econ Source Type: research

Restenosis and risk of stroke after stenting or endarterectomy for symptomatic carotid stenosis in the International Carotid Stenting Study (ICSS): secondary analysis of a randomised trial
This report presents a secondary analysis, and follow-up is complete. Findings Between May, 2001, and October, 2008, 1713 patients were enrolled and randomly allocated treatment (855 were assigned stenting and 858 endarterectomy), of whom 1530 individuals were followed up with ultrasound (737 assigned stenting and 793 endarterectomy) for a median of 4·0 years (IQR 2·3–5·0). At least moderate restenosis (≥50%) occurred in 274 patients after stenting (cumulative 5-year risk 40·7%) and in 217 after endarterectomy (29·6%; unadjusted hazard ratio [HR] 1·43, 95% CI 1·21–1·72; p<0·0001). Patients with at lea...
Source: The Lancet Neurology - June 1, 2018 Category: Neurology Source Type: research

Quality of acute stroke care in a regional Victorian hospital, Australia.
CONCLUSION: The timeliness of brain imaging and thrombolysis was comparable in the study hospital to that of the national standard, while other stroke management indicators still require improvement. Continuing efforts for improvement and revisiting possible areas of delay are warranted. PMID: 30945784 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - April 3, 2019 Category: Rural Health Authors: Yang TWW, Islam MR Tags: Aust J Rural Health Source Type: research