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Total 534 results found since Jan 2013.

Appropriateness of inpatient dosing of direct oral anticoagulants for atrial fibrillation
The objective was to determine the rates of inappropriate inpatient DOAC dosing in AF and identifying its associated underlying factors. We conducted a retrospective cross-sectional study from December 2013 to November 2019 across six South Australian public hospitals utilising a centralised electronic health record. Multivariate analysis was used to identify factors associated with underdosing of patients prescribed apixaban. Of 1882 inpatients, 544 (28.9  %) were inappropriately dosed. Underdosing was the most common form of inappropriate dosing with rates of 22.9 % (n = 295), 7.1 % (n = 7), and 25.1 % (n...
Source: Journal of Thrombosis and Thrombolysis - July 24, 2021 Category: Hematology Source Type: research

Disparities in Screening and Treatment of Cardiovascular Diseases in Patients With Mental Disorders Across the World: Systematic Review and Meta-Analysis of 47 Observational Studies
CONCLUSIONS: People with mental disorders, and those with schizophrenia in particular, receive less screening and lower-quality treatment for CVD. It is of paramount importance to address underprescribing of CVD medications and underutilization of diagnostic and therapeutic procedures across all mental disorders.PMID:34256605 | DOI:10.1176/appi.ajp.2021.21010031
Source: The American Journal of Psychiatry - July 14, 2021 Category: Psychiatry Authors: Marco Solmi Jess Fiedorowicz Laura Poddighe Marco Delogu Alessandro Miola Anne H øye Ina H Heiberg Brendon Stubbs Lee Smith Henrik Larsson Rubina Attar Ren é E Nielsen Samuele Cortese Jae Il Shin Paolo Fusar-Poli Joseph Firth Lakshmi N Yatham Andre F Ca Source Type: research

Effect of occupational therapy home visit discharge planning on participation after stroke: protocol for the HOME Rehab trial
This study is approved by the Alfred Health Human Research Ethics Committee and site-specific ethics approval has been obtained at all participating sites. Results of the main trial and the secondary endpoint of cost-effectiveness will be submitted for publication in peer-reviewed journals Trial registration number ACTRN12618001360202
Source: BMJ Open - July 5, 2021 Category: General Medicine Authors: Lannin, N. A., Clemson, L., Drummond, A., Stanley, M., Churilov, L., Laver, K., O'Keefe, S., Cameron, I., Crotty, M., Usherwood, T., Andrew, N. E., Jolliffe, L., Cadilhac, D. A. Tags: Open access, Rehabilitation medicine Source Type: research

Perspectives on rehabilitation for Aboriginal people with stroke: a qualitative study
Conclusions. Aboriginal people report making positive lifestyle changes, but experience significant unmet rehabilitation needs. Addressing issues of communication, advocacy and flexible delivery should improve some of the shortfalls in service provision, particularly in regional and remote areas.PMID:34180366 | DOI:10.1080/10749357.2021.1911771
Source: Topics in Stroke Rehabilitation - June 28, 2021 Category: Neurology Authors: Janet Kelly Anna Dowling Susan Hillier Alex Brown Timothy Kleinig Kendall Goldsmith Katharine McBride Jeyaraj Pandian Sally Castle Amanda G Thrift Source Type: research

Application of a computational model in simulating an endovascular clot retrieval service system within regional Australia
ConclusionsGeolocation and resource utilisation within the ECR delivery system are crucial in optimising service delivery and patient outcome. Under the model assumptions, as the number of stroke cases requiring ECR increased, a two-centre ECR system resulted in increased timely ECR delivery, compared to a single-centre system. This study demonstrated the flexibility and the potential application of our DES model in simulating the stroke service within any location worldwide.
Source: Journal of Medical Imaging and Radiation Oncology - June 9, 2021 Category: Radiology Authors: Yifan Ren, Michael Phan, Phillip Luong, Jamin Wu, Daniel Shell, Christen D Barras, Steve Chryssidis, Hong Kuan Kok, Moe Burney, Baham Tahayori, Julian Maingard, Ashu Jhamb, Vincent Thijs, Duncan Mark Brooks, Hamed Asadi Tags: Medical Imaging —Original Article Source Type: research

Network Mapping of Time to Antithrombotic Therapy Among Patients With Ischemic Stroke and Transient Ischemic Attack (TIA)
Conclusion: The proportion of patients receiving antithrombotics within 48 h was higher than previously reported in Australia but remained lower than the standard achieved in North American hospitals. Our process map and network analysis show avenues to shorten the time to antithrombotic.
Source: Frontiers in Neurology - June 7, 2021 Category: Neurology Source Type: research

Prioritizing guideline recommendations for implementation: a systematic, consumer-inclusive process with a case study using the Australian Clinical Guidelines for Stroke Management
Implementation of evidence-based care remains a key challenge in clinical practice. Determining “what” to implement can guide implementation efforts. This paper describes a process developed to identify priori...
Source: Health Research Policy and Systems - May 22, 2021 Category: International Medicine & Public Health Authors: Elizabeth A. Lynch, Chris Lassig, Tari Turner, Leonid Churilov, Kelvin Hill and Kirstine Shrubsole Tags: Research Source Type: research