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311 Older Adults Awareness and Response to Stroke in Ireland.
ConclusionAwareness of stroke symptoms does not necessarily influence response to stroke in older adults. Future stroke awareness campaigns should consider FAST2 which speaks to treatment (thrombolysis or thrombectomy) as well as time.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

254 An Audit of the Frequency of Early Swallow Screens Performed in Patients Diagnosed with a Stroke
ConclusionIn summary while our hospital is succeeding in getting the vast majority of diagnosed strokes into our stroke unit we are not currently meeting the UK target for early swallow screening. We aim to roll out an education and training programme targeting nurses and doctors in our stroke unit regarding early swallow screening and re-audit this in 6-12 month ’s time.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

199 Hospital Discharges for Acute Stroke in Ireland: National Data 2005-2017
ConclusionBetter understanding is needed of the risk factors underlying this worrying trend.Clinical service providers will need to adapt to better deal with the challenges specific to stroke at younger age.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

24 Stroke Risk Factors, Aetiology, and Outcomes in a Multi-ethnic Irish Stroke Population
ConclusionOur study demonstrates that NI stroke patients have a different risk factor and stroke sub-type profile compared to Irish patients.  NI patients are more likely to be young, hypertensive, male, and have higher rates of ICH. Cultural and linguistic barriers may adversely influence health seeking behaviour in this group. These findings underscore the need to identify the root causes of these ethnic differences so targeted prima ry prevention campaigns can be established.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

317 Incidence of Cognitive Impairment after Stroke: a Retrospective Cohort of Rehabilitation Patients.
ConclusionThis study replicates Pendlebury and Rothwell ’s findings that over a third of people suffering from severe strokes will develop cognitive impairment. This is of critical importance to stroke clinicians as it should prompt frank discussions with stroke patients and their families about prognosis, recovery and future planning.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy
ConclusionCCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

122 Are We Effective Prescribers? A Retrospective Audit of DOAC Prescribing Post Embolic Stroke for Non Valvular Atrial Fibrillation
ConclusionA significant number of patients prescribed DOAC in hospital were not appropriately anticoagulated (21%), a majority of which were under-dosed. The patients who were under-dosed were older and more likely to be on 5 or more medications.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

57 The Workload Distribution and Response Times of FAST Scans in a Level 3 Hospital in Ireland
ConclusionStroke CT will continue to increase the out of hours work load for CT departments across the country especially with our ageing population. It is vital that services, particularly in level 3 stroke centres, are adequately equipped in terms of staffing to meet the highest standard of care in the management of acute stroke.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

219 The Effect of Introducing In-house Radiographers Out of Hours on Door to CT Times for FAST Positive Patients
ConclusionThe introduction of in-house radiographers out of hours has led to a quicker transition of patients from the Emergency Department to the CT department thus reducing door to CT times.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

164 Dementia, a Familial Affair
ConclusionThis case highlights the importance of genetics shaping phenotypes and that consideration should always be given to a full relevant family history.  It also shows a rare case of rapidly progressive dementia confirmed due to CJD with a likely underlying familial predisposition.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

207 Acute Incidence of Disease at Elevated Levels of Fine Particulate Matter (PM2.5) in Dublin, Ireland
ConclusionControls need to be brought in to ensure that PM2.5 does not exceed a 50μg/m3 level due to the increase in disease incidence associated with same. The urban burning of solid fuels should be severely restricted.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

268 Can the Swallow Screening Component of a Frailty Assessment be Used to Reliably Direct Clinical Dysphagia Assessment Referrals?
ConclusionA trained interdisciplinary frailty team can reliably screen for and identify risk of dysphagia. This indicates a potential for use of more standardised swallow screening protocols beyond the post stroke population into a broader cohort of patients.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

33 “Striking Back Against Stroke”
ConclusionThis is an ongoing process which continues to ultimately improve patient outcomes.“Time is Brain”
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

343 Atrial Fibrillation, Orthostatic Hypotension and Cerebral Perfusion – Data from The Irish Longitudinal Study on Ageing
ConclusionThere is evidence that frontal lobe perfusion is lower during orthostasis in individuals with AF, and that the presence of OH modifies this association.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Global cognitive performance at 4-year follow-up in individuals with atrial fibrillation —findings from The Irish Longitudinal Study on Ageing
ConclusionIndividuals with AF were more likely to show an increase in rate of errors between waves 1 and 3 (4-year follow-up period) in the TILDA population; however, results were not significant when controlling for age, sex and level of education.
Source: Age and Ageing - July 21, 2021 Category: Geriatrics Source Type: research