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Total 184 results found since Jan 2013.

Stroke Risk Factors, Subtype, and Outcomes in a Multi-Ethnic Stroke Population
Conclusion Our study demonstrates that stroke patients ONIE have a different stroke subtype and demographic profile compared to Irish patients. Patients ONIE are more likely to be young, male with higher rates of ICH.PMID:35279054
Source: Ir Med J - March 13, 2022 Category: General Medicine Authors: J Finnegan S Mello N Cogan S Greene D Ryan R Collins Source Type: research

A survey of exercise professionals ’ barriers and facilitators to working with stroke survivors
This study aimed to investigate EPs’ opinions on working with SSs by rating their agreement of barriers and facilitators to working with SSs. The study also investigated EPs skills, interest and experience working with SSs and the relationship between EPs’ barriers and facilitators with their training on stroke. A descriptive cross‐sectional study was conducted using a researcher‐designed online survey between October and December 2015. Purposive sampling was used to survey EPs on the Register of Exercise Professionals in Ireland (n = 277). The response rate was 31% (87/277). Only 22% (19/86) of EPs had experienc...
Source: Health and Social Care in the Community - November 1, 2017 Category: Health Management Authors: Marie Condon, Marie Guidon Tags: ORIGINAL ARTICLE Source Type: research

Identifying patients with atrial fibrillation with a single CHA 2 DS 2 -VASC risk factor who are at higher risk of stroke
ConclusionPatients considered at low or intermediate risk using traditional risk stratification schemes, with  ≥ 2 points using this proposed low-risk index (65–74 years old, diabetics or a combination of chronic renal failure and an additional risk factor), had an overall stroke risk that may justify anticoagulation therapy.
Source: Irish Journal of Medical Science - April 12, 2021 Category: General Medicine Source Type: research

EP51* Burden of tough to retrieve clots in acute ischemic stroke: clinical and economic impact of increasing retrieval attempts in mechanical thrombectomy
ConclusionOdds of achieving good outcomes decline with MT passes, while care costs increase. Thrombectomy devices that improve interaction with tough clots for rapid and complete retrieval in fewer passes may improve clinical and economic outcomes.ReferencesYoo AJ. Journal of Stroke 2017;19(2):121.Douglas A. JNIS 2020;12(6):557–562.Liebeskind DS. Stroke 2011;42(5):1237–1243.Abbasi M. Interventional Neuroradiology 2021;202115910199211009119.Siddiqui AH. Stroke 2021;52(Suppl_1):AP14–AP14.García-Tornel Á. Stroke 2019;50(7):1781–1788.Shireman TI. Stroke 2017;48(2):379–387.DisclosureD...
Source: Journal of NeuroInterventional Surgery - August 24, 2021 Category: Neurosurgery Authors: Alderson, J., Ikeme, S., Tong, C., Cameron, H., Thornton, J. Tags: Treatment Source Type: research

Is the prescription right? A review of non-vitamin K antagonist anticoagulant (NOAC) prescriptions in patients with non-valvular atrial fibrillation. Safe prescribing in atrial fibrillation and evaluation of non-vitamin K oral anticoagulants in stroke prevention (SAFE-NOACS) group
ConclusionOur study highlights significant inaccuracies in NOAC prescribing. Patients commenced on NOACs should be assessed and followed up in a multidisciplinary AF clinic to ensure safe and effective prescribing and stroke prevention.
Source: Irish Journal of Medical Science - June 2, 2018 Category: General Medicine 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

Audit of inpatient acute stroke services in a university teaching hospital, 2020
DiscussionUsing national and international  audit data as an institutional benchmark provides a standard with which a service can be compared to highlight areas for improvement. We identified mood screening, swallow screening, thrombectomy rates, length of stay and time to neuroimaging as key areas for development in our centre. We are cur rently completing a process map to determine cause, effect, and solutions, and we will implement change using PDSA methodology as per SQUIRE 2.0 guidelines. The results of the re-audit cycle for 2020 will be available in 2021 to inform our progress. Ongoing quality improvement is esse...
Source: Irish Journal of Medical Science - March 16, 2021 Category: General Medicine Source Type: research

Investigating the association between inpatient stroke therapy and disability, destination on discharge, length of stay and mortality: a prospective cohort study using the Sentinel Stroke National Audit Programme
Conclusions Our findings suggest for stroke inpatients requiring therapy, ‘More is better’ may be overly simplistic. Strong limitations associated with analysis of routine data restrict further robust investigation of the therapy–response relationship. Robust prospective work is urgently needed to further investigate the relationships observed here.
Source: BMJ Open - April 1, 2022 Category: General Medicine Authors: Gittins, M., Lugo-Palacios, D. G., Vail, A., Bowen, A., Paley, L., Bray, B., Gannon, B., Tyson, S. Tags: Open access, Rehabilitation medicine Source Type: research

IJERPH, Vol. 19, Pages 14587: Returning to Leisure Activity Post-Stroke: Barriers and Facilitators to Engagement
Conclusions: Physical difficulties and lack of energy are problematic for stroke and TIA survivors who want to return to or participate in leisure activity. Healthcare support alone cannot overcome all practical and emotional issues related to leisure activity engagement. Family support and improving well-being are important facilitators and future research should explore these mechanisms further.
Source: International Journal of Environmental Research and Public Health - November 7, 2022 Category: Environmental Health Authors: Joanna Harrison Clare Thetford Matthew J. Reeves Christopher Brown Miland Joshi Caroline Watkins Tags: Article Source Type: research

Effect of teleconsultation on the application of thrombolytic therapy in stroke patients in the emergency department
ConclusionsTeleconsultation was a successful and reliable strategy in assessing patients with ischemic stroke and making decisions for IV-tPA. Moreover, patient assessment via teleconsultation was less time consuming. The results of the study are promising for the use of teleconsultation in the future.
Source: Irish Journal of Medical Science - August 19, 2023 Category: General Medicine Source Type: research

CT cervico-cerebral angiography in acute stroke. Can we justify aortic arch imaging?
ConclusionsRoutine inclusion of the upper chest on CTCCA is currently difficult to justify in the evaluation of a suspected acute anterior circulation stroke, contributing significantly to total radiation dose without demonstrating significant extra-cranial vascular findings. Prospective studies adopting narrower fields of view excluding the upper chest are necessary.
Source: Irish Journal of Medical Science - August 24, 2018 Category: General Medicine Source Type: research

A systematic review of the clinical effectiveness of emergency endovascular therapy using mechanical thrombectomy in acute ischaemic stroke: implications for service delivery
ConclusionsThe trials published most recently have acted as a ‘watershed’ for mechanical thrombectomy, and while there are significant caveats, the data suggests that mechanical thrombectomy needs to be factored into the planning and delivery of services for the management of patients with acute ischaemic stroke in Ireland.
Source: Irish Journal of Medical Science - September 15, 2018 Category: General Medicine Source Type: research

CT cervico-cerebral angiography in acute stroke. Can we justify aortic arch imaging?
ConclusionsRoutine inclusion of the upper chest on CTCCA is currently difficult to justify in the evaluation of a suspected acute anterior circulation stroke, contributing significantly to total radiation dose without demonstrating significant extra-cranial vascular findings. Prospective studies adopting narrower fields of view excluding the upper chest are necessary.
Source: Irish Journal of Medical Science - August 24, 2018 Category: General Medicine Source Type: research

Acute ischaemic stroke: a systematic review of the cost-effectiveness of emergency endovascular therapy using mechanical thrombectomy
ConclusionsIf the outcomes of the trials underpinning the evidence of clinical effectiveness can be replicated, then mechanical thrombectomy is likely to be cost-effective by typical willingness-to-pay thresholds. This finding holds under the assumption that no investment is required to develop stroke centres to the standard required to provide a safe emergency endovascular service and that additional expenditure on timely patient transport is not required.
Source: Irish Journal of Medical Science - December 8, 2018 Category: General Medicine Source Type: research