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Potential gains and costs from increasing access to thrombolysis for acute ischemic stroke patients in New Zealand hospitals
ConclusionWhile thrombolysis is a cost‐effective treatment in New Zealand, resources should be devoted to campaigns, both within hospitals and in the community, to increase coverage.
Source: International Journal of Stroke - November 10, 2013 Category: Neurology Authors: Braden Te Ao, Paul Brown, John Fink, Mark Vivian, Valery Feigin Tags: Research Source Type: research

Higher BMI Confers a Long-Term Functional Status Advantage in Elderly New Zealand European Stroke Patients
Obesity is a risk factor for ischaemic stroke but provides a survival advantage. The relationship between body mass index (BMI) and long-term function is less clear. The presence of an obesity paradox can inform clinical care and identify vulnerable patients who need additional support post-stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - March 10, 2021 Category: Neurology Authors: Shivankar Nair, Siyi Chen, Deepak Gupta, Alesha J. Smith, Ailsa L. McGregor Source Type: research

Perioperative covert stroke in patients undergoing non-cardiac surgery (NeuroVISION): a prospective cohort study
Publication date: Available online 15 August 2019Source: The LancetAuthor(s): Marko Mrkobrada, Matthew T.V. Chan, David Cowan, Douglas Campbell, Chew Yin Wang, David Torres, German Malaga, Robert D. Sanders, Manas Sharma, Carl Brown, Alben Sigamani, Wojciech Szczeklik, Mukul Sharma, Gordon Guyatt, Eric E. Smith, Ronit Agid, Adam A. Dmytriw, Jessica Spence, Nikesh R. Adunuri, Flavia K. BorgesSummaryBackgroundIn non-surgical settings, covert stroke is more common than overt stroke and is associated with cognitive decline. Although overt stroke occurs in less than 1% of adults after non-cardiac surgery and is associated with ...
Source: The Lancet - August 16, 2019 Category: General Medicine Source Type: research

Evaluation of an online intervention for improving stroke survivors ’ health-related quality of life: A randomised controlled trial
ConclusionsThe P2S online healthy lifestyle program improved stroke survivors ’ self-reported global ratings of HRQoL (as measured by EQ-VAS) at 6-month follow-up. Online platforms represent a promising tool to engage and support some stroke survivors. Trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12617001205325.
Source: PLoS Medicine - April 19, 2022 Category: Internal Medicine Authors: Ashleigh Guillaumier Source Type: research

Trends in New Zealand stroke thrombolysis treatment rates.
CONCLUSIONS: There have been improvements in stroke thrombolysis rates and treatment delays in New Zealand hospitals since the institution of the National Stroke Network thrombolysis register. The Network will continue to adjust key performance indicators, and stroke thrombolysis targets for individual DHBs have been increased to 8% for 2017 and 10% for 2018. PMID: 28384147 [PubMed - in process]
Source: New Zealand Medical Journal - April 8, 2017 Category: Journals (General) Tags: N Z Med J Source Type: research

Stroke thrombolysis in New Zealand: data from the first 6 months of the New Zealand Thrombolysis Register.
Authors: Joshi P, Fink J, Barber PA, Davis A, Lanford J, Seymour A, Wright P, Busby W, Abernethy G, Ranta AA Abstract The New Zealand National Stroke Network introduced a National Stroke Thrombolysis Register on the first of January 2015 to assist with quality assurance and continuous service improvement. In the first 6 months, there were 179 [75 women, mean (SD) age 69.9 (14) years] treated with stroke thrombolysis out of a total of 2,796 ischaemic stroke patients, giving a national thrombolysis rate of 6.4%. The median [Inter-quartile range (IQR)] onset-to-treatment time was 154 (125-190) minutes, and the median ...
Source: New Zealand Medical Journal - July 25, 2016 Category: Journals (General) Tags: N Z Med J Source Type: research

Ethnic Differences in Access to Stroke Reperfusion Therapy in Northern New Zealand
Conclusions: This study has shown equitable access to acute stroke reperfusion therapies and largely similar outcomes in different ethnic groups in northern New Zealand.Neuroepidemiology
Source: Neuroepidemiology - September 21, 2020 Category: Epidemiology Source Type: research

Clinician knowledge of driving restrictions following a stroke event.
CONCLUSIONS: Many health professionals have discussions with people about driving restrictions following a TIA or stroke. However, there appears to be limited knowledge of all the restrictions for each condition as they relate to either private or commercial vehicle use. Insufficient training and education for clinicians might explain this gap. PMID: 33444306 [PubMed - as supplied by publisher]
Source: New Zealand Medical Journal - January 15, 2021 Category: General Medicine Tags: N Z Med J Source Type: research

Pre-hospital delays in patients experiencing symptoms of acute stroke or transient ischaemic attack
CONCLUSIONS: The findings of this study provide important insights that could help healthcare organisations introduce strategies to help improve access to organised stroke services.PMID:34531581
Source: New Zealand Medical Journal - September 17, 2021 Category: General Medicine Authors: Karim M Mahawish Daniel Greenblatt Source Type: research

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