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Total 442 results found since Jan 2013.
Inequities in access to inpatient rehabilitation after stroke: an international scoping review.
Conclusion Recommendations regarding which patients with moderate and severe strokes should access ongoing rehabilitation are inconsistent. Clinical practice guidelines from different countries regarding post-stroke rehabilitation do not always reflect the evidence regarding the likely benefits to people with stroke. Inequity in access to rehabilitation after stroke is an international issue.
PMID: 28835194 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - August 23, 2017 Category: Neurology Authors: Lynch EA, Cadilhac DA, Luker JA, Hillier SL Tags: Top Stroke Rehabil Source Type: research
The Dysphagia in Stroke Protocol Reduces Aspiration Pneumonia in Patients with Dysphagia Following Acute Stroke: a Clinical Audit
AbstractCough reflex testing has been evaluated as a component of the clinical swallowing assessment as a means of identifying patients at risk of aspiration during swallowing. A previous study by our research group found good sensitivity and specificity of the cough reflex test for identifying patients at risk of aspiration post-stroke, yet its use did not decrease pneumonia rates, contrary to previous reports. The aim of this study was to expand on our earlier work by implementing a clinical management protocol incorporating cough reflex testing within the same healthcare setting and compare patient outcomes to those fro...
Source: Translational Stroke Research - March 30, 2018 Category: Neurology Source Type: research
Community Knowledge and Awareness of Stroke in New Zealand
Introduction: Community knowledge and stroke awareness is crucial for primary prevention of stroke and timely access to stroke treatments including acute reperfusion therapies. We conducted a national telephone survey to quantify the level of community stroke awareness. Methods: A random sample of 400 adults in New Zealand (NZ), stratified by the 4 main ethnic groups, was surveyed. Eligible participants answered stroke awareness questions using both unprompted (open-ended) and prompted questions (using a list).
Source: Journal of Stroke and Cerebrovascular Diseases - December 22, 2019 Category: Neurology Authors: Rita V. Krishnamurthi, Suzanne Barker-Collo, Peter Alan Barber, Lynette J. Tippett, John C. Dalrymple-Alford, Bronwyn Tunnage, Susan Mahon, Priyakumari G. Parmar, Melanie Moylan, Valery L. Feigin Source Type: research
Stroke prevention in New Zealand: Can we do better?
There are approximately 45 000 stroke survivors in New Zealand and this number is projected to increase to 50 000 survivors, with annual costs to the health system exceeding $700 million by 2015 if no effective primary stroke prevention strategies are introduced. However, development of evidence‐based stroke prevention strategies requires answering several research questions. In this article, we summarize some key research questions that are particularly pertinent to stroke prevention in New Zealand.
Source: International Journal of Stroke - October 27, 2013 Category: Neurology Authors: Valery L. Feigin, Rita Krishnamurthi, P. Alan Barber, Bruce Arroll Tags: Leading Opinion Source Type: research
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
Stroke Awareness and Knowledge in an Urban New Zealand Population
This study assessed the awareness of stroke risk, symptoms, detection, and prevention behaviors in an urban New Zealand population.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2015 Category: Neurology Authors: Jacquie L. Bay, Ana-Mishel Spiroski, Laura Fogg-Rogers, Clare M. McCann, Richard L.M. Faull, Peter A. Barber 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
Stroke Riskometer Application (SRA ™) influence on lifestyle changes of home bound familial Malaysian stroke caregivers: a randomised controlled trial in a primary care based longer term stroke care facility
CONCLUSION: SRA™ is a useful tool for familial stroke caregivers to make lifestyle changes, although it did not reduce personal or relative stroke risk after 3 months usage.TRIAL REGISTRATION: No: ACTRN12618002050235 (Registration Date: 21st December 2018).PMID:37684626 | DOI:10.1186/s12875-023-02138-x
Source: Primary Care - September 8, 2023 Category: Primary Care Authors: Radhiyah Hussin Aznida Firzah Abdul Aziz Mohd Fairuz Ali Ezura Madiana Md Monoto H S Arvinder-Singh Alabed Ali Ahmed Alabed Wan Asyraf Wan Zaidi Norlinah Mohamed Ibrahim FRCPE Source Type: research
Activity monitors for increasing physical activity in adult stroke survivors.
CONCLUSIONS: Only four small RCTs with 274 participants (three in inpatient rehabilitation and one in the community) have examined the efficacy of activity monitors for increasing physical activity after stroke. Although these studies showed activity monitors could be incorporated into practice, there is currently not enough evidence to support the use of activity monitors to increase physical activity after stroke.
PMID: 30051462 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - July 27, 2018 Category: General Medicine Authors: Lynch EA, Jones TM, Simpson DB, Fini NA, Kuys SS, Borschmann K, Kramer S, Johnson L, Callisaya ML, Mahendran N, Janssen H, English C, ACTIOnS Collaboration Tags: Cochrane Database Syst Rev 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
Opposing Associations of Stress and Resilience With Functional Outcomes in Stroke Survivors in the Chronic Phase of Stroke: A Cross-Sectional Study
Stroke survivors report significant levels of psychological distress post stroke. To date, most studies conducted have focused on the relationship between psychological stress and functional outcomes in the acute phase of stroke. However, no studies had considered the role of stress over the chronic phase, where stress may continue to exert negative effects on cognitive and psychological processes. Further, the role of potentially modulatory variables, such as psychological resilience, on stroke outcomes has been understudied. The purpose of this study was to consider the relationships between stress and resilience with fu...
Source: Frontiers in Neurology - April 21, 2020 Category: Neurology Source Type: research
Community reintegration post-stroke in New Zealand: understanding the experiences of stroke survivors in the lower South Island.
CONCLUSIONS: Stroke survivors in New Zealand hold many similar perceptions about optimal community reintegration with those living elsewhere. Key to successful community reintegration, irrespective of geography, culture and ethnicity, appears to be involvement in meaningful activities, and reduced reliance on others whilst maintaining or developing good social relationships. These fundamental components are then contextually nuanced by what is meaningful and important to the individual. IMPLICATIONS FOR REHABILITATION Optimal community reintegration post-stroke is arguably the key goal of rehabilitation, and thus should be...
Source: Disability and Rehabilitation - November 2, 2020 Category: Rehabilitation Authors: Becker I, Maleka MD, Stewart A, Jenkins M, Hale L Tags: Disabil Rehabil Source Type: research
Projected stroke volumes to provide a 10-year direction for New Zealand stroke services.
CONCLUSION: Efforts to optimise stroke service performance and, increasingly, stroke prevention are required to ensure that the New Zealand Health Service will be able to manage the increased volumes of patients. Better data is required to validate the presented figures, which are largely based on unvalidated health administrative data.
PMID: 29927912 [PubMed - in process]
Source: New Zealand Medical Journal - June 22, 2018 Category: General Medicine Tags: N Z Med J Source Type: research
New Zealand hospital stroke service provision.
CONCLUSION: Hospital location is associated with differences in stroke services provision across New Zealand and ongoing work is required to optimise consistent access to best practice care. These results, in conjunction with an ongoing (REGIONS Care) study, will be used to determine whether this affects patient outcomes.
PMID: 33332337 [PubMed - in process]
Source: New Zealand Medical Journal - December 19, 2020 Category: General Medicine Tags: N Z Med J Source Type: research
