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Management: Family Practices

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Total 250 results found since Jan 2013.

Tight versus standard blood pressure control on the incidence of myocardial infarction and stroke: an observational retrospective cohort study in the general ambulatory setting
The 2017 American College of Cardiology and American Heart Association guideline defined hypertension as blood pressure (BP)  ≥ 130/80 mmHg compared to the traditional definition of ≥140/90 mmHg. This change ra...
Source: BMC Family Practice - May 16, 2020 Category: Primary Care Authors: Bumsoo Park, Katarzyna Budzynska, Nada Almasri, Sumaiya Islam, Fanar Alyas, Rachel L. Carolan, Benjamin E. Abraham, Pamela A. Castro-Camero, Maria E. Shreve, Della A. Rees and Lois Lamerato Tags: Research article Source Type: research

When is referral from primary care to specialist services appropriate for survivors of stroke? A modified RAND-appropriateness consensus study
There is guidance in the United Kingdom about what long-term care stroke survivors should receive, but a lack of guidance about who should deliver it and where this care should take place. This is a key issue ...
Source: BMC Family Practice - April 18, 2020 Category: Primary Care Authors: Lisa Lim, Jonathan Mant, Ricky Mullis and Martin Roland Tags: Research article Source Type: research

QUality improvement in primary care to prevent hospitalisations and improve Effectiveness and efficiency of care for people Living with coronary heart disease (QUEL): protocol for a 24-month cluster randomised controlled trial in primary care
Cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, is the leading cause of death and disability globally. A large proportion of mortality occurs in people with prior CHD and effec...
Source: BMC Family Practice - February 14, 2020 Category: Primary Care Authors: Julie Redfern, Nashid Hafiz, Karice Hyun, Andrew Knight, Charlotte Hespe, Clara K. Chow, Tom Briffa, Robyn Gallagher, Christopher Reid, David L. Hare, Nicholas Zwar, Mark Woodward, Stephen Jan, Emily R. Atkins, Tracey-Lea Laba, Elizabeth Halcomb & hellip; Tags: Study protocol Source Type: research

Understanding TIA: an ethnographic study of TIA consultations
ConclusionsTIA is a complex medical diagnosis with multiple risk factors that may make the management complex and hence difficult for patients to undertake. Our findings found variability in the conduct, provision of information and patient understanding. Guidance on nationally agreed consultation framework may prove useful. Improved patient education may include individualized/sustained education utilizing multidisciplinary team members across family/primary and secondary care, video or greater online education and improved general public education.
Source: Family Practice - February 4, 2020 Category: Primary Care Source Type: research

TIA and minor stroke: a qualitative study of long-term impact and experiences of follow-up care
Transient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on...
Source: BMC Family Practice - December 17, 2019 Category: Primary Care Authors: Grace M. Turner, Christel McMullan, Lou Atkins, Robbie Foy, Jonathan Mant and Melanie Calvert Tags: Research article Source Type: research

Lifestyle behaviours in patients with established cardiovascular diseases: a European observational study
Patients who have experienced a cardiovascular clinical event such as a myocardial infarction or stroke qualify for intensive risk factor evaluation and management.
Source: BMC Family Practice - November 26, 2019 Category: Primary Care Authors: Diana Fern ández, Carlos Brotons, Irene Moral, Mateja Bulc, Mélanie Afonso, Hülya Akan, Susana Pinto, Jasna Vucak and Carlos Manuel da Silva Martins Tags: Research article Source Type: research

Atrial fibrillation care in rural communities: a mixed methods study of physician and patient perspectives
Atrial fibrillation (AF) is a serious heart arrhythmia associated with devastating outcomes such as stroke. Inequitable rural AF care may put patients at risk. Virtually delivered specialty AF care offers a vi...
Source: BMC Family Practice - October 24, 2019 Category: Primary Care Authors: Kathy L. Rush, Lindsay Burton, Fransien Van Der Merwe, Linda Hatt and Camille Galloway Tags: Research article Source Type: research

Stroke follow-up in primary care: a Norwegian modelling study on the implications of multimorbidity for guideline adherence
Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors ...
Source: BMC Family Practice - October 18, 2019 Category: Primary Care Authors: Rune Aakvik Pedersen, Halfdan Petursson and Irene Hetlevik Tags: Research article Source Type: research

Using a checklist to facilitate management of long-term care needs after stroke: insights from focus groups and a feasibility study
Long-term needs of stroke survivors are often not adequately addressed and many patients are dissatisfied with care post-discharge from hospital. Primary care could play an important role in identifying need i...
Source: BMC Family Practice - January 4, 2019 Category: Primary Care Authors: Grace M. Turner, Ricky Mullis, Lisa Lim, Lizzie Kreit and Jonathan Mant Tags: Research article Source Type: research

Does left atrial appendage closure reduce stroke rates as well as oral anticoagulants and antiplatelet meds in A-fib patients?
PMID: 30724905 [PubMed - in process]
Source: The Journal of Family Practice - January 1, 2019 Category: Practice Management Authors: Careyva B, Keister D, Mathieu S, Wilson L, Nashelsky J Tags: J Fam Pract Source Type: research

An evaluation of a multifaceted, local Quality Improvement Framework for long-term conditions in UK primary care
ConclusionThere are concerns about the unintended consequences of large pay-for-performance schemes in health care, but in a population with a high prevalence of disease, they may at least initially be beneficial. This study also provides evidence that a local, additional scheme may further improve the health of populations. Such schemes, whether national or local, require periodic review to evaluate the balance of their benefits and risks.
Source: Family Practice - December 21, 2018 Category: Primary Care Source Type: research

General practitioners ’ reasoning on risk screening and primary prevention of stroke – a focus group study
By screening and modifying risk factors, stroke incidence can be reduced. Clinical guidelines states that primary prevention of stroke is a responsibility and task of primary health care, but research shows th...
Source: BMC Family Practice - December 4, 2018 Category: Primary Care Authors: Ann-Helen Patomella, Gustav Mickols, Eric Asaba, Gunnar Nilsson, Cecilia Frid én, Anders Kottorp, Bo Christer Bertilson and Kerstin Tham Tags: Research article Source Type: research

Stroke follow-up in primary care: a prospective cohort study on guideline adherence
After a stroke, a person has an increased risk of recurrent strokes. Effective secondary prevention can provide significant gains in the form of reduced disability and mortality. While considerable efforts hav...
Source: BMC Family Practice - November 28, 2018 Category: Primary Care Authors: Rune Aakvik Pedersen, Halfdan Petursson and Irene Hetlevik Tags: Research article Source Type: research

Post-stroke memory deficits and barriers to seeking help: views of patients and carers
ConclusionsWith an ageing population and increase in stroke-survival, the burden of post-stroke cognitive impairment and dementia will only increase. Stroke-survivors and their family carers in this study have identified issues that may hinder their presentation to health care professionals at a personal and organizational level. Health professionals need to be aware of these potential issues when planning services for stroke-survivors.
Source: Family Practice - November 19, 2018 Category: Primary Care Source Type: research

Clinical Inquiries: What are the benefits and risks of daily low-dose aspirin for primary prevention of CV events?
Abstract One nonfatal myocardial infarction (MI) will be avoided for every 126 to 138 adults who take daily aspirin for 10 years (strength of recommendation [SOR]: A, systematic reviews and meta-analyses of multiple randomized controlled trials [RCTs]). Taking low-dose aspirin for primary prevention shows no clear mortality benefit. A benefit for primary prevention of stroke is less certain. Although no evidence establishes increased risk of hemorrhagic stroke from daily low-dose aspirin, one gastrointestinal hemorrhage will occur for every 72 to 357 adults who take aspirin for longer than 10 years (SOR: A, system...
Source: The Journal of Family Practice - April 1, 2018 Category: Practice Management Authors: Mutter J, Grandy R, Hulkower S, Stigleman S Tags: J Fam Pract Source Type: research