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Management: General Practices

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Total 326 results found since Jan 2013.

Evaluating quality and its determinants in lipid control for secondary prevention of heart disease and stroke in primary care: a study in an inner London Borough
Conclusions In this study, the key factor that explained poor lipid control in people with CVD was having no current prescription record of a statin. Women were more likely to have poorly controlled cholesterol (independent of comorbid risk factors and after adjusting for age, ethnicity, deprivation index and practice-level variation). Women with CVD should be offered statin prescription and may require higher statin dosage for improved control.
Source: BMJ Open - December 9, 2015 Category: Journals (General) Authors: Dodhia, H., Kun, L., Logan Ellis, H., Crompton, J., Wierzbicki, A. S., Williams, H., Hodgkinson, A., Balazs, J. Tags: Open access, Cardiovascular medicine, General practice / Family practice, Health services research Source Type: research

General practice based psychosocial interventions for supporting carers of people with dementia or stroke: a systematic review
Particularly with ageing populations, dementia and stroke and their resultant disability are worldwide concerns. Much of the support for people with these conditions comes from unpaid carers or caregivers. The...
Source: BMC Family Practice - January 15, 2016 Category: Primary Care Authors: Nan Greenwood, Ferruccio Pelone and Anne-Marie Hassenkamp Source Type: research

Stroke prevention in atrial fibrillation: we can do better.
PMID: 26823244 [PubMed - in process]
Source: The British Journal of General Practice - January 30, 2016 Category: Primary Care Authors: Kearney M, Fay M, Fitzmaurice DA Tags: Br J Gen Pract Source Type: research

Anticoagulation For The Prevention of Stroke In Non-Vavular Af In General Practice: Room For Improvement.
PMID: 27673654 [PubMed - as supplied by publisher]
Source: Clinical Therapeutics - September 29, 2016 Category: Drugs & Pharmacology Authors: Ioannou A, Singer D, Metaxa S, Kassianos G, Missouris C Tags: Clin Ther Source Type: research

Effect of Long-Term Vascular Care on Progression of Cerebrovascular Lesions Clinical Sciences
Conclusions—Nurse-led vascular care in hypertensive community-dwelling older persons did not diminish WMH accumulation over 3 years. However, our results do suggest this type of intervention could be effective in persons with high WMH volumes. There was no effect on lacunar infarcts incidence but numbers were low.Clinical Trial Information—URL: http://www.isrctn.com/ISRCTN29711771. Unique identifier: ISRCTN29711771.
Source: Stroke - June 26, 2017 Category: Neurology Authors: Jan Willem van Dalen, Eric P. Moll van Charante, Matthan W.A. Caan, Philip Scheltens, Charles B.L.M. Majoie, Aart J. Nederveen, Willem A. van Gool, Edo Richard Tags: Aging, Primary Prevention, Hypertension, Magnetic Resonance Imaging (MRI), Cerebrovascular Disease/Stroke Original Contributions Source Type: research

The relationship between knowledge, health literacy and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation
ConclusionSignificant correlations between health literacy, OAC knowledge and adherence were observed, and these relationships should to be considered by health professionals responsible for monitoring patients who are prescribed anticoagulants. We also observed serious gaps in OAC knowledge. Interventions designed to optimize the outcomes of anticoagulant treatment need to address these factors.This article is protected by copyright. All rights reserved.
Source: Cardiovascular Therapeutics - August 1, 2017 Category: Cardiology Authors: Chanelle A Rolls, Kehinde O Obamiro, Leanne Chalmers, Luke R E Bereznicki Tags: Original Research Article Source Type: research

The relationship between knowledge, health literacy, and adherence among patients taking oral anticoagulants for stroke thromboprophylaxis in atrial fibrillation
ConclusionSignificant correlations between health literacy, OAC knowledge, and adherence were observed, and these relationships should to be considered by health professionals responsible for monitoring patients who are prescribed anticoagulants. We also observed serious gaps in OAC knowledge. Interventions designed to optimize the outcomes of anticoagulant treatment need to address these factors.
Source: Cardiovascular Therapeutics - September 25, 2017 Category: Cardiology Authors: Chanelle A. Rolls, Kehinde O. Obamiro, Leanne Chalmers, Luke R. E. Bereznicki Tags: ORIGINAL RESEARCH ARTICLE Source Type: research

High-risk patients being underprescribed statins, study finds
Cholesterol-lowering drugs are also being overprescribed to people at low risk of having a heart attack or stroke, researchers findStatins are being overprescribed to low-risk groups and underprescribed to high-risk groups, research by the British Journal of General Practice (BJGP) has shown.The report found potential “undertreatment” among people who have at least a 20% chance of cardiovascular disease (CVD) within a decade, who are considered high-risk patients.Continue reading...
Source: Guardian Unlimited Science - October 24, 2017 Category: Science Authors: Mattha Busby Tags: Statins Society Heart attack Medical research Stroke UK news Science Source Type: news

Management of exertional heat stroke: a practical update for primary care physicians.
PMID: 29472229 [PubMed - in process]
Source: The British Journal of General Practice - February 25, 2018 Category: Primary Care Authors: Walter E, Steel K Tags: Br J Gen Pract Source Type: research

Atrial fibrillation and stroke prevention: where we are and where we should be.
PMID: 29853572 [PubMed - in process]
Source: The British Journal of General Practice - June 1, 2018 Category: Primary Care Authors: Jones NR, Hobbs FR, Taylor CJ Tags: Br J Gen Pract Source Type: research

Management of exertional heat stroke.
PMID: 30166376 [PubMed - in process]
Source: The British Journal of General Practice - September 1, 2018 Category: Primary Care Authors: Adams WM Tags: Br J Gen Pract Source Type: research

Effectiveness of CHA2DS2-VASc based decision support on stroke prevention in atrial fibrillation: A cluster randomised trial in general practice
Guidelines on atrial fibrillation (AF) recommend the CHA2DS2-VASc rule for anticoagulant decision-making, but underuse exists. We studied the impact of an automated decision support on stroke prevention in patients with AF in a cluster randomised trial in general practice.
Source: International Journal of Cardiology - September 7, 2018 Category: Cardiology Authors: S. van Doorn, F.H. Rutten, C.M. O'Flynn, R. Oudega, A.W. Hoes, K.G.M. Moons, G.J. Geersing Source Type: research

Impact of dronedarone on the risk of myocardial infarction and stroke in atrial fibrillation patients followed in general practices in Germany
The goal of this study was to analyze the impact of dronedarone on the risk of myocardial infarction and stroke in atrial fibrillation (AF) patients followed in general practices in Germany.
Source: International Journal of Cardiology - December 1, 2018 Category: Cardiology Authors: Joachim R. Ehrlich, Christiane Look, Karel Kostev, Carsten W. Israel, Andreas Goette Source Type: research

Can cardiovascular risk management be improved by shared care with general practice to prevent cognitive decline following stroke/TIA? A feasibility randomised controlled trial (SERVED memory)
Cognitive impairment and dementia following cerebrovascular disease are increasingly common in the UK. One potential strategy to prevent post-stroke cognitive decline is multimodal vascular risk factor managem...
Source: BMC Geriatrics - September 17, 2020 Category: Geriatrics Authors: William J. Davison, Phyo K. Myint, Yoon K. Loke, Garth Ravenhill, David Turner, Chris Fox, Lee Shepstone and John F. Potter Tags: Research article Source Type: research

Detection of occult atrial fibrillation with 24-hour ECG after cryptogenic acute stroke or transient ischaemic attack: A retrospective cross-sectional study in a primary care database in Israel
CONCLUSION: 24-hour Holter has a low AF/AFL detection rate. Older persons and those with hypertension or CKD are more likely to be detected with AF/AFL using this method.PMID:34240675 | DOI:10.1080/13814788.2021.1947237
Source: European Journal of General Practice - July 9, 2021 Category: Primary Care Authors: Ori Liran Tamar Banon Alon Grossman Source Type: research