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Total 17 results found since Jan 2013.

20 years of researching stroke through audit.
This article records and reviews some questions that have been answered using data from the audit: Is the rate of institutional care after rehabilitation a possible measure of outcome? Does stroke unit care in routine practice give the benefits shown in randomized controlled trials? How is the quality of stroke care affected by a patient's age and the time of their stroke? Do patient-reported measures match those obtained from the professionals recording of processes of care? How do the processes of care after stroke affect mortality? Is thrombolysis safe to use in patients over the age of 80? Do staffing levels matter? Do...
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Rudd AG, Hoffman A, Paley L, Bray B Tags: Clin Rehabil Source Type: research

When Time Is Critical: How Involving Frontline Health Workers Can Improve Stroke Survival Rates
By Carmen Graffagnino, Neurologist, Duke Hospital ; Nilima Mehta , Philanthropy program manager, Medtronic Foundation ; Anne Katharine Wales, Senior philanthropy portfolio lead, Medtronic FoundationApril 09, 2019Here are three ways to change a system of acute care.April 10 started as an ordinary day for Sarah. But while eating breakfast, her husband noticed that her face had started to droop and she was unable to find her words. Immediately he called 911.Within 10 minutes, the ambulance arrived with emergency medical services (EMS), a segment of the local health system that recently became partners in a new regional ...
Source: IntraHealth International - April 9, 2019 Category: International Medicine & Public Health Authors: mnathe Tags: Noncommunicable Diseases Education & Performance Private-Sector Approaches SwitchPoint Health Workforce Systems USA Source Type: news

Rehabilitation using virtual gaming for Hospital and hOMe-Based training for the Upper limb post Stroke (RHOMBUS II): protocol of a feasibility randomised controlled trial
Introduction Upper limb (UL) rehabilitation is most effective early after stroke, with higher doses leading to improved outcomes. For the stroke survivor, the repetition may be monotonous. For clinicians, providing a clinically meaningful level of input can be challenging. As such, time spent engaged in UL activity among subacute stroke survivors remains inadequate. Opportunities for the stroke survivor to engage with UL rehabilitation in a safe, accessible and engaging way are essential to improving UL outcomes following stroke. The NeuroBall is a non-immersive virtual reality (VR) digital system designed for stroke rehab...
Source: BMJ Open - June 7, 2022 Category: General Medicine Authors: Kilbride, C., Warland, A., Stewart, V., Aweid, B., Samiyappan, A., Ryan, J., Butcher, T., Athanasiou, D. A., Baker, K., Singla-Buxarrais, G., Anokye, N., Pound, C., Gowing, F., Norris, M. Tags: Open access, Rehabilitation medicine Source Type: research

Structured follow-up pathway to support people after transient ischaemic attack and minor stroke (SUPPORT TIA): protocol for a feasibility study and process evaluation
BMJ Open. 2022 Jun 16;12(6):e060280. doi: 10.1136/bmjopen-2021-060280.ABSTRACTINTRODUCTION: People who experience transient ischaemic attack (TIA) and minor stroke have limited follow-up despite rapid specialist review in hospital. This means they often have unmet needs and feel abandoned following discharge. Care needs after TIA/minor stroke include information provision (diagnosis and stroke risk), stroke prevention (medication and lifestyle change) and holistic care (residual problems and return to work or usual activities). This protocol describes a feasibility study and process evaluation of an intervention to support...
Source: Cancer Control - June 16, 2022 Category: Cancer & Oncology Authors: Grace M Turner Rachael Jones Phillip Collis Smitaa Patel Sue Jowett Sarah Tearne Robbie Foy Lou Atkins Jonathan Mant Melanie Calvert Source Type: research

Myocardial infarction and stroke subsequent to urinary tract infection (MISSOURI): protocol for a self-controlled case series using linked electronic health records
Introduction There is increasing interest in the relationship between acute infections and acute cardiovascular events. Most previous research has focused on understanding whether the risk of acute cardiovascular events increases following a respiratory tract infection. The relationship between urinary tract infections (UTIs) and acute cardiovascular events is less well studied. Therefore, the aim of this study is to determine whether there is a causal relationship between UTI and acute myocardial infarction (MI) or stroke. Methods and analysis We will undertake a self-controlled case series study using linked anonymised ...
Source: BMJ Open - September 22, 2022 Category: General Medicine Authors: Reeve, N. F., Best, V., Gillespie, D., Hughes, K., Lugg-Widger, F. V., Cannings-John, R., Torabi, F., Wootton, M., Akbari, A., Ahmed, H. Tags: Open access, Infectious diseases Source Type: research

Stroke patients in Wales ‘could die’ because thrombectomy not available
Acute shortage in NHS of specialist doctors who undertake life-saving treatment means hospitals cannot provide itStroke patients in Wales are being denied a life-saving pioneering treatment after the surgical team providing it had to be mothballed because of an acute NHS shortage of the specialist doctors who undertake the procedure.Internal NHS emails obtained by the Guardian reveal that health service bosses in Wales are pleading with hospitals in England to perform mechanical thrombectomy on their patients to save them from disability and death.Continue reading...
Source: Guardian Unlimited Science - October 1, 2017 Category: Science Authors: Denis Campbell Health policy editor Tags: Stroke NHS Wales Health Medical research Society Doctors Science UK news Source Type: news

Report says hospital discharge must improve
Health inspectors in Wales say poor IT is stopping GPs getting right information Related items fromOnMedica Eight in ten stillbirths might have been avoided NHS is failing patients with mental health problems Avoidable harm still ‘too high’ in UK healthcare Primary Care Home has positive impact on care and services Stroke survivors need more help taking medicine
Source: OnMedica Latest News - August 15, 2018 Category: UK Health Source Type: news

Stroke consultant shortage 'hurtling towards crisis'
Some 48% of hospitals in England, Wales and Northern Ireland do not have the staff they need, figures suggest.
Source: BBC News | Health | UK Edition - January 17, 2020 Category: Consumer Health News Source Type: news

Medical complications of surgery: an orthogeriatrician's perspective
Hip fracture is one of the most common admission diagnoses in the UK, accounting for>75,000 hospital admissions per year in England and Wales. Fractured neck of femur can be classified as a ‘frailty’ presentation because of an average age of>80 years, a clear association with ‘pathological falls’, including syncope, and a high number of co-morbidities. The combination of traumatic injury, frailty and surgery presents significant challenges to the managing team and requires a multidisciplinary approach to reduce the risk of perioperative complications, most commonly p ostoperative delirium, sepsis, cardiac complicat...
Source: Medicine - December 18, 2020 Category: Internal Medicine Authors: Mark A. Baxter Tags: Acute medicine I Source Type: research

Climate Experts Are Testing New Ways To Reach the People Most Affected by Extreme Heat
As heat waves become longer, hotter, and more widespread across the planet, human responses to them are becoming increasingly local and specialized. Both scientific researchers and government officials are finding that the best strategies to keep cool are ones that are specially tailored to a community. That may seem obvious, given that outdoor laborers need different cooling resources than school teachers, for instance. But existing national and regional policies aren’t always that fine tuned—and they run the risk of wasting resources or missing the most vulnerable people. [time-brightcove not-tgx=”tru...
Source: TIME: Health - July 19, 2022 Category: Consumer Health News Authors: Emily Barone Tags: Uncategorized climate climate change Climate Is Everything extreme weather healthscienceclimate Source Type: news

Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales
Med J Aust. 2022 Dec 10. doi: 10.5694/mja2.51809. Online ahead of print.NO ABSTRACTPMID:36495870 | DOI:10.5694/mja2.51809
Source: Medical Journal of Australia - December 10, 2022 Category: General Medicine Authors: Xia Wang Cheryl Carcel Mark Woodward Source Type: research