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Total 55 results found since Jan 2013.

Combining transcranial ultrasound with intelligent communication methods to enhance the remote assessment and management of stroke patients: Framework for a technology demonstrator
With over 150,000 strokes in the United Kingdom every year, and more than 1 million living survivors, stroke is the third most common cause of death and the leading cause of severe physical disability among adults. A major challenge in administering timely treatment is determining whether the stroke is due to vascular blockage (ischaemic) or haemorrhage. For patients with ischaemic stroke, thrombolysis (i.e. pharmacological ‘clot-busting’) can improve outcomes when delivered swiftly after onset, and current National Health Service Quality Improvement Scotland guidelines are for thrombolytic therapy to be provid...
Source: Health Informatics Journal - August 8, 2016 Category: Information Technology Authors: Mort, A., Eadie, L., Regan, L., Macaden, A., Heaney, D., Bouamrane, M.-M., Rushworth, G., Wilson, P. Tags: Articles Source Type: research

A qualitative study of professional and carer perceptions of the threats to safe hospital discharge for stroke and hip fracture patients in the English National Health Service
Hospital discharge is a vulnerable transitional stage in patient care. This qualitative study investigated the views of healthcare professionals and patients about the threats to safe hospital discharge with a...
Source: BMC Health Services Research - July 25, 2016 Category: Journals (General) Authors: Justin Waring, Simon Bishop and Fiona Marshall Source Type: research

ESCAPS study protocol: a feasibility randomised controlled trial of 'Early electrical stimulation to the wrist extensors and wrist flexors to prevent the post-stroke complications of pain and contractures in the paretic arm
This study aims to evaluate the feasibility of a randomised controlled trial to test the efficacy and cost-effectiveness of delivering early intensive electrical stimulation (ES) to prevent post-stroke complications in the paretic upper limb. Methods and analysis This is a feasibility randomised controlled trial (n=40) with embedded qualitative studies (patient/carer interviews and therapist focus groups) and feasibility economic evaluation. Patients will be recruited from the Stroke Unit at the Nottingham University Hospitals National Health Service (NHS) Trust within 72 h after stroke. Participants will be randomis...
Source: BMJ Open - January 4, 2016 Category: Journals (General) Authors: Fletcher-Smith, J. C., Walker, D.-M., Sprigg, N., James, M., Walker, M. F., Allatt, K., Mehta, R., Pandyan, A. D. Tags: Open access, Neurology, Rehabilitation medicine Protocol Source Type: research

Rivaroxaban for Preventing Atherothrombotic Events in People with Acute Coronary Syndrome and Elevated Cardiac Biomarkers: An Evidence Review Group Perspective of a NICE Single Technology Appraisal
Abstract As part of its Single Technology Appraisal process, the National Institute for Health and Care Excellence (NICE) invited the company that manufactures rivaroxaban (Xarelto, Bayer) to submit evidence of the clinical and cost effectiveness of rivaroxaban for the prevention of adverse outcomes in patients after the acute management of acute coronary syndrome (ACS). The School of Health and Related Research Technology Appraisal Group at the University of Sheffield was commissioned to act as the independent Evidence Review Group (ERG). The ERG produced a critical review of the evidence for the clinical and cos...
Source: PharmacoEconomics - December 21, 2015 Category: Health Management Source Type: research

Impact On Italian National Health Service Expenditure For The Treatment Of Venous Thromboembolism With Rivaroxaban
This study aims to evaluate the economic impact of the use of rivaroxaban for preventing DVT and PE in Italy.
Source: Value in Health - October 23, 2015 Category: Global & Universal Authors: A Roggeri, DP Roggeri, V Pengo Source Type: research

The Cost-Effectiveness Of Novel Oral Anticoagulants For The Prevention Of Stroke In Atrial Fibrillation In England And Wales
Determine the most cost-effective, licensed, first-line anticoagulant for the prevention of ischemic stroke in patients with non-valvular atrial fibrillation (AF) in England and Wales from the perspective of the UK National Health Service.
Source: Value in Health - October 23, 2015 Category: Global & Universal Authors: H Thom, W Hollingworth, PA Bryden, J Sterne, PN Bodalia, P Davies, JA Lopez-Lopez, GN Okoli, DM Caldwell, S Dias, D Eaton, J Higgins, C Salisbury, J Savovic, R Sofat, A Stephens-Boal, A Hingorani, NJ Welton Source Type: research

Cost-effectiveness of Apixaban Compared With Edoxaban for Stroke Prevention in Nonvalvular Atrial Fibrillation.
Abstract PURPOSE: The purpose of this analysis was to assess the cost-effectiveness of apixaban 5 mg BID versus high- and low-dose edoxaban (60 mg and 30 mg once daily) as intended starting dose strategies for stroke prevention in patients from a UK National Health Service perspective. METHODS: A previously developed and validated Markov model was adapted to evaluate the lifetime clinical and economic impact of apixaban 5 mg BID versus edoxaban (high and low dose) in patients with nonvalvular atrial fibrillation. A pairwise indirect treatment comparison was conducted for clinical end points, and price parity ...
Source: Clinical Therapeutics - October 15, 2015 Category: Drugs & Pharmacology Authors: Lip GY, Lanitis T, Kongnakorn T, Phatak H, Chalkiadaki C, Liu X, Kuznik A, Lawrence J, Dorian P Tags: Clin Ther Source Type: research

'HeART of Stroke (HoS)', a community-based Arts for Health group intervention to support self-confidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study
Introduction Over 152 000 people in the UK have strokes annually and a third experience residual disability. Low mood also affects a third of stroke survivors; yet psychological support is poor. While Arts for Health interventions have been shown to improve well-being in people with mild-to-moderate depression post-stroke, their role in helping people regain sense of self, well-being and confidence has yet to be evaluated. The main aim of this study is to explore the feasibility of conducting a pragmatic multicentre randomised controlled trial to assess the effectiveness and cost-effectiveness of an Arts for Health gr...
Source: BMJ Open - August 4, 2015 Category: Journals (General) Authors: Ellis-Hill, C., Gracey, F., Thomas, S., Lamont-Robinson, C., Thomas, P. W., Marques, E. M. R., Grant, M., Nunn, S., Cant, R. P. I., Galvin, K. T., Reynolds, F., Jenkinson, D. F. Tags: Open access, Health services research, Neurology Protocol Source Type: research

In‐hospital costs in patients with seizures and epilepsy after stroke
Summary ObjectivesTo verify the net effect of seizures after stroke on the use of in‐hospital health care resources. MethodsConsecutive patients with first‐ever stroke were admitted to the stroke unit of a Moscow hospital and followed prospectively until death or discharge. Each patient experiencing seizures was matched for age, sex, stroke type, National Institutes of Health Stroke Scale score at admission, and stroke risk factors to 2+ patients with no seizures, as controls. Resources consumed included length of hospital stay, admission to the intensive care unit (ICU), diagnostic tests, medical consultations and tre...
Source: Epilepsia - June 13, 2015 Category: Neurology Authors: Alla Guekht, Maria Mizinova, Andrey Ershov, Denis Guz, Igor Kaimovsky, Paolo Messina, Ettore Beghi Tags: Full‐Length Original Research Source Type: research

A Hidden Danger In The New Versions Of Birth Control Pills
Women who take a newer version of birth control pills have a doubled risk of developing potentially fatal blood clots, according to a new study published in the British medical journal BMJ. Venous thromboembolism is a serious condition that encompasses both deep vein thrombosis -- when a person develops a blood clot in the legs -- and pulmonary embolism, in which the clot travels to the lungs and obstructs breathing. VTE is potentially fatal, and the study indicates that women who take combined oral contraceptives with newer progesterone formulations are two times more likely to develop it as opposed to women who take a ...
Source: Science - The Huffington Post - May 27, 2015 Category: Science Source Type: news

Costs And Outcomes Of Patients Admitted For A Cardiovascular Ischemic Disease In A Large Community Setting Of 2,989,512 Subjects Of The Italian National Health Service (Nhs)
To assess in a community setting the clinical characteristics, the outcomes and the related costs of patients admitted for an acute coronary syndrome (ACS) or a stroke/TIA (CVD) or a peripheral artery disease (PAD).
Source: Value in Health - May 1, 2015 Category: Global & Universal Authors: A.P. Maggioni, E. Cinconze, E. Rossi, M. De Rosa, I. Esposito, N. Martini Source Type: research

Length of hospital stay is shorter in South Asian patients with Ischaemic Stroke
Ischaemic stroke is a global healthcare issue and in the UK one percent of all admissions to National Health Service (NHS) hospitals were due to stroke [1]. It is the leading cause of disability, with more than half of the survivors left dependent on others, of which 11% are newly admitted to care homes. The majority of survivors will require rehabilitation and additional care in the community [2,3]. These additional needs culminate with longer hospital admissions, with a mean length of hospital stay (LOS) of 20days [3].
Source: International Journal of Cardiology - March 25, 2015 Category: Cardiology Authors: Rahul Potluri, Mohammed Wasim, Bharat Markandey, Arouna Kapour, Niece Khouw, Paul Carter, Hardeep Uppal, Suresh Chandran Tags: Letter to the editor Source Type: research

Nigeria: Stroke Affects Seven Nigerians Every Hour - Expert
[Daily Trust]National clinical director for stroke, England National Health Service, Dr Tony Rudd has explained that cases of stroke is going to get worse if there is no coordinated policy to prevent it.
Source: AllAfrica News: Health and Medicine - December 19, 2014 Category: African Health Source Type: news

Immediately After A Stroke, Your Next Steps Are Crucial
By Shereen Lehman (Reuters Health) - Time is critical when someone has a stroke, but care can be delayed when victims, bystanders or even health workers don't recognize the emergency, a new study in the UK finds. Better public awareness of the signs of stroke and the importance of seeking immediate emergency care are needed, the authors say. Stroke signs include the sudden onset of various symptoms such as confusion, difficulty speaking, droopy face or slurred speech, weakness in a limb, numbness, being off-balance, visual loss or a really severe headache. "Getting to hospital quickly is...
Source: Science - The Huffington Post - December 12, 2014 Category: Science Source Type: news

Ten-point plan to tackle liver disease published
"Doctors call for tougher laws on alcohol abuse to tackle liver disease crisis," The Guardian reports. But this is just one of 10 recommendations for tackling the burden of liver disease published in a special report in The Lancet.The report paints a grim picture of an emerging crisis in liver disease in the UK, saying it is one of the few countries in Europe where liver disease and deaths have actually increased rapidly over the last 30 years. It concludes with 10 recommendations to tackle the burden of liver disease.The media has approached the recommendations from many different angles, with many sources only ...
Source: NHS News Feed - November 27, 2014 Category: Consumer Health News Tags: Food/diet Lifestyle/exercise QA articles Source Type: news