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Condition: Stroke
Education: Royal College of Physicians

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Total 344 results found since Jan 2013.

Resource use and quality of care in an urban stroke unit
Conclusion Better outcome measures in ASU could be attributed to the differences between the groups of stroke patients. Prompt therapist input and frequent nursing observations have long been considered to be imperative in the success of ASU; our findings wholly support this and highlight the importance of the multidisciplinary approach. The snapshot data revealed that bed capacity on ASU was sufficient for the number of stroke patients. However capacity was not being utilised efficiently as non–stroke medical boarders occupied beds consistently whilst stroke patients were boarded out to other wards.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Boyle, J., Casey, H., Doyle, C., Walters, M. Tags: Coma and raised intracranial pressure, Stroke, Hypertension Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Contrasting impact of fast-test public education on behaviour after tia and minor stroke versus major stroke: a population-based study
Conclusion The U.K. FAST campaign appears to have improved recognition and behaviour after major stroke, but symptom recognition remains poor in TIA and minor stroke and may have been adversely affected. Public education campaigns should consider potential unintended consequences of focussing only on FAST-test symptoms and on major stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Wolters, F. J., Paul, N. L., Chandratheva, A., Li, L., Rothwell, P. M. Tags: Drugs: CNS (not psychiatric), Stroke, Ear, nose and throat/otolaryngology Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Long term risk of stroke versus acute coronary events after tia and stroke: a population-based study
Conclusion The long–term risk of major vascular events after TIA and stroke remains substantial, but about 70% of fatal and non–fatal events are now accounted for by recurrent stroke rather than acute coronary events.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Paul, N. L., Mehta, Z., Silver, L., Geraghty, O. C., Rothwell, P. M. Tags: Stroke, Ischaemic heart disease Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Association of obstructive sleep apnoea (osa) with incident stroke: a systematic review and meta-analysis
Conclusion As OSA appears to be independently associated with stroke (and continuous positive airway pressure (CPAP) reduces such cardiovascular outcomes in OSA6), clinicians should look out for the symptoms in stroke patients so appropriate risk mitigation strategies may be implemented. Equally, patients with OSA but no history of stroke should receive appropriate management to lower their cardiovascular risk, be it through treatment of OSA with CPAP or modification of traditional risk factors such as obesity and hypertension.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: William L Brown, J., Loke, Y., Kwok, C. S., Niruban, A., Myint, P. Tags: Stroke, Hypertension Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Stroke risk after a first late-onset migraine-like transient neurological attack (tna): oxford vascular study tna cohort
Conclusions The short and long–term risks of stroke in patients with a first migraine–like TNA are significantly lower than after a definite TIA. The trend towards a higher stroke risk than the underlying population rate is similar to that seen in studies of individuals with clinically–definite migraine with aura.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Tuna, M. A., Mehta, Z., Rothwell, P. M. Tags: Headache (including migraine), Stroke Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Ct perfusion in acute ischaemic stroke: do we cover the lesion and what does it mean?
Conclusions Even with limited z–directional coverage CTP is more sensitive than NCCT ASPECTS scoring to detect evidence of acute stroke. In this cohort CTP acquisition at the basal ganglia was more often too inferior than it was too superior to maximise lesion coverage. Patients without perfusion deficits have better functional outcomes than those with perfusion deficits.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Collins, P., Dani, K., Moreton, F., McVerry, F., MacDougall, N., Macleod, M. J., Wardlaw, J., Muir, K. Tags: Stroke Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Identification of missed hypertension and hypertensive arteriopathy with home versus ambulatory blood pressure measurement in patients with tia or minor stroke
Conclusions In patients with TIA or minor stroke, HBPM was more reliable than ABPM at identifying missed hypertension and hypertensive arteriopathy. Its use could significantly reduce the risk of recurrent stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Webb, A., Li, L., Simoni, M., Wilson, M., Paul, N., Tarassenko, L., Rothwell, P. Tags: Neuroimaging, Stroke, Hypertension Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Sensitivity of transcranial doppler and transoesophageal echocardiography for the detection of patent foramen ovale in cryptogenic stroke
Conclusions TCD with bubble test is sensitive and specific for the detection of right–to–left shunts due to PFO confirmed at right heart catheterisation. In this population, TOE had low sensitivity for RLS. There was no difference in physical PFO size between TOE positive and negative patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Morhij, D., Dani, K., Stewart Hillis, W., Muir, K. Tags: Headache (including migraine), Neuroimaging, Stroke, Hypertension, Ischaemic heart disease, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Large ct perfusion-defined mismatch predicts early improvement after iv thrombolysis in acute ischaemic stroke
Conclusions Acute CTP mismatch ratio predicted early neurological improvement after IV rtPA treatment, with large mismatch ratios yielding better prediction of favourable early response. The combination of NIHSS and CTP mismatch may improve prediction of poor outcome. Since all patients received rtPA, no conclusion can be made about the interaction between imaging variables and rtPA.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Collins, P. D., Dani, K. A., Moreton, F., Huang, X., MacDougall, N. J., McVerry, F., Macleod, M. J., Wardlaw, J. M., Muir, K. W. Tags: Stroke, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Diffusion mr correlates of motor function recovery after stroke: a systematic review
Conclusions FA is the most commonly measured metric but there was considerable heterogeneity in study design and analysis. Most studies were cross–sectional, confined to sub–cortical, ischaemic strokes at late stages, and involved younger patients than typical of the stroke population. Further evaluation of the utility of DTI as a biomarker for use in stroke recovery trials is needed.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Kalladka, D., Muir, K. Tags: Stroke, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

The halifax acute stroke imaging study (hasis): does ct perfusion scanning in acute ischemic stroke predict final infarct volume?
Conclusions Results from HASIS suggest information from admission CTP and SI in suspected AIS patients can predict final infarct volume, where final volume of infarcted brain will not be smaller than that predicted by CTP CBV or CTA SI.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Langlands, G., Shankar, J., Simpkin, W., Christian, C., Phillips, S. Tags: Stroke, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Newly detected paroxysmal atrial fibrillation after tia and ischaemic stroke on cardiac monitoring: systematic review and meta-analysis in relation to duration of recording
Conclusion Cardiac monitoring after TIA or ischaemic stroke detects clinically important rates of pAF in studies of unselected populations, with high rates of subsequent anticoagulation. A monitoring period of 5–7 days appears to be adequate.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Yiin, G. S., Lovett, N. G., Rothwell, P. M. Tags: Stroke Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Despite recent FAST awareness campaign, only a minority of stroke victims seen by doctors within recommended timeframe
In a study, published online in the journal Age and Ageing, of over 270 patients newly diagnosed with minor strokes or transient ischaemic attack (TIA), only a minority sought medical help within the timeframe recommended by the Royal College of Physicians. This is despite the high profile FAST campaign, which was taking place at the time that the study was conducted. Rapid assessment and treatment of patients with TIA or minor stroke reduces the risk of early recurrent stroke...
Source: Health News from Medical News Today - October 16, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

Incidence, outcome and future projections of atrial fibrillation-related stroke and systemic embolism at age >=80 years: 10-year results of a population-based study
Conclusion Numbers of AF–related ischaemic strokes at age ≥80 years are projected to treble by 2050, along with numbers of systemic emboli, unless rates of anticoagulation in older patients increase.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Yiin, G. S., Howard, D. P., Paul, N. L., Mehta, Z., Rothwell, P. M. Tags: Stroke Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

A comparison between reported therapy staffing levels and the department of health therapy staffing guidelines for stroke rehabilitation: a national survey
Conclusions: Most in-patient stroke units are operating below the DoH guidelines and are therefore challenged in providing the recommended amount of therapy and patient time to facilitate optimal functional recovery for stroke patients.
Source: BMC Health Services Research - May 14, 2014 Category: Journals (General) Authors: Gabrielle McHughIan Swain Source Type: research