Filtered By:
Source: Evidence-Based Nursing
This page shows you your search results in order of relevance.
Order by Relevance | Date
Total 43 results found since Jan 2013.
Ateplase for ischaemic stroke: increased risk of intracranial haemorrhage is balanced by improved stroke outcomes, particularly if treated within 3-4.5 h of onset
Commentary on: Emberson J, Lees KR, Lyden P, et al., Stroke Thrombolysis Trialists’ Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 2014;384:1929–35. Implications for practice and research Thrombolysis given to appropriate patients within 4.5 h of the onset of stroke symptoms increases the chance of a good outcome. The earlier it is given, the more likely it is to be effective. Thrombolysis increases the risk of early death,...
Source: Evidence-Based Nursing - September 21, 2015 Category: Nursing Authors: Rudd, A. Tags: Drugs: cardiovascular system, Stroke, Ischaemic heart disease, Clinical diagnostic tests Adult nursing Source Type: research
Earlier thrombolytic treatment is associated with better outcomes following acute ischaemic stroke
Commentary on Saver JL, Fonarow GC, Smith EE, et al.. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischaemic stroke, JAMA 2013;309:2480–8. Implications for practice and research Optimisation is necessary in public education and hospital triage of the identification of factors such as arrival by ambulance and the importance of requesting emergency medical services (EMS) at scene of the stroke occurrence.1 The results of previous studies suggest that a disparity, observed between hospital-based outcomes for admissions that presented during regular hours and off hours, is not se...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Ullah, N., Thompson, M. J., Qureshi, A. I. Tags: Adult nursing, Drugs: cardiovascular system, Stroke Source Type: research
Intermittent pneumatic compression is effective in reducing proximal DVT
Commentary on: Dennis M, Sandercock P, Graham C, et al.. The Clots in Legs Or sTockings after Stroke (CLOTS) 3 trial: a randomised controlled trial to determine whether or not intermittent pneumatic compression reduces the risk of post-stroke deep vein thrombosis and to estimate its cost-effectiveness. Health Technol Assess 2015;19:1–90. Implications for practice and research Intermittent pneumatic compression (IPC) is effective in reducing proximal deep vein thrombosis and should be used for all immobile patients with stroke, unless cost is a major concern. The cost-effectiveness of IPC in different types of medical...
Source: Evidence-Based Nursing - March 18, 2016 Category: Nursing Authors: Ho, K. M., Harahsheh, Y. Tags: Adult nursing, Stroke, Venous thromboembolism, Clinical diagnostic tests Source Type: research
Calcium supplements associated with increased risk of cardiovascular death in men but not women
Commentary on: Xiao Q, Murphy RA, Houston DK, et al.. Dietary and supplemental calcium intake and cardiovascular disease mortality: the National Institutes of Health-AARP diet and health study. JAMA Intern Med 2013;173:639–46 Implications for practice and research Calcium supplements increase cardiovascular risk. The role of calcium supplements in the management of osteoporosis should be reconsidered. Context In 2008, a randomised controlled trial (RCT) suggested that calcium supplements might increase the risk of cardiovascular events.1 Subsequent meta-analyses of RCTs examining calcium monotherapy and calcium and v...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Bolland, M. J., Grey, A. Tags: Primary health care, Drugs: cardiovascular system, Stroke, Diet, Ischaemic heart disease, Osteoporosis Source Type: research
EBN resources page
SIGN Apps for iPhone and iPad http://itunes.com/apps/signguidelines, https://play.google.com/store/apps/details?id=com.rootcreative.sign The SIGN app has recently been updated and now contains quick reference guides (QRGs) for:SIGN 136 Management of chronic pain SIGN 135 Management of epithelial ovarian cancer SIGN 134 Treatment of primary breast cancer SIGN 133 Management of hepatitis C The SIGN app has also had a complete re-design and now features:Optimisation for the latest operating systems Re-designed for improved legibility Send pdf button feature Split screen feature (ipad) Prevention of stroke in patients with atr...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Tags: Liver disease, General practice / family medicine, Hepatitis and other GI infections, Drugs: cardiovascular system, Pain (neurology), Stroke, Diet, Pregnancy, Reproductive medicine, Breast cancer, Gynecological cancer, Lung cancer (oncology), Radiotherapy Source Type: research
Excess weight gain in the first 18 months of life is associated with later childhood overweight, obesity and greater arterial wall thickness
Commentary on: Skilton MR, Marks GB, Ayer JG, et al.. Weight gain in infancy and vascular risk factors in later childhood. Pediatrics 2013;131:e1821–8. Implications for practice and research The association between early postnatal weight gain and later childhood obesity suggests that programmes providing culturally tailored, universal, affordable or free support to families of newborns and infants are essential. Nursing care should emphasise the importance of optimal, rather than maximal, infant growth. Nursing research, in particular qualitative methods, could strengthen understanding of infant feeding practices and...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Stettler, N., Baumann, M. Tags: Child health, Immunology (including allergy), Drugs: cardiovascular system, Stroke, Childhood nutrition, Diet, Obesity (nutrition), Pregnancy, Ischaemic heart disease, Childhood nutrition (paediatrics), Child health, Infant health, Infant nutrition (inclu Source Type: research
Self-monitoring and self-titration of antihypertensive medication reduces systolic blood pressure compared with usual care
This study represents a significant advance in hypertension self-management in high-risk patient groups, but the intervention's potential for wide implementation remains unclear. Context Hypertension is a major risk factor for cardiovascular disease, stroke, heart failure and chronic kidney disease.1 Effective treatment reduces risk for these devastating complications, but BP remains insufficiently controlled in up to half of adults.2 Because hypertension generates tremendous morbidity and costs, novel strategies for enhancing BP control are urgently needed. Interventions that enhance...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Bosworth, H. B., Crowley, M. J. Tags: General practice / family medicine, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Memory disorders (psychiatry) Primary healthcare Source Type: research
In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research
Meta-analysis exploring poststroke aphasia profiles and language recovery
Commentary on: REhabilitation and recovery of peopLE with Aphasia after StrokE (RELEASE) Collaborators. Predictors of poststroke aphasia recovery: a systematic review-informed individual participant data meta-analysis. Stroke 2021;52:1778–87. Implications for practice and research Poststroke aphasia may symbolise a temporary or a significant life-changing communication problem. The severity of aphasia on stroke patients has implications for functional capacity, discharge destination and potential to return to employment. The sooner a person receives treatment for apoststroke aphasia, the lesser the impact and the bet...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Lawal, M. Tags: Care of the older person Commentary Source Type: research
Meta-analysis examining interventions aimed at reducing sedentary lifestyle in poststroke patients
Commentary on: Saunders DH, Mead GE, Fitzsimons C, et al. Interventions for reducing sedentary behaviour in people with stroke (Review). Cochrane Database Syst Rev 2021, 6: 1–19. Implications for practice and research The impact of stroke may lead to sedentary lifestyle among affected patients. The level of physical activity may act as a buffer to a better quality of life, however, sedentary behaviour is not associated with reduced or increased mortality in people affected with stroke. Further studies are required to bridge clinical and research gaps in this area. Context Sedentary behaviour is associated with health...
Source: Evidence-Based Nursing - September 21, 2022 Category: Nursing Authors: Lawal, M. Tags: Adult nursing Commentary Source Type: research
Family systems nursing conversations (FSNCs) have the potential to improve family functioning and well-being
Commentary on: Pusa S, Saveman B-I, Sundin K. Family systems nursing conversations: influences on families with stroke. BMC Nursing 2022 May 6;21(1):108. https://doi.org/10.1186/s12912-022-00873-7 Implications for practice and research Family systems nursing conversations (FSNCs) have the potential to improve patient and family outcomes, including family functioning and well-being. Research is needed on the effectiveness of family-centred interventions, for example, FSNCs, on specific health-related outcomes for stroke survivors and their families. Context Stroke and its after-effects can impact the entire family. Families...
Source: Evidence-Based Nursing - March 21, 2023 Category: Nursing Authors: Lutz, B., Camicia, M. Tags: Adult nursing Commentary Source Type: research
Overweight and obese middle-aged women have increased risk of venous thromboembolism, particularly following surgery
Commentary on Parkin L, Sweetland S, Balkwill A, et al.. for the Million Women Study Collaborators. Body mass index, surgery and risk of venous thromboembolism in middle-aged women: a cohort study. Circulation 2012;125:1897–904. Implications for practice and research Obesity is associated with an increased risk of venous thromboembolism (VTE) including both spontaneous and postoperative events. Further research is needed regarding factors responsible for the increase in postoperative VTE in overweight patients, and whether management should be altered (eg, increased focus on postoperative mobilisation, altered doses ...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: McRae, S. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Obesity (nutrition), Venous thromboembolism, Health education, Obesity (public health), Screening (public health), Smoking, Tobacco use Women ' s health Source Type: research
Low-dose aspirin is associated with an increased risk of haemorrhage; but not in people with diabetes who have a high baseline rate of bleeding
Commentary on: De Berardis G, Lucisano G, D'Ettorre A, et al. Association of aspirin use with major bleeding in patients with and without diabetes. JAMA 2012;307:2286–94. Implications for practice and research Low-dose aspirin (≤300 mg/day) increases the risk of major bleeding. Individuals with diabetes have a higher risk of bleeding independent of aspirin exposure. Future work should include comparative effectiveness studies to help inform treatment strategies based on individual risks, benefits, patient preferences and values. Context Aspirin has a proven role in the secondary prevention of cardiovascular d...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Butalia, S., Leung, A. A. Tags: Drugs: cardiovascular system, Stroke, Hypertension, Drugs: musculoskeletal and joint diseases Primary healthcare Source Type: research
Orlistat reduces weight but its cost-effectiveness remains unclear
This study aimed to evaluate the effectiveness and cost effectiveness of three pharmacological interventions (orlistat, sibutramine and rimonabant) in obese patients in...
Source: Evidence-Based Nursing - March 8, 2013 Category: Nursing Authors: Veerman, L. Tags: Health policy, General practice / family medicine, Drugs: cardiovascular system, Stroke, Obesity (nutrition), Health service research, Health education, Obesity (public health) Primary healthcare Source Type: research
EBN resources page
SIGN Apps for iPhone and Android phonehttp://itunes.com/apps/signguidelines The app for the Apple and Android phones and tablets contains reference guides (QRG) of SIGN guidelines. The app has recently been updated to include our suite of coronary heart disease (CHD) Guidelines:97 Risk estimation and the prevention of cardiovascular disease 96 Management of stable angina 95 Management of chronic heart failure 94 Cardiac arrhythmias in coronary heart disease 93 Acute coronary syndromes (updated February 2013) In addition, navigation of the app has been improved with category listings of guidelines. The content is enhanced w...
Source: Evidence-Based Nursing - June 6, 2013 Category: Nursing Authors: Noble, E. b. H. Tags: Diarrhoea, General practice / family medicine, Immunology (including allergy), Drugs: infectious diseases, Drugs: cardiovascular system, Drugs: CNS (not psychiatric), Neurological injury, Pain (neurology), Stroke, Trauma CNS / PNS, Paediatric oncology, Op Source Type: research
