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Source: BMJ Open

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Total 555 results found since Jan 2013.

Comparison of the university hospital and county hospitals in western Sweden to identify potential weak links in the early chain of care for acute stroke: results of an observational study
Conclusions System delay is still long and only a small fraction of patients received thrombolysis. Three of four used the EMS (more frequent in the county). They were given the highest priority at the dispatch centre in half of the cases. Stroke was suspected in two-thirds of the cases, but a prenotification was seldom sent to the hospital.
Source: BMJ Open - September 8, 2015 Category: Journals (General) Authors: Wireklint Sundstrom, B., Herlitz, J., Hansson, P. O., Brink, P. Tags: Open access, Cardiovascular medicine, Emergency medicine, Nursing Research Source Type: research

Effect of obesity on functional outcomes at 6 months post-stroke among elderly Koreans: a prospective multicentre study
Conclusions This nationwide hospital-based cohort study showed that extreme obesity is a predictor of a good 6-month FIM, especially in patients with ischaemic stroke who are at least 65 years of age.
Source: BMJ Open - December 18, 2015 Category: Journals (General) Authors: Jang, S. Y., Shin, Y.-I., Kim, D. Y., Sohn, M. K., Lee, J., Lee, S.-G., Oh, G.-J., Lee, Y.-S., Joo, M. C., Han, E. Y., Chang, W. H., Kang, C., Kim, Y.-H. Tags: Open access, Epidemiology Research Source Type: research

Design, methodology and baseline characteristics of Tai Chi and its protective effect against ischaemic stroke risk in an elderly community population with risk factors for ischaemic stroke: a randomised controlled trial
Introduction Controlling risk factors with regular exercise is effective and cost-effective for the primary prevention of ischaemic stroke. As a traditional Chinese form of exercise, Tai Chi might be beneficial in decreasing ischaemic stroke, but the evidence remains insufficient. We hypothesise that elderly community adults with risk factors for ischaemic stroke will decrease their ischaemic stroke risk by improving cerebral haemodynamic parameters, cardiopulmonary function, motor function, plasma risk indices, physical parameters or psychological outcomes after receiving 12 weeks of regular Tai Chi training compared...
Source: BMJ Open - December 23, 2015 Category: Journals (General) Authors: Zheng, G., Zheng, X., Li, J., Duan, T., Qi, D., Ling, K., He, J., Chen, L. Tags: Open access, Public health, Sports and exercise medicine Protocol Source Type: research

Understanding stroke survivors and informal carers experiences of and need for primary care and community health services--a systematic review of the qualitative literature: protocol
Introduction Despite the rising prevalence of stroke, no comprehensive model of postacute stroke care exists. Research on stroke has focused on acute care and early supported discharge, with less attention dedicated to longer term support in the community. Likewise, relatively little research has focused on long-term support for informal carers. This review aims to synthesise and appraise extant qualitative evidence on: (1) long-term healthcare needs of stroke survivors and informal carers, and (2) their experiences of primary care and community health services. The review will inform the development of a primary care mode...
Source: BMJ Open - January 6, 2016 Category: Journals (General) Authors: Aziz, N. A., Pindus, D. M., Mullis, R., Walter, F. M., Mant, J., Lim, Rundell, Hobbs Tags: Open access, General practice / Family practice, Qualitative research, Research methods Protocol Source Type: research

Feasibility study of an integrated stroke self-management programme: a cluster-randomised controlled trial
Conclusions It was feasible to integrate a stroke self-management programme into community rehabilitation, using key principles. Some data were lost to follow-up, but overall results support the need for conducting further research in this area and provide data to support the design of a definitive trial. Trial registration number ISRCTN42534180.
Source: BMJ Open - January 6, 2016 Category: Journals (General) Authors: Jones, F., Gage, H., Drummond, A., Bhalla, A., Grant, R., Lennon, S., McKevitt, C., Riazi, A., Liston, M. Tags: Open access, Neurology, Patient-centred medicine, Rehabilitation medicine Research Source Type: research

Qualitative focus group study investigating experiences of accessing and engaging with social care services: perspectives of carers from diverse ethnic groups caring for stroke survivors
Conclusions Across ethnic groups there were many similarities in the experiences of people caring for stroke survivors with complex, long-term care needs. Accessing services demands effort and persistence on carers’ part. If carers believe services are unsatisfactory or that they, rather than formal services, should be providing support for stroke survivors, they are unlikely to persist in their efforts. Cultural and language differences add to the challenges black and minority ethnic group carers face.
Source: BMJ Open - January 29, 2016 Category: Journals (General) Authors: Greenwood, N., Holley, J., Ellmers, T., Mein, G., Cloud, G. Tags: Open access, Health services research, Qualitative research Source Type: research

Serum erythropoietin and outcome after ischaemic stroke: a prospective study
Conclusions The crude associations between EPO and worse stroke severity and outcome lost significance after multivariate modelling. However, in patients in whom EPO increased, the association with favourable outcome remained after adjustment for multiple covariates.
Source: BMJ Open - February 25, 2016 Category: Journals (General) Authors: Aberg, N. D., Stanne, T. M., Jood, K., Schiöler, L., Blomstrand, C., Andreasson, U., Blennow, K., Zetterberg, H., Isgaard, J., Jern, C., Svensson, J. Tags: Open access, Epidemiology, Neurology, Rehabilitation medicine Research Source Type: research

Dietary flavonoid intake and the risk of stroke: a dose-response meta-analysis of prospective cohort studies
Conclusions Results from this meta-analysis suggest that higher dietary flavonoid intake may moderately lower the risk of stroke.
Source: BMJ Open - June 7, 2016 Category: Journals (General) Authors: Tang, Z., Li, M., Zhang, X., Hou, W. Tags: Open access, Cardiovascular medicine, Evidence based practice, Neurology, Nutrition and metabolism, Public health Research Source Type: research

Effects of prismatic adaptation on balance and postural disorders in patients with chronic right stroke: protocol for a multicentre double-blind randomised sham-controlled trial
The objective is to investigate the effects of this intervention on balance but also on postural disorders, subjective straight-ahead, longitudinal body axis and autonomy in patients with chronic right stroke lesion. Methods and analysis In this multicentre randomised double-blind sham-controlled trial, we will include 28 patients aged from 18 to 80 years, with a first right supratentorial stroke lesion at chronic stage (≥12 months) and having a bearing ≥60% of body weight on the right lower limb. Participants will be randomly assigned to the experimental group (performing pointing tasks while wearing glasses shifti...
Source: BMJ Open - November 24, 2021 Category: General Medicine Authors: Hugues, A., Guinet-Lacoste, A., Bin, S., Villeneuve, L., Lunven, M., Perennou, D., Giraux, P., Foncelle, A., Rossetti, Y., Jacquin-Courtois, S., Luaute, J., Rode, G. Tags: Open access, Rehabilitation medicine Source Type: research

Prevalence and associated factors of self-reported ischaemic heart disease and/or stroke: a cross-sectional nationally representative community-based study of adults in Malawi in 2017
Conclusions Almost 1 in 10 women and 1 in 20 men aged 18–69 years had IHD and/or stroke in Malawi. Several risk and protective factors were found that can be targeted in population health interventions.
Source: BMJ Open - September 23, 2021 Category: General Medicine Authors: Pengpid, S., Peltzer, K. Tags: Open access, Cardiovascular medicine Source Type: research

Associations between aortic regurgitation severity and risk of incident myocardial infarction and stroke among patients with degenerative aortic valve disease: insights from a large Chinese population-based cohort study
Conclusions As compared with no AR, moderate/severe AR but not mild AR was an independent predictor for the risk of MI and MI mortality. AR was not significantly associated with stroke or stroke mortality, irrespective of AR severity. Secondary prevention strategies should be taken to delay the progression of DAVD and thus reduce the incidence of MI.
Source: BMJ Open - August 26, 2021 Category: General Medicine Authors: Li, G., Li, T., Chen, Y., Guo, X., Li, Z., Zhou, Y., Yang, H., Yu, S., Sun, G., Zheng, L., Sun, Y. Tags: Open access, Epidemiology Source Type: research

Atrial cardiomyopathy in patients with ischaemic stroke: a cross-sectional and prospective cohort study--the COAST study
This study uses cardiac magnetic resonance (CMR) to evaluate atrial cardiomyopathy among patients with stroke of undetermined aetiology compared with those with an attributable mechanism and controls without established cardiovascular disease. Methods and analysis This cross-sectional and prospective cohort study included 100 patients with recent ischaemic stroke and 50 controls with no established cardiovascular disease. The study will assess LA structural and functional abnormalities with CMR. Inclusion began in March 2019, and follow-up is planned to be complete in January 2023. There are two scheduled follow-ups: (1) ...
Source: BMJ Open - May 11, 2022 Category: General Medicine Authors: Larsen, B. S., Aplin, M., Host, N., Dominguez, H., Christensen, H., Christensen, L. M., Havsteen, I., Prescott, E., Jensen, G. B., Vejlstrup, N., Bertelsen, L., Sajadieh, A. Tags: Open access, Cardiovascular medicine Source Type: research

Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromso, Norway (Tromso Study, 1994-2016)
Conclusion The study indicates that mental health problems among individuals with myocardial infarction, atrial fibrillation and stroke may have started to develop several years before the cardiovascular event and suggests that successful CVD rehabilitation may need to consider previous life factors. Future research is recommended to examine whether health promotion measures in a general population also create mental health resilience after a CVD event.
Source: BMJ Open - April 1, 2022 Category: General Medicine Authors: Lorem, G. F., Opdal, I. M., Wilsgaard, T., Schirmer, H., Lochen, M.-L., Olsen, I. P., Steigen, T., Rognmo, K. Tags: Open access, Mental health Source Type: research

Association between reported work in cold environments and stroke occurrence in the CONSTANCES cohort: a prospective study
Conclusions This study did not reveal a significant excess risk of stroke for occupational exposures to low temperatures. Further studies are needed to better assess the effect of preventive measures and very low temperature on occurrence of cardiovascular diseases.
Source: BMJ Open - July 6, 2022 Category: General Medicine Authors: Fadel, M., Sembajwe, G., Tripodi, D., Bonneterre, V., Leclerc, A., Roquelaure, Y., Petit, A., Descatha, A. Tags: Open access, Occupational and environmental 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
Introduction 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 people after TIA/minor stroke. The study aims to assess the feasibility and ac...
Source: BMJ Open - June 16, 2022 Category: General Medicine Authors: Turner, G. M., Jones, R., Collis, P., Patel, S., Jowett, S., Tearne, S., Foy, R., Atkins, L., Mant, J., Calvert, M. Tags: Open access, Cardiovascular medicine Source Type: research