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Challenges of delivering evidence-based stroke services for rural areas in Australia.
CONCLUSION: Evidence-based stroke care, aligned with current national standards is the key to providing adequate stroke services in rural Australia. Improved health service resourcing and better utilisation of currently available resources are options for achieving elements of evidence-based stroke care. IMPLICATIONS FOR PUBLIC HEALTH: Availability of adequate services for stroke patients directly impacts public health as it determines health outcomes for these patients. Indirect implications for public health include the effects on health professionals and the general public. PMID: 31990135 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - January 27, 2020 Category: Rural Health Authors: Prior SJ, Reeves NS, Campbell SJ Tags: Aust J Rural Health Source Type: research

Recombinant tissue plasminogen activator (rt-PA) utilisation by rural clinicians in acute ischaemic stroke: A survey of barriers and enablers.
CONCLUSIONS: To reduce barriers to rt-PA utilisation in rural facilities physicians require education on the calculated risk of ICH as well as exposure and experience to improve their ability to confidently diagnose stroke patients who are eligible for rt-PA treatment. Education for nurses on symptoms of stroke and rt-PA utilisation and administration is recommended. PMID: 24118148 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - October 1, 2013 Category: Rural Health Authors: Williams JM, Jude MR, Levi CR Tags: Aust J Rural Health Source Type: research

Recombinant tissue plasminogen activator (rt-PA) utilisation by rural clinicians in acute ischaemic stroke: An audit of current practice and clinical outcomes.
CONCLUSION: Recombinant tissue plasminogen activator can be delivered in rural Australian hospitals in a timely manner within recommended implementation guidelines. Acute stroke thrombolytic services in rural Australian facilities had comparable outcomes to metropolitan facilities. Small numbers of thrombolysed patients prevented a validation study of the well-defined outcome benefits from rt-PA. The need for ongoing data collection in regional settings is supported. PMID: 24033520 [PubMed - in process]
Source: The Australian Journal of Rural Health - August 1, 2013 Category: Rural Health Authors: Williams JM, Navin TJ, Jude MR, Levi CR Tags: Aust J Rural Health Source Type: research

Quality of acute stroke care in a regional Victorian hospital, Australia.
CONCLUSION: The timeliness of brain imaging and thrombolysis was comparable in the study hospital to that of the national standard, while other stroke management indicators still require improvement. Continuing efforts for improvement and revisiting possible areas of delay are warranted. PMID: 30945784 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - April 3, 2019 Category: Rural Health Authors: Yang TWW, Islam MR Tags: Aust J Rural Health Source Type: research

Impact of an outpatient telestroke clinic on management of rural stroke patients
CONCLUSION: The telestroke clinic was very well attended, and it led to high volume of interventions in rural stroke patients.PMID:35412702 | DOI:10.1111/ajr.12849
Source: The Australian Journal of Rural Health - April 12, 2022 Category: Rural Health Authors: Carlos Garcia-Esperon Beng Lim Alvin Chew Fiona Minett Joseph Cheah Jennifer Rutherford Bradley Wilsmore Mark W Parsons Christopher R Levi Neil J Spratt Source Type: research

Implementation of the South Australian Regional Telestroke service is associated with improved care quality and lower stroke mortality: A retrospective cohort study
CONCLUSION: Implementation of a South Australian Regional Telestroke service was associated with improved care metrics and lower mortality.PMID:37350539 | DOI:10.1111/ajr.13012
Source: The Australian Journal of Rural Health - June 23, 2023 Category: Rural Health Authors: Rudy Goh Susan Hillier Thu-Lan Kelly Anthea Worley Karen Dixon Craig Kurunawai Aaron Tan Joshua Mahadevan Matthew Willcourt Jim Jannes Timothy Kleinig Source Type: research

Cross-sectional survey of rehabilitation service availability for stroke and hip fracture in Australian public hospitals
CONCLUSION: There was reduced availability of rehabilitation services and health disciplines in rural/regional settings. A follow-up study is underway investigating relationships between reduced outpatient service availability and inpatient length of stay in rural/regional versus metropolitan hospitals.PMID:34757624 | DOI:10.1111/ajr.12803
Source: The Australian Journal of Rural Health - November 10, 2021 Category: Rural Health Authors: Angela Vratsistas-Curto Christine T Shiner Linda Klein Steven G Faux Source Type: research

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