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Delayed diagnosis of atrial fibrillation after first ‐ever stroke increases recurrent stroke risk: A 5‐year nationwide follow‐up study
ConclusionDelayed diagnosis of AF after stroke increased the risk of recurrent stroke, particularly in men.
Source: Internal Medicine Journal - November 29, 2017 Category: Internal Medicine Authors: Ping ‐Song Chou, Bo‐Lin Ho, Yi‐Hsin Chan, Min‐Hsien Wu, Han‐Hwa Hu, A‐Ching Chao Tags: Original Article Source Type: research

Victorian Stroke Telemedicine Project: Implementation of a new model of translational stroke care for Australia
ConclusionsThe VST pilot implementation provides evidence that telemedicine can enhance the quality of acute stroke care in a regional hospital. Expanding VST to 16 regional hospitals, Australia's largest telestroke program, will allow for a more comprehensive clinical and economic analysis.
Source: Internal Medicine Journal - May 26, 2015 Category: Internal Medicine Authors: CF Bladin, N Molocijz, S Ermel, KL Bagot, M Kilkenny, M Vu, DA Cadilhac, Tags: Original Article Source Type: research

Stroke physician versus stroke neurologist: can anyone thrombolyse?
ConclusionDue to the single‐centre, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist versus those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - March 3, 2015 Category: Internal Medicine Authors: A. Lee, A. Gaekwad, M. Bronca, L. Cheruvu, O. Davies, C. Whitehead, M. Agzarian, C. Chen Tags: Original Article Source Type: research

A strategic framework improves access to stroke reperfusion across the state of Victoria, Australia
ConclusionsA strategic and region‐specific approach has resulted in improved access by road transport to reperfusion therapies for stroke patients across Victoria.
Source: Internal Medicine Journal - May 30, 2017 Category: Internal Medicine Authors: Janet E. Bray, Sonia Denisenko, Bruce C.V. Campbell, Michael Stephenson, Jason Muller, Grant Hocking Grad, Peter J. Hand, Christopher F. Bladin Tags: Original Article Source Type: research

Strategic framework improves access to stroke reperfusion across the state of Victoria Australia
ConclusionA strategic and region‐specific approach has resulted in improved access by road transport to reperfusion therapies for stroke patients across Victoria.
Source: Internal Medicine Journal - August 6, 2017 Category: Internal Medicine Authors: Janet E. Bray, Sonia Denisenko, Bruce C. V. Campbell, Michael Stephenson, Jason Muller, Grant Hocking, Peter J. Hand, Christopher F. Bladin Tags: Original Article Source Type: research

Urolithiasis is associated with an increased risk of stroke: A population ‐based 5‐year follow‐up study
ConclusionsIn conclusion, the present study detected an increased risk of both ischemic and hemorrhagic stroke in patients with urolithiasis, particularly in those older than 40 years old.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Ping ‐Song Chou, Wei‐Pin Chang, Yii‐Her Chou Tags: Original Article Source Type: research

Reflection on Stroke Deaths and end ‐of‐life stroke care
ConclusionIn this cohort, palliative care referral and EOLCP were commenced in less than 50% of patients, highlighting significant variations in clinical care. These data support the need to promote awareness of ACP, particularly in patients with prior stroke or significant co‐morbidities. This may help reduce potentially futile invasive investigations and treatment.
Source: Internal Medicine Journal - September 11, 2017 Category: Internal Medicine Authors: Syed Zujajuddin Quadri, Thang Huynh, Cecilia Cappelen ‐Smith, Nirupama Wijesuriya, Abul Mamun, Roy Beran, Alan Mcdougall, Dennis Cordato Tags: Original Article Source Type: research

Stroke physician vs stroke neurologist – can anyone thrombolyse?
ConclusionDue to the single center, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist vs those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - December 23, 2014 Category: Internal Medicine Authors: Andrew Lee, Aaron Gaekwad, Michelle Bronca, Lata Cheruvu, Owen Davies, Craig Whitehead, Marc Agzarian, Celia Chen Tags: Original Article Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in regional areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine program.
Source: Internal Medicine Journal - April 22, 2015 Category: Internal Medicine Authors: Natasha Moloczij, Ian Mosley, Karen Moss, Kathleen Bagot, Christopher Bladin, Dominique A Cadilhac Tags: Original Article Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in rural areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine programme.
Source: Internal Medicine Journal - September 1, 2015 Category: Internal Medicine Authors: N. Moloczij, I. Mosley, K. M. Moss, K. L. Bagot, C. F. Bladin, D. A Cadilhac Tags: Original Article Source Type: research

Endovascular thrombectomy for acute ischaemic stroke – a real world experience
ConclusionsThis cohort of patients with anterior cerebral circulation occlusions were treated outside the well‐resourced situation of clinical trials and good functional outcomes are similar. The study translates endovascular thrombectomy to a “real world” situation.
Source: Internal Medicine Journal - June 26, 2016 Category: Internal Medicine Authors: Cecilia Cappelen‐Smith, Dennis Cordato, Zeljka Calic, Andrew Cheung, Jason Wenderoth Tags: Original Article Source Type: research

The benefits of clinical facilitators on improving stroke care in acute hospitals: a new program for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - April 19, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Benefits of clinical facilitators on improving stroke care in acute hospitals: a new programme for Australia
ConclusionFixed‐term employment of Facilitators was effective in positively influencing stroke care in hospitals through a range of change management strategies where stroke‐specific expertise had been previously limited.
Source: Internal Medicine Journal - July 4, 2017 Category: Internal Medicine Authors: Tara Purvis, Karen Moss, Linda Francis, Karen Borschmann, Monique F. Kilkenny, Sonia Denisenko, Christopher F. Bladin, Dominique A. Cadilhac Tags: Original Article Source Type: research

Minimizing Time to Treatment: Targeted Strategies to Minimize Time to Thrombolysis for Acute Ischaemic Stroke
ConclusionTime to thrombolysis delays are multi‐factorial. Effective reduction of time delays for acute ischaemic stroke requires the correct identification of and targeted strategies to overcome time barriers.
Source: Internal Medicine Journal - June 5, 2013 Category: Internal Medicine Authors: Yi Jing Tai, Bernard Yan Tags: Original Article Source Type: research

Minimising time to treatment: targeted strategies to minimise time to thrombolysis for acute ischaemic stroke
Abstract Time to thrombolysis is a critical determinant of favourable outcomes in acute ischaemic stroke. It is not infrequent that patient outcomes are compromised due to out‐of‐hospital and in‐hospital time delays. On the other hand, time delays could be minimised through the identification of barriers and the implementation of targeted solutions. This review outlines the different strategies in minimising treatment delays and offers recommendations. Literature search in PubMed, Medline and EBSCO Host was conducted to identify studies that are relevant to reduction of time to treatment from January 1995 to December...
Source: Internal Medicine Journal - November 15, 2013 Category: Internal Medicine Authors: Y. J. Tai, B. Yan Tags: Review Source Type: research

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