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Specialty: Rural Health

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Total 179 results found since Jan 2013.

Personalized Prehospital Triage in Acute Ischemic Stroke.
Conclusions- The preferred prehospital transportation strategy for suspected stroke patients depends mainly on the likelihood of large vessel occlusion, driving times, and in-hospital workflow times. We constructed a robust model that combines these characteristics and can be used to personalize prehospital triage, especially in more remote areas. PMID: 30661502 [PubMed - as supplied by publisher]
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Venema E, Lingsma HF, Chalos V, Mulder MJHL, Lahr MMH, van der Lugt A, van Es ACGM, Steyerberg EW, Hunink MGM, Dippel DWJ, Roozenbeek B Tags: Stroke Source Type: research

Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme.
Abstract Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-s...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Authors: Bagot KL, Cadilhac DA, Kim J, Vu M, Savage M, Bolitho L, Howlett G, Rabl J, Dewey HM, Hand PJ, Denisenko S, Donnan GA, Bladin CF, Victorian Stroke Telemedicine Programme Consortium Tags: J Telemed Telecare Source Type: research

Are we there yet? Exploring the journey to quality stroke care for Aboriginal and Torres Strait Islander peoples in rural and remote Queensland.
CONCLUSION: An integrated patient centred model of care that spans the care continuum and places value on an extended role for the Aboriginal and Torres Strait Islander health worker workforce is indicated, as is an increased utilisation of allied health and specialist follow-up close to home. PMID: 31487467 [PubMed - in process]
Source: Rural and Remote Health - September 7, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

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: A survey of barriers and enablers
ConclusionsTo 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.
Source: Australian Journal of Rural Health - October 11, 2013 Category: Rural Health Authors: Jocelyn M. Williams, Martin R. Jude, Christopher R. Levi Tags: Original Research Source Type: research

Cardiac Troponin T and creatine kinase MB fraction levels among patients with acute ischemic stroke in Nigeria
Conclusion: The mean values of serum cTnT and CK-MB were higher in acute ischaemic stroke patients compared to controls. Serum cardiac Troponin t level may be a significant biomarker of the severity of stroke.
Source: Nigerian Journal of Clinical Practice - January 29, 2018 Category: Rural Health Authors: HM Suleiman IS Aliyu SA Abubakar MS Isa JM El-Bashir R Adamu MZ Ibrahim A Mohammed R Yusuf M Manu AB Dogara SK Mustapha N Bello SA Ozovehe 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

Admission hyperglycemia an independent predictor of outcome in acute ischemic stroke: A longitudinal study from a tertiary care hospital in South India
Conclusion: Stress hyperglycemia in stroke was associated with higher risk of poor functional outcome in acute ischemic stroke. Hyperglycemia at stroke onset without prior history of diabetes mellitus have particularly poor prognosis, than those with hyperglycemia in known diabetes.
Source: Nigerian Journal of Clinical Practice - May 17, 2017 Category: Rural Health Authors: SK Marulaiah MP Reddy M Basavegowda PKH Ramaswamy LS Adarsh 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

“Living With a Ball and Chain”: The Experience of Stroke for Individuals and Their Caregivers in Rural Appalachian Kentucky
ConclusionsThe findings provide insight for rural health care providers and community leaders to begin to understand the experience of stroke in terms of stroke onset, transition through the health care continuum, return to home, and community reintegration. An understanding of these experiences may lead to discussions of how to improve service provision, facilitate reintegration, support positive health outcomes, and improve quality of life for stroke survivors and their caregivers. The findings also indicate areas in need of future research including investigation of the effects of support groups, local health navigators...
Source: The Journal of Rural Health - May 23, 2013 Category: Rural Health Authors: Megan M. Danzl, Elizabeth G. Hunter, Sarah Campbell, Violet Sylvia, Janice Kuperstein, Katherine Maddy, Anne Harrison Tags: ORIGINAL ARTICLE Source Type: research

Rural‐Urban Differences in Inpatient Quality of Care in US Veterans With Ischemic Stroke
ConclusionsAfter adjustment for key demographic, clinical, and facility‐level characteristics, there does not appear to be a systematic difference in inpatient stroke quality between rural and urban VAMCs. Future research should seek to understand the few differences in care found that could serve as targets for future quality improvement interventions.
Source: The Journal of Rural Health - March 1, 2013 Category: Rural Health Authors: Michael S. Phipps, Huanguang Jia, Neale R. Chumbler, Xinli Li, Jaime G. Castro, Jennifer Myers, Linda S. Williams, Dawn M. Bravata Tags: ORIGINAL ARTICLE 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
ConclusionRecombinant 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.
Source: Australian Journal of Rural Health - August 16, 2013 Category: Rural Health Authors: Jocelyn M. Williams, Tina J. Navin, Martin R. Jude, Christopher R. Levi Tags: Original Research Source Type: research

Stroke survivors' perspectives on recovering in rural and remote Australia: A systematic mixed studies review
CONCLUSION: Stroke survivors recovering in rural and remote locations want to live their life by doing what matters to them, despite the challenges they face. They want support in ways that work for them in their environment. Further research is required to tailor support for stroke survivors that is specific to their life in rural and remote locations.PMID:34918349 | DOI:10.1111/1440-1630.12779
Source: Rural Remote Health - December 17, 2021 Category: Rural Health Authors: Sarah M Jackson Bridee A Neibling Ruth N Barker Source Type: research