Stroke Horizon Scanning Bulletin Volume 9 Issue 1

February 16, 2017

Telemedicine Can Replace the Neurologist on a Mobile Stroke Unit

February 16, 2017

Source: Stroke

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Date of publication: 12 January 2017

Publication type: Journal Article

In a nutshell:  

A comparative effectiveness trial in patients randomized to mobile stroke unit or standard management. A sub-study tested interrater agreement for tissue-type plasminogen activator eligibility between a telemedicine vascular neurologist and onboard vascular neurologist.

Simultaneous and independent telemedicine vascular neurologist and onboard vascular neurologist assessment was attempted in 174 patients. In 4 patients (2%), the telemedicine vascular neurologist could not make a decision because of technical problems. The telemedicine vascular neurologist agreed with the onboard vascular neurologist on 88% of evaluations (κ=0.73).

Remote telemedicine vascular neurologist assessment is reliable and accurate, supporting either telemedicine vascular neurologist or onboard vascular neurologist assessment on our mobile stroke unit.

Length of publication: online article

 

Some important notes: Please contact your local NHS library for the full text of this article. Follow this link to find your local NHS library.


Fewer but better clinics ‘will save more stroke victims’

February 16, 2017

Source: The Guardian

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Date of publication: 4th February 2017

Publication type: News

In a nutshell:

Juliet Bouverie, Chief Executive of the charity Stroke Association, has called for centralised stroke treatments at a much smaller number of hospitals to increase patients’ chances of survival and reduce their risk of long-term disability. The recommendation is based on evidence from studies showing the successful reorganisation of stroke units in London.

Length of publication: online article.


In search of the stroke detector

February 16, 2017

Source: The Guardian

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Date of publication: 22nd January 2017

Publication type: News

In a nutshell:  

This article follows the journey of Nicholas Dale and his team, who are now on the threshold of a remarkable breakthrough in stroke diagnosis. Dale’s biosensor company Sarissa, an offshoot of Warwick University, have developed SMARTChip – a thumbnail sized device to diagnose stroke and monitor patients’ progress. 

Length of publication: online article


Strokestra – Hitting the right note: the orchestra helping stroke survivors recover

February 16, 2017

Source: The Guardian

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Date of publication: 19th January 2017

Publication type: News

In a nutshell:

Strokestra is a pioneering collaboration between the Royal Philharmonic Orchestra and Hull integrated community stroke service. It uses group music-making to drive recovery in stroke survivors. Patients try out instruments, listen to and play alongside world-class musicians. With funding from Hull Public Health, the pilot programme involved 50 patients and carers and ran from May to October 2015. This is their story.

Length of publication: online article/ video


Field Validation of the Los Angeles Motor Scale as a Tool for Paramedic Assessment of Stroke Severity

February 16, 2017

Source: Stroke

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Date of publication: 13 January 2017

Publication type: Journal Article

In a nutshell:  

The Los Angeles Motor Scale (LAMS) is a 3-item, 0- to 10-point motor stroke-deficit scale developed for prehospital use. This study assessed the convergent, divergent, and predictive validity of the LAMS when performed by paramedics in the field at multiple sites in a large and diverse geographic region.

Analyzed early assessment and outcome data prospectively gathered in the FAST-MAG trial (Field Administration of Stroke Therapy-Magnesium phase 3) among patients with acute cerebrovascular disease (cerebral ischemia and intracranial hemorrhage) within 2 hours of onset, transported by 315 ambulances to 60 receiving hospitals.

In this multicenter, prospective, prehospital study, the LAMS showed good to excellent convergent, divergent, and predictive validity, further establishing it as a validated instrument to characterize stroke severity in the field.

 

Length of publication: online article

 

Some important notes: Please contact your local NHS library for the full text of this article. Follow this link to find your local NHS library.


Adherence to a Healthy Nordic Diet and Risk of Stroke

February 16, 2017

Source: Stroke

Follow this link for abstract

Date of publication: 3 January 2017

Publication type: Journal Article/ Cohort Study

In a nutshell:

Aim of the study was to investigate whether adherence to a healthy Nordic diet, including fish, apples and pears, cabbages, root vegetables, rye bread, and oatmeal, was associated with risk of stroke.

Incident cases of stroke among 55 338 men and women from the Danish Diet, Cancer and Health cohort were identified from the Danish National Patient Register and verified by review of records.

During a median follow-up of 13.5 years, 2283 cases of incident stroke were verified, including 1879 ischemic strokes. Adherence to a healthy Nordic diet, as reflected by a higher Healthy Nordic Food Index score, was associated with a lower risk of stroke.

 

Length of publication: online article

 

Some important notes: Please contact your local NHS library for the full text of this article. Follow this link to find your local NHS library.