Making difficult decisions about the benefits and risks of thrombolysis treatment

Dr Aoife De Brun is a Research Associate at the Institute of Health & Society at Newcastle Universityshutterstock_114405178

An online survey investigating factors that influence clinical decision-making regarding intravenous thrombolysis for patients with acute ischaemic stroke has been launched. The project is funded by the NIHR Health Service and Delivery Research Programme and is led by researchers from Newcastle University.

We are recruiting clinicians who are involved in making the final decision regarding thrombolysis for patients with acute ischemic stroke.  By understanding how clinicians make difficult trade-offs between the potential benefits and risks of thrombolysis, we can design strategies to better support risk communication, consent and decision-making with patients in clinical practice. Continue reading

Geriatric medicine in New Zealand: the doctors

4347707680_bae6a08da0_zIn the second half of her two-part blog on geriatric medicine in New Zealand, Vicky Henstridge asks: what about the doctors? Read part one here.

It is oft quoted that New Zealand is like the UK, but 30/40/50 years behind (pick your decade). In general this is not true, we do have mobile phones, the internet and microwave ovens that defrost, pluck, stuff and roast your chook. However, in the field of geriatric medicine, there are definitely parallels to the changes that occurred in the UK over my lifetime.

Continue reading

Website Review:

Website Review: Informative/E-learning

Target Audience: Hospital Doctors, Jnr Doctors, GPs, Allied health Professionals, Medical Students, General Public

Validity:  Written by and based around a hyper-acute stroke course run by Dr D O’Kane [Clinical Stroke Lead and Honorary Senior Clinical Lecturer]. It is accompanied by relevant references and a thorough literature review. Continue reading

Only a minority of stroke victims are being seen by doctors within the recommended timeframe

Despite the recent FAST awareness campaign, just 8% of high-risk patients surveyed attended clinic within 24 hours of symptom-onsetshutterstock_115549357

In a study, published in Age and Ageing, of over 270 patients newly diagnosed with minor strokes or transient ischaemic attack (TIA), only a minority sought medical help within the timeframe recommended by the Royal College of Physicians. This is despite the high profile FAST campaign, which was taking place at the time that the study was conducted. Continue reading

Age and Ageing collection: Developments in Stroke Medicine

Dr Victoria Haunton is Clinical Research Fellow and Honorary Specialist Registrar at Leicester Royal Infirmary.

Prof Tom Robinson is Professor of Stroke Medicine at Leicester Royal Infirmary and is an Associate Editor and the Supplements Editor for Age and Ageing journal.MCA-Stroke-Brain-Humn-2A

A collection of 10 Age and Ageing papers is free to view on the journal website.

Despite the dramatic revolution in stroke medicine, levels of stroke knowledge amongst the general public remain surprisingly poor, and there are still significant difficulties in getting patients to access stroke services promptly. Stephanie Jones et al sought to try and understand these problems in their important integrative review. Worryingly, they found that people struggle to name even one stroke risk factor or stroke symptom, particularly when open ended questions are used. Knowledge is especially poor in older members of the population, ethnic minority groups and those with a lower socio-economic status, but there is also a surprising lack of knowledge amongst those who have already suffered a stroke. Furthermore, there appears to be a real paradox between what people say they would do and what they would actually do in the event of a stroke; whilst at least 47% said they would contact emergency medical services if they suspected they or a relative were experiencing a stroke, only 18% of stroke patients had actually done this. There is therefore an urgent need for further public education. In light of their findings, Stephanie Jones and colleagues suggest that the ideal campaign should minimise barriers to health services and provide cues to action. Continue reading

Welsh Stroke Conference 2012

Friday 22nd June 2012

Riverfront Centre, Newport

An exciting line-up of speakers including local colleagues showcasing recent advances in stroke service delivery with examples of good practice in Wales. Details about the final programme and registration will be available from our new website by 1st March 2012

Posters/Abstract will be along the themes of Science, Service and Clinical Cases. Information/guidance about posters/Abstract available here. Abstracts to be received by the end of March 2012 and there will be prizes for each category.

  • Medics fee: Early Bird – £150 (to end of April) or £170 (after 1 May).
  • Non medics: Early Bird – £30 (to end of April) or £40 (after 1 May).
  • Half day fees: half cost of day fee.

Please note these future stroke meeting dates:

  • Friday 21st June 2013
  • Friday 20th June 2014