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28,792 results
  • Understanding delays in acute stroke care: a systematic review of reviews. [Journal Article]
  • EJEur J Public Health 2018 Jun 01; 28(3):426-433
  • Lachkhem Y, Rican S, Minvielle É
  • CONCLUSIONS: This review provides a wide overview of factors influencing acute stroke pathway. Since it was observed that the identified factors were interrelated, they needed to be analyzed in a systematic way. We hence created a synthetic framework that combines several categories of factors while assuming that factor weight varies from a study context to another. Better knowledge on underlying mechanisms between factors would provide crucial improvement of the interventions aiming at reducing delays in both pre-hospital and inhospital stages. For future research, we recommend adopting a systemic perspective on factors influencing acute stroke pathway.
  • Managing acute ischaemic stroke in a small island developing state: meeting the guidelines in Barbados. [Journal Article]
  • BPBMC Public Health 2018 May 22; 18(1):648
  • Harewood-Marshall AS, Craig LS, … Rose AMC
  • CONCLUSIONS: Acute ischaemic stroke diagnosis was consistent with international recommendations, although this was less evident for treatment. While acknowledging the difficulty in implementing international guidelines in a low-resource setting, there is scope for improvement in acute ischaemic stroke management and/or its documentation in Barbados. A stroke unit was established in August 2013 and written clinical protocols for acute stroke care were in development at the time of the study; future registry data will evaluate their impact. Our findings have implications for other low-resource settings with high stroke burden.
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