Stroke Evidence Update October 2023

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Stroke Evidence Update 31st October 2023 Contents Editor's Pick Leicester Publications Other Noteworthy Research East Midlands Research Repository NICE Guidance Cochrane Systematic Reviews NIHR Signals Other items of interest This STROKE Evidence Update is useful to me Request a literature search Editor's pick Kindly chosen by Dr Amit Mistri ROSIER is a scale recommended for use in the ER with improved specificity for stroke diagnosis, over the FAST tool advised in the community.  The systematic review of ROSIER provides a timely reassurance of irs utility in front door hospital settings.  It is a well-written paper and an excellent example of a systematic review looking at a diagnostic scale, for those interested in undertaking a systematic review in future. Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis.   NICE  Updated guidance on stroke rehabilitation   Our latest guideline says that people who have had a stroke or experience continuing impairment or limitations on their activities should be offered additional rehabilitation to help them recover. It recommends that people should be offered needs-based rehabilitation for at least 3 hours a day on at least 5 days per week. A 2-page visual summary to aid discussions about care and support between healthcare professionals and people who have had a stroke is now also available. Leicester Publications These are a selection of article published recently. If I've missed anything, please do let me know. For up to date publications from Leicestershire, please click here. The effect of hypercapnia on the directional sensitivity of dynamic cerebral autoregulation and the influence of age and sex. Panerai RB, Davies A, Clough RH, Beishon LC, Robinson TG, Minhas JS. Cerebral Autoregulation Monitoring: A Guide While Navigating in Troubled Waters. Brasil S, Caldas J, Beishon L, Minhas JS, Nogueira RC.   Other noteworthy research Please let me know what kinds of thing you'd like to see here!   Treatments   *   Rehabilitation   *   Other   *   COVID Treatments     Comparison of subperiosteal or subgaleal drainage and subdural drainage in patients with chronic subdural hematoma: A systematic review and meta-analysis.   Outcomes of Endovascular Treatment versus Standard Medical Treatment for Acute Ischemic Stroke with Basilar Artery Occlusion: A Systematic Review and Meta-Analysis.   Application of Telemedicine in the Ambulance for Stroke Patients: A Systematic Review.   Prevalence, Risk Factors, and Clinical Outcomes of New Cerebral Microbleeds After Intravenous Thrombolysis in Acute Ischemic Stroke: a Systematic Review and Meta-analysis.   Risk factors for recurrence of chronic subdural hematoma after surgical evacuation: a systematic review and meta-analysis.   Recognition of Stroke in the Emergency Room (ROSIER) Scale in Identifying Strokes and Transient Ischemic Attacks (TIAs); a Systematic Review and Meta-Analysis.   Development and validation of a nomogram model for prediction of stroke-associated pneumonia associated with intracerebral hemorrhage.   Systematic review and meta-analysis of the efficacy and safety of adjunctive use of tirofiban in patients treated with endovascular therapy for acute ischemic stroke at different embolic sites.   Transport Strategy in Patients With Suspected Acute Large Vessel Occlusion Stroke: TRIAGE-STROKE, a Randomized Clinical Trial.   Blood Pressure Management After Endovascular Therapy for Acute Ischemic Stroke: The BEST-II Randomized Clinical Trial.   Intensive vs Conventional Blood Pressure Lowering After Endovascular Thrombectomy in Acute Ischemic Stroke: The OPTIMAL-BP Randomized Clinical Trial.   Remote Ischemic Conditioning for Acute Stroke: The RESIST Randomized Clinical Trial.   Value of intravenous thrombolysis in endovascular treatment for large-vessel anterior circulation stroke: individual participant data meta-analysis of six randomised trials.   Neurovascular Inflammation and Complications of Thrombolysis Therapy in Stroke.   Optimizing Patient-Centered Stroke Care and Research in the Prehospital Setting.   Sleep Apnea and Ischemic Stroke: More Insights on a Timeless Association.   Rehabilitation   Effect of repetition of rTMS at different frequencies on the efficacy of swallowing disorders after stroke: A systematic review and meta-analysis.   The effectiveness of intermittent theta burst stimulation for upper limb motor recovery after stroke: a systematic review and meta-analysis of randomized controlled trials.   Socioeconomic status and health-related quality of life after stroke: a systematic review and meta-analysis.   The stroke transitional care intervention for older adults with stroke and multimorbidity: a multisite pragmatic randomized controlled trial.   End-effector lower limb robot-assisted gait training effects in subacute stroke patients: A randomized controlled pilot trial.   Therapeutic effect of adjuvant therapy added to constraint-induced movement therapy in patients with subacute to chronic stroke: a systematic review and meta-analysis. Robotic-Assisted Rehabilitation for Post-Stroke Shoulder Pain: A Systematic Review.   Determinants of return to work after a stroke: a systematic review and meta-analysis.   Premorbid sarcopenia and functional outcome after acute stroke: a meta-analysis.   Stroke Inpatient Rehabilitation Environments: Aligning Building Construction and Clinical Practice Guidelines Through Care Process Mapping.   Trunk Training Following Stroke.   Improving Access to, and Quality of, Stroke Rehabilitation. Other     Prevalence and risks factors of caregiving-related low back pain among caregivers of stroke survivors: a systematic review and meta-analysis.   The Value of Applying Machine Learning in Predicting the Time of Symptom Onset in Stroke Patients: Systematic Review and Meta-Analysis.   Causal Effect of the 25-Hydroxyvitamin D Concentration on Cerebral Small Vessel Disease: A Mendelian Randomization Study.   Nursing and Institutional Responsibilities for In-Hospital Stroke.   Cerebellar Stroke Score and Grading Scale for the Prediction of Mortality and Outcomes in Ischemic Cerebellar Stroke.   Racial and Ethnic Differences in the Risk of Ischemic Stroke After Nontraumatic Intracerebral Hemorrhage.   Virtual Multidisciplinary Stroke Care Clinic for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial. COVID   Brain MRI findings in severe COVID-19 patients: a meta-analysis.     LIHNN Stroke Updates Stroke Horizon Scanning Bulletin available here   EMER - the East Midlands Evidence Repository The East Midlands Evidence Repository (EMER) is the official institutional research repository for; Derbyshire Community Health Services, Leicester Partnership Trust, NHS Nottingham and Nottinghamshire CCG, Nottinghamshire Healthcare, Sherwood Forest Hospitals, University Hospitals of Derby and Burton and the University Hospitals Of Leicester EMER is intended to make NHS research more visible and discoverable by capturing, storing and preserving the East Midlands research output and making it available to the research community through open access protocols. Wherever possible, full-text content is provided for all research publications in the repository. Content grows daily as new collections are added. https://eastmid.openrepository.com/   Please see https://www.nice.org.uk/guidance for newly published guidance on all topics Stroke rehabilitation in adults Suspected neurological conditions: recognition and referral Urinary incontinence in neurological disease: assessment and management Pneumonia in adults: diagnosis and management Rimegepant for treating migraine     Haemostatic therapies for stroke due to acute, spontaneous intracerebral haemorrhage   Cerebrolysin for acute ischaemic stroke   Interventions to improve the appropriate use of polypharmacy for older people   Pravastatin for lowering lipids   NIHR Signals Blood pressure treatment: the risks may be as great as the benefits in older people with frailty Early, intense therapy for language problems after a stroke is linked to the greatest benefits How to share decision-making about major surgery for people at high risk of complications NEWS2: patient score can predict worsening condition in care home residents Multiple long-term conditions (multimorbidity) and inequality- addressing the challenge: insights... More Signals at: https://evidence.nihr.ac.uk/  https://www.uptodate.com/contents/whats-new-in-neurology https://www.uhl-library.nhs.uk/dynamedportal To access full text you may have to log in to your NHS Athens account (click here to register for free). If full text is not available then please email us to request a copy. Like this email, but want something more specific to your needs? UHL now has access to a tailored email alert system. To find out more, email pip.dvall@uhl-tr.nhs.uk or fill in the form here: www.uhl-library.nhs.uk/knowledgshare This STROKE Evidence Update is useful to me This STROKE Evidence Update is NOT useful to me    View our other Evidence Updates Our mailing address is: pip.divall@uhl-tr.nhs.uk This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. Share Tweet Forward

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