Stroke- May 2011

PDF icon Evidence Update - Stroke.pdf110.89 KB



May 2011 - Issue 5


Early supported discharge and stroke

This fact sheet provides an overview of recent evidence relevant to Early supported discharge and

stroke; 7 day working and stroke and Achieving stroke best practice tariff and information on how

the “Outreach Librarian Service” can support you to keep up-to-date .

Selected Evidence

 Care Quality Commission: Review of services for people who have had a stroke and their carers

2011 This review

looked at the 'pathway' of care provided to people who experienced a stroke or a 'mini-stroke' and their carers.

It was conducted throughout 2010, and focused on care from the point where people prepared to leave

hospital, to the ongoing care and support in their homes. It covers both health and adult social care, as well

as other relevant services.

 AEU Stroke Rehabilitation

2010 Evidence Update on Stroke Rehabilitation, the result of collaboration between NHS Evidence - stroke,

the Society for Research in Rehabilitation and the NHS Stroke Improvement Programme , published online to coincide with the UK Stroke

Forum , being held in Glasgow.

 Work begins on new Stroke Unit at RBCH which will see moving from the current five to  seven days a

week therapy within the new unit.

 The Stroke Unit and stroke team

The Stroke Unit at Trafford General Hospital has nine beds and is located within the Seymour Unit. It

provides  24-hour nursing care seven days a week for patients

 Stroke and TIA at Northwick Park Hospital

We provide a seven-day transient ischaemic attack (TIA) service. TIA causes symptoms similar to a stroke

- but lasting only a short time


Care pathway for Stroke and transient ischaemic attack (TIA)

Map of Medicine


Askim, T; Morkved, S; Engen, A; Roos, K; Aas, T and Indredavik, B

Effects of a community-based motor training programme combined with early supported discharge after

treatment in a comprehensive stroke unit: A randomized controlled trial

Stroke August 2010: 41(8) 1697-1703

Clarke, DC

Achieving teamwork in stroke units: The contribution of opportunistic dialog

Journal of Interprofessional Care: 2010: 24(3) 285-297

Cole, E

Stroke of genius: Nurses at St George’s Hospital explain how they deliver top quality patient care after


Nursing Standard March 2011: 25(30) 20-21

Demaerschalk, BM

Telemedicine or telephone consultation in patients with acute stroke

Current Neurological Neuroscience Reports 2011: 11; 42-51

Gurr, B

Stroke mood screening on an inpatient stroke unit

British Journal of Nursing January 2011: 20(2) 94-99

Fisher, RJ; Gaynor, C; Kerr, M; Langhorne, P; Anderson, C; Bautz-Holter, E and Indredavik, B

A consensus on stroke: Early supported discharge

Stroke May 2011: 42; 1392-1397

Fisher, R and Walker, M

Early supported discharge: An essential part of stroke care

Stroke Care 2011: 3(4) 55-58

Hild Fjaertoft, PT; Rohweder, G and Indredavik, B

Stroke unit care combined with early supported discharge improves 5 year outcome

Stroke April 7, 2011:

Hsieh, CH; Putman, K; Nichols, D; McGinty, ME; DeJong, G and Smout, RJ

Physical and occupational therapy in inpatient stroke rehabilitation

American Journal of Physical Medicine & Rehabilitation 2010: 89(11) 1862-1868

Krevers, B and Oberg, B

Support/services and family carers of persons with stroke impairment: Perceived importance and services


Journal of Rehabilitation Medicine Feb 2011: (3) 204-209

Johansson, T and Wild, C

Telerehabilitation in stroke care—a systematic review

Journal of Telemedicine and Telecare 2011: 17(1) 1-6

Lecouturier, J; Rodgers, H; Murtagh, MJ; White, M and Ford, G

Systematic review of mass media interventions designed to improve public recognition of stroke

symptoms, emergency response and early treatment

BMC Public Health 2010: 10; 784-793

Luker, JA; Wall, K; Bernhardt, J; Edwards, I and Grimmer-Somers, K

Measuring the quality of Dysphagia management practices following stroke: A systematic review

International Journal of Stroke December 2010: 5(6) 466-476

Maasland, L; Brouwer-Goosensen; den Hertog, HM; and Koudstaal, PJ

Health education in patients with a recent stroke or transient ischaemic attack: A comprehensive review

International Journal of Stroke February 2011: 6; 67-74

Poslawsky, IE; Schuurmans, MJ; Lindeman, E and Hafsteinsdottir, TB

A systematic review of nursing rehabilitation of stroke patients with aphasia

Journal of Clinical Nursing January 2010: 1-2; 17-32 Review

Pringle, J; Hendry, C and McLafferty, E

A review of the early discharge experiences of stroke survivors and their carers

Journal of Clinical Nursing 2008: 17(18) 2384-2397

Rudd, AG; Hoffman, A; Grant, R; Campbell, JT and Lowe, D

Stroke thrombolysis in England, Wales and Northern Ireland: How much do we do and how much do

we need?

Journal of Neurology, Neurosurgery & Psychiatry 2011: 82; 14-19

Sullivan, KJ; Tilson, JK; Cen, SY; Rose, DK; Hershberg, J; Correa, A and Gallichio, J

Fugl-Meyer Assessment of sensorimotor function after stroke: Standardised training procedure for

clinical practice and clinical trials

Stroke February 2011: 42: 427-432

Tingle, J

Stroke services across England: A mixed and inconsistent picture

British Journal of Nursing March 2011: 20(6) 354-355

van Raak, A; Groothuis, S; van der Aa, R; Limburg, M and Vos, L

Shifting stroke care from the hospital to the nursing home: Explaining the outcomes

Journal of Evaluation in Clinical Practice December 2010: 16(6) 1203-1208

Wijnhoud, AD; Maasland, L; Lingsma, HF; Ewout, W; Stayerberg, PJ and Koudstaal, PJ

Prediction of major vascular events in patients with transient ischaemic attack or ishchaemic stroke: A

comparison of 7 models

Stroke October 2010; 41: 2178-2185

 How can I help you?

Literature search service

I can offer an expert, in-depth literature search service to help you locate the evidence on any health

related topic.


If you want to learn to navigate the wealth of available online healthcare information and how to search

databases more effectively, the ‘Trust trainer’ can offer timetabled hands-on training sessions or can

provide customised one-to-one support. Telephone: 0121 424 0583 or email:

[email protected]

 Current awareness services

If you need to keep up-to-date on a particular topic I can advise on suitable RSS feeds and help you set

up article alerts from the major healthcare databases.

 Online resources

Whilst many good quality resources are freely available, most full-text journals and the main bibliographic

databases (e.g. Medline and CINAHL) require an Athens username and password. To register

for an Athens login go to

The Library web pages contain detailed information about library services and training opportunities,

online request and registration forms and several guides on key online resources and evidence-based

websites at


The Outreach Librarian is located in the education centre at Heartlands Hospital, on the first floor, next

to the Library.

Telephone 0121 424 2503 (42503) or email: [email protected]