Has Ontario's Stroke System Really Made a Difference?

Lewis, Mary; Trypuc, Joann; Lindsay, Patrice; O’Callaghan, Chris; Dishaw, Alexis

doi:10.12927/hcq..18407

Cited by 29 publications

(14 citation statements)

References 7 publications

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“…A previous report from the RSCN found that between 2000 and 2003, the number of stroke presentations increased from 9.9% to 10.3%. 61 A system of organized stroke care, such as implemented across Ontario in 2001, may have also improved the identification of stroke at both the pre-hospital and hospital phase.…”

Section: Discussionmentioning

confidence: 99%

Can Mass Media Influence Emergency Department Visits for Stroke?

Hodgson

Lindsay

Rubini

2007

Stroke

Self Cite

158

156

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Background and Purpose-Television advertising has been associated with significant increases in the knowledge of the warning signs of stroke among Ontarians aged 45 and older. However, to date there has been little data on the relationship between knowledge of the warning signs of stroke and behavior. Methods-Data on presentation to regional and enhanced district stroke center emergency departments were obtained from the a 5-month advertising blackout. There was a significant increase in the mean number of emergency department visits for stroke over the study period. A campaign effect independent of year was observed for total presentations, presentation within 5 hours of last seen normal, and presentation within 2.5 hours. For TIAs there was a strong campaign effect but no change in the number of presentations by year. Conclusions-Continuous advertising may be required to build and sustain public awareness of the warning signs of stroke. There are many factors that may influence presentation for stroke and awareness of the warning signs may be only one. However, results of this study suggest there may be an important correlation between the advertising and emergency department presentations with stroke, particularly for TIAs.

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Section: Discussionmentioning

confidence: 99%

Can Mass Media Influence Emergency Department Visits for Stroke?

Hodgson

Lindsay

Rubini

2007

Stroke

Self Cite

158

156

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“…7 Data from the Registry of the Canadian Stroke Network, which included information from 21 hospitals in 8 provinces from June 2001 to February 2002, indicated variations in the time from stroke onset to hospital arrival, administration of acute thrombolysis, admission to units specializing in stroke care and use of anticoagulants in patients with atrial fibrillation. 7 Populationbased chart audits from across Canada [8][9][10][11][12] indicated considerable variations in stroke care across geographic regions and across hospitals based on their size and designation as a "stroke centre." The 2006 National Stroke Audit in the United Kingdom, the Get With The Guidelines program in the United States and a pilot analysis of stroke indicators in Germany also reported performance differences across sites on several similar stroke indicators.…”

mentioning

confidence: 99%

Toward a more effective approach to stroke: Canadian Best Practice Recommendations for Stroke Care

Lindsay¹,

Bayley²,

McDonald³

et al. 2008

Canadian Medical Association Journal

145

127

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Each year more than 50 000 Canadians experience a stroke and more than 300 000 currently live with its effects. Despite the evidence supporting best practices in stroke care, significant gaps in translating this knowledge into action remains in Canada. An interdisciplinary working group of the Canadian Stroke Strategy was formed to develop best-practice recommendations relevant to Canadian health care. The working group used a rigorous process to develop the guidelines, which included reviewing existing stroke recommendations and research literature, and consulting a national interprofessional consensus panel. The Canadian Best Practice Recommendations for Stroke Care consist of 24 recommendations based on the strongest evidence and address topics that span the full continuum of stroke care. Implementation and dissemination of these recommendations is in progress. Bringing about change will require political will and collaboration throughout the health care system. Abstract

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“…Hersh et al (2006) found that there were only a small number of well-designed telestroke studies, particularly in rural settings. There is a need for more rigorously designed randomised controlled trials and longitudinal observational studies of clinical outcomes to demonstrate the effective use of telemedicine in stroke survivors discharged from hospital (Lewis et al 2006). …”

Section: Future Trends and Recommendationsmentioning

confidence: 99%