Library Services Musgrove Park and Somerset Partnership
Current Awareness Stroke This monthly Current Awareness Bulletin is produced by the Library, Musgrove Park Academy to provide staff with a range of stroke-related resources to support practice. It includes recently published guidelines and research articles, news and policy items.
This guide provides a selection of resources relevant to the subject area and is not intended to be a comprehensive list. All websites have been evaluated and details are correct at the time of publications. Details correct at time of going to print. Please note that resources are continuously updated. For further help or guidance, please contact a member of library staff.
This guide has been compiled by: Jess Pawley Senior Library Assistant Musgrove Park Hospital Library Service jessica.pawley@tst.nhs.uk
Issue 5 December 2015
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Contents Click on a section title to navigate contents Page Recent journal articles
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Books
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Cochrane Systematic Reviews
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Guidelines
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UpToDate & DynaMed
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Reports, publications and resources
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Topic Alerts and Updates
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Training & Networking Opportunities, Conferences, Events
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Literature search service
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Training and Athens
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Library contact details: Library Musgrove Park Academy Musgrove Park Hospital Taunton Somerset TA1 5DA Tel: 01823 34 (2433) Fax: 01823 34 (2434) Email: library@tst.nhs.uk Blog: http://librarymph.wordpress.com @musgrovesompar
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RECENT JOURNAL ARTICLES BACK TO TOP This is a list of journal articles on the topic of stroke. Some articles are available in the library or online via an OpenAthens password by following the full-text link. If you would like an article which is not available as full-text then please contact library staff. Please note that abstracts are not always available for all articles.
MUSGROVE STAFF ONLY Click on the image to access full-text-available from 1970 to current using your OpenAthens password
ARTICLES FROM OTHER JOURNALS
Title: The effect of interventions on balance self-efficacy in the stroke population: a systematic review and meta-analysis. Citation: Clinical Rehabilitation, 2015, vol./is. 29/12(1168-1177), 02692155 Abstract: Objective: To conduct a systematic review of clinical trials that examined the effectiveness of interventions on balance self-efficacy among individuals with stroke. Design: Systematic review. Summary of review: Searches of the following databases were completed in December 2014: MEDLINE (1948–present), CINAHL (1982–present), EMBASE (1980–present) and PsycINFO (1987– present) for controlled clinical trials that measured balance self-efficacy in adults with stroke. Reference lists of selected articles were hand-searched to identify further relevant studies. Review methods: Two independent reviewers performed data extraction and assessed the methodological quality of the studies using the Physical Therapy Evidence Database Scale. Standardized mean differences (SMD) were calculated. Results: A total of 19 trials involving 729 participants used balance self-efficacy as a secondary outcome. Study quality ranged from poor (n = 3) to good (n = 8). In the meta-analysis of 15 trials that used intensive physical activity interventions, a moderate beneficial effect on balance self-efficacy was observed immediately following the programs (SMD 0.44, 95% CI 0.11–0.77, P = 0.009). In the studies that included follow-up assessments, there was no difference between groups across retention periods (eight studies, SMD 0.32, 95% CI −0.17–0.80, P = 0.20). In the four studies that used motor imagery interventions, there was no between-group difference in change in balance self-efficacy (fixed effects SMD 0.68, 95% CI −0.33–1.69, P = 0.18). Conclusions: Physical activity interventions appear to be effective in improving balance self-efficacy after stroke. Full text: Available CLINICAL REHABILITATION at Clinical Rehabilitation Full text: Available CLINICAL REHABILITATION at Library MPH ________________________________________________________________________________ Title: Getting on with the rest of your life following stroke: a randomized trial of a complex intervention aimed at enhancing life participation post stroke.
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Citation: Clinical Rehabilitation, 2015, vol./is. 29/12(1198-1211), 02692155 Abstract: Objective: To enhance participation post stroke through a structured, community-based program. Design: A controlled trial with random allocation to immediate or four-month delayed entry. Setting: Eleven community sites in seven Canadian cities. Subjects: Community dwelling persons within five years of stroke onset, cognitively intact, able to toilet independently. Interventions: Evidence-based program delivered in three 12-week sessions including exercise and project-based activities, done as individuals and in groups. Main measures: Hours spent per week in meaningful activities outside of the home and Reintegration to Normal Living Index; Stroke-Specific Geriatric Depression Scale, Apathy Scale, gait speed, EuroQuol EQ-5D, and Preference-Based Stroke Index. All measures were transformed to a scale from 0 to 100. Assessments prior to randomization, after the first session at three months, six months, 12 months, and 15 months. Results: A total of 186 persons were randomized. The between-group analysis showed no disadvantage to waiting and so groups were combined and a within-person analysis was carried out at three time points. There were statistically significant increases in all study outcomes on average over all persons. Over 45% of people met or exceeded the pre-specified target of a three hour per week increase in meaningful activity and this most often took a full year of intervention to achieve. Greatest gains were in satisfaction with community integration (mean 4.78; 95% CI: 2.01 to 7.55) and stroke-specific healthrelated quality of life (mean 4.14; 95% CI: 2.31 to 5.97). Conclusions: Community-based programs targeting participation are feasible and effective, but stroke survivors require time to achieve meaningful gains. Full text: Available CLINICAL REHABILITATION at Clinical Rehabilitation Full text: Available CLINICAL REHABILITATION at Library MPH ________________________________________________________________________________ Title: Measuring negative and positive caregiving experiences: a psychometric analysis of the Caregiver Strain Index Expanded. Citation: Clinical Rehabilitation, 2015, vol./is. 29/12(1224-1233), 02692155 Abstract: Objective: To compare the psychometric properties of the Caregiver Strain Index Expanded with those of the original Caregiver Strain Index among partners of stroke patients. Design and subjects: Cross-sectional validation study among 173 caregivers of stroke patients six months poststroke. Main measures: Outcome measure: Caregiver Strain Index Expanded. Reference measures: Hospital Anxiety and Depression Scale, two questions on life satisfaction, Barthel Index and Montreal Cognitive Assessment. Additionally, National Institutes of Health Stroke Scale. Results: Neither the Caregiver Strain Index Expanded nor the original Caregiver Strain Index showed floor or ceiling effects. The sum score of the positive items showed a ceiling effect and was skewed to the right (2.20). Principal component analysis revealed no clear underlying item clustering. Alpha values of the Caregiver Strain Index Expanded and the original Caregiver Strain Index were good (0.82 and 0.83), but the alpha value of the positive subscale of the Caregiver Strain Index Expanded was too low (0.51). Convergent validity was confirmed for the Caregiver Strain Index Expanded, the original Caregiver Strain Index and the positive subscale. The Caregiver Strain Index Expanded and the original Caregiver Strain Index showed nearly identical correlations with the reference measures. Negative caregiving experiences were more strongly related to partners’ mood and life satisfaction than positive caregiving experiences. In the regression analyses, the positive subscale showed little added value in predicting partners’ mood and life satisfaction. Conclusion: The addition of five positively phrased items does not improve the psychometric properties of the Caregiver Strain Index. Full text: Available CLINICAL REHABILITATION at Clinical Rehabilitation Full text: Available CLINICAL REHABILITATION at Library MPH ________________________________________________________________________________
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Title: Dose of arm activity training during acute and subacute rehabilitation post stroke: a systematic review of the literature. Citation: Clinical Rehabilitation, 2015, vol./is. 29/12(1234-1243), 02692155 Abstract: Aim: To determine the dose of activity-related arm training undertaken by stroke survivors during acute and subacute rehabilitation. Methods: A systematic review of PubMed, CINAHL and EMBASE up to December 2014 was completed. Studies were eligible if they defined the dose (time or repetitions) of activity-related arm training using observational methods for a cohort of adult stroke survivors receiving acute or subacute rehabilitation. All studies were quality appraised using an evidence-based learning critical appraisal checklist. Data was analysed by method of documented dose per session (minutes, repetitions), environment (acute or subacute rehabilitation) and therapy discipline (physiotherapy, occupational therapy). Results: Ten studies were included: two observed stroke survivors during acute rehabilitation and eight during subacute rehabilitation. During acute rehabilitation, one study reported 4.1 minutes per session during physiotherapy and 11.2 minutes during occupational therapy, while another study reported 5.7 minutes per session during physiotherapy only. During inpatient rehabilitation, activity-related arm training was on average undertaken for 4 minutes per session (range 0.9 to 7.9, n = 4 studies) during physiotherapy and 17 minutes per session (range 9.3 to 28.9, n = 3 studies) during occupational therapy. Repetitions per session were reported by two studies only during subacute rehabilitation. One study reported 23 repetitions per session during physiotherapy and occupational therapy, while another reported 32 repetitions per session across both disciplines. Conclusion: The dose of activity-related arm training during acute and subacute rehabilitation after stroke is limited. Full text: Available CLINICAL REHABILITATION at Clinical Rehabilitation Full text: Available CLINICAL REHABILITATION at Library MPH ________________________________________________________________________________ Title: Time to Blood Pressure Control Before Thrombolytic Therapy in Patients With Acute Ischemic Stroke: Comparison of Labetalol, Nicardipine, and Hydralazine. Citation: Journal of Neuroscience Nursing, 2015, vol./is. 47/6(327-332), 08880395 ________________________________________________________________________________ Title: Timing of surgery following recent ischaemic stroke. Citation: British Journal of Hospital Medicine (17508460), 2015, vol./is. 76/11(666-667), 17508460 Abstract: The article presents a case study involving the management of patients who are recommended for surgery after an ischemic stroke. Topics covered include perioperative stroke, complications of cerebrovascular accident, and the association of the timing of surgery with the recurrence of perioperative stroke. The recommended delay for surgery is also mentioned. ________________________________________________________________________________ Title: The Orpington Prognostic Scale: A predictive tool for discharge destination and outcomes in stroke survivors admitted to a hyperacute stroke unit. Citation: International Journal of Therapy & Rehabilitation, 2015, vol./is. 22/11(510-516), 17411645 Abstract: Background/Aims: Accurate assessment of severity of impairment and prediction of prognosis following stroke are important for determining a patient's rehabilitation needs. This study investigates the predictive ability of the Orpington Prognostic Scale, administered within 72 hours of stroke onset, in determining discharge destination and outcomes from a hyperacute stroke unit. Methods: Prospective data were collected from 219 patients with confirmed diagnosis of stroke admitted to a hyperacute stroke unit. Initial Orpington Prognostic Scale scores were compared to discharge destination at 72 hours. The predictive ability of the scale was analysed using logistic
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regression and multivariate analysis. Results: A low score (<3.2) on the Orpington Prognostic Scale had a high positive predictive value (88.63%) for discharge home, while a high score (>3.2) had a high positive predictive value for further inpatient management (98.39%). The scale showed good predictive ability (odds ratio 27.691, 95% Cl 9.852-77.825) for outcome after admission to the hyperacute stroke unit. This was independent of age, gender, type and site of stroke, previous social support and co-morbidity Conclusions: The Orpington Prognostic Scale could be a valuable tool for predicting discharge destination from a hyperacute stroke unit by early identification of rehabilitation needs 72 hours after stroke following the initial screening. Patients with low scores are highly likely to go home with or without support/therapy whereas high scorers will require further input in an inpatient setting. Full text: Available EBSCOhost at International Journal of Therapy & Rehabilitation ________________________________________________________________________________ Title: Long-Term Follow-up to a Randomized Controlled Trial Comparing Peroneal Nerve Functional Electrical Stimulation to an Ankle Foot Orthosis for Patients With Chronic Stroke. Citation: Neurorehabilitation & Neural Repair, 2015, vol./is. 29/10(911-922), 15459683 ________________________________________________________________________________ Title: Feasibility of Focused Stepping Practice During Inpatient Rehabilitation Poststroke and Potential Contributions to Mobility Outcomes. Citation: Neurorehabilitation & Neural Repair, 2015, vol./is. 29/10(923-932), 15459683 Language: English ________________________________________________________________________________ Title: Quantifying Real-World Upper-Limb Activity in Nondisabled Adults and Adults With Chronic Stroke. Citation: Neurorehabilitation & Neural Repair, 2015, vol./is. 29/10(969-978), 15459683 ________________________________________________________________________________ Title: Clinical Implications of Family-Centered Care in Stroke Rehabilitation. Citation: Rehabilitation Nursing, 2015, vol./is. 40/6(349-359), 02784807 Abstract: The article discusses the viability of applying a family-centered care model for the rehabilitation of stroke patients. It references studies confirming the importance of collaboration between family caregivers and healthcare providers in addressing the needs of stroke patients. It proposes concepts that challenge the traditional perception of patients and families as passive recipients of care. It advocates the involvement of family members in the care process for stroke survivors. ________________________________________________________________________________ Title: Verbal Description of Concrete Objects: A Method for Assessing Semantic Circumlocution in Persons With Aphasia. Citation: American Journal of Speech-Language Pathology, 2015, vol./is. 24/4(0-9), 10580360 Full text: Available EBSCOhost at American Journal of Speech - Language Pathology Full text: Available EBSCOhost at American Journal of Speech-Language Pathology ________________________________________________________________________________ Title: Quality of Life After Off-Label Thrombolysis for Ischemic Stroke in Elderly Patients. Citation: Drugs & Aging, 2015, vol./is. 32/11(917-926), 1170229X Abstract: Introduction: The use of intravenous thrombolysis with alteplase for ischemic stroke in
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Europe is restricted to subjects aged <80 years. Recent studies have reported the efficacy and safety of alteplase in older patients. However, data concerning the quality of life (QOL) of these elderly subjects are sparse. Objectives: The aim of this study was to compare the QOL of patients aged â&#x2030;Ľ80 years with that of patients aged <80 years at 3 months after thrombolysis. Method: This was a prospective study comprising French-speaking patients aged >18 years treated using thrombolytic therapy for ischemic stroke at the Hospital of Tours (Tours, France) between June 2012 and January 2013. QOL was assessed using the Stroke Impact Scale (SIS). The presence of mood disorders or cognitive impairments was also assessed. Results: QOL was evaluated for 62 subjects among the 83 enrolled patients who received thrombolytic treatment; 21 patients were aged >80 years. Concerning scores on the SIS, using a multivariate analysis, only the memory and thinking score was significantly and negatively associated with the elderly population [odds ratio (OR) 0.036, 95 % confidence interval (CI) 0.004-0.339; p = 0.004]. No significant difference was observed among all the other QOL scores. Neurological recovery and functional status did not differ between the two groups. Conclusion: QOL after intravenous thrombolysis in the elderly population was comparable to that of younger subjects. Despite its small sample size, this study showed promising results in favor of intravenous thrombolysis in the elderly population and highlighted the importance of systematic screening for poststroke cognitive impairment, particularly in this population. Full text: Available EBSCOhost at Drugs & Aging ________________________________________________________________________________
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BOOKS BACK TO TOP If you are unable to find a book, or require a book that is not on this list, please ask library staff who will be able to locate the book for you using interlibrary loan. Please note that some books detailed below may not be available in your local library and would need to be ordered for you. Books available to borrow Critical Care of the Stroke Patient Schwab 2014
The continuum of stroke care: an interprofessional approach to evidencebased care Hickey et al 2016
From the back of the book: This volume integrates these approaches and suggests the best therapy option for all cerebrovascular conditions. The early chapters of the book focus on monitoring techniques and interventions. Subsequent sections address the critical care of a wide range of cerebrovascular diseases: ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, arteriovenous malformations, cerebral venous thrombosis and traumatic injury. This book will meet the needs of stroke physicians, neurologists, neurosurgeons, neurointensivists and interventional neuroradiologists seeking to maximize positive outcomes for their patients.
From the back of the book: Addressing every phase of current stroke care, The Continuum of Stroke Care is your essential how-to for delivering safe, effective outcomes with interprofessional teamwork. Each chapter is written by clinicians with cutting-edge expertise and clinically grounded insight. Practical and comprehensive, the book also fully covers both the advances of the last few decades and upcoming innovations in stroke care. Absorb the latest in research-based methods and team care . . . Outlines the current evidence-based stroke care system, based on international best practices.
Taunton and SomPar NHS staff - Have you visited the EBL eBook catalogue? Follow the links below and login via OpenAthens to read online books free for 5-10 minutes each day, send requests for eBook loans or purchase suggestions Taunton & Somerset eBook catalogue
Somerset Partnership eBook catalogue
About OpenAthens
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COCHRANE SYSTEMATIC REVIEWS BACK TO TOP Full-text evidence-based systematic reviews prepared by the Cochrane collection Reviews from November 2015 Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke Protocols from November 2015 Routine oxygen supplementation for acute stroke Repetitive peripheral magnetic stimulation for activities of daily living and functional ability in people after stroke
GUIDELINES BACK TO TOP th
National Clinical Guideline for Stroke, 4 edition 2012 NICE Guidelines Secondary prevention after a myocardial infarction- NICE quality standard [QS99] Published date: September 2015 Cardiovascular risk assessment and lipid modification- NICE quality standard [QS100] Published date: September 2015 Edoxaban for preventing stroke and systemic embolism in people with non-valvular atrial fibrillationNICE technology appraisal guidance [TA355] Published date: September 2015
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UPTODATE & DYNAMED BACK TO TOP Whatâ&#x20AC;&#x2122;s new from our clinical decision-making tools on the topic of stroke. UpToDate â&#x20AC;&#x201C;Access for Musgrove staff onlyDynaMed Please contact library staff for details on how to access these resources; you will need an Athens password if accessing from home.
REPORTS, PUBLICATIONS AND RESOURCES BACK TO TOP NICE Pathway on Stroke UK Stroke Forum- hosted by Stroke Association Stroke Association website- contains information about support groups, conferences, fundraising, research and professional advice including toolkits and posters. The Sentinel Stroke National Audit Programme- 2 reports Post-acute organisational audit Presents the findings on the organisation of care for stroke survivors once they leave hospital. The audit highlights the number and location of post-acute stroke services across the UK and outlines what a patient might expect in accessing these services. Is stroke care improving? The second SSNAP annual report The second annual SSNAP report reveals today that despite steady progress in stroke care, further work needs to be done to ensure that patients have access to key interventions and assessments when they are admitted to hospital.
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TOPIC ALERTS AND UPDATES BACK TO TOP ABSTRACTS AVAILABLE VIA LINKS BELOW - FOR FULL-TEXT PLEASE ASK LIBRARY STAFF
NHS Evidence Stroke and recurrent haemorrhage associated with antithrombotic treatment after gastrointestinal bleeding in patients with atrial fibrillation: nationwide cohort study BMJ 2015; 351 (Published 16 November 2015) FREE FULL TEXT
Elsevier Practice Updates Risks and Benefits Associated With Prestroke Antiplatelet Therapy Among Patients With Acute Ischemic Stroke Treated With Intravenous Tissue Plasminogen Activator JAMA Neurol. Published online November 09, 2015 Cerebrolysin and Recovery After Stroke (CARS): A Randomized, Placebo-Controlled, Double-Blind, Multicenter Trial STROKE Published online before print November 12, 2015
Medscape Topic Alerts Impact of Bilingualism on Cognitive Outcome After Stroke STROKE Published online before print November 19, 2015
TRIP Database Stroke prevention by direct revascularization for patients with adult-onset moyamoya disease presenting with ischemia. Journal of Neurosurgery Posted online on December 4, 2015. Detection of occult paroxysmal atrial fibrilation by implantable long-term electrocardiographic monitoring in cryptogenic stroke and transient ischemic attack population: a study protocol for prospective matched cohort study BMC Cardiovasc Disord. 2015 Dec 3;15(1):160 The effects of Nintendo WiiTM-based balance and upper extremity training on activities of daily living and quality of life in patients with sub-acute stroke: a randomized controlled study. Int J Neurosci. 2015 Dec 1:1-10. [Epub ahead of print]
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Medline Plus Stroke in Adults With Congenital Heart Disease: Incidence, Cumulative Risk and Predictors CIRCULATION Published online before print November 23, 2015 FREE FULL TEXT Recurrence and Mortality in Young Women With Myocardial Infarction or Ischemic Stroke: Long-term Follow-up of the Risk of Arterial Thrombosis in Relation to Oral Contraceptives (RATIO) Study. JAMA Intern Med. Published online November 23, 2015 Endovascular Thrombectomy for Acute Ischemic Stroke: A Meta-analysis JAMA. 2015;314(17):1832-1843
TWITTER BACK TO TOP The latest from popular Twitter pages dedicated to stroke: Stroke Association @TheStrokeAssoc World Stroke Campaign @WStrokeCampaign Sign Against Stroke in Atrial Fibrillation @signagnststroke Different Strokes- Support for Younger Stroke Survivors @diffstrokes
TRAINING & NETWORKING OPPORTUNITIES, CONFERENCES, EVENTS BACK TO TOP Stroke Association- Events for Professionals- ongoing events throughout the year International Stroke Conference February 2016 th
25 European Stroke Conference April 2016 10th World Stroke Congress October 2016 th
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British Association of Stroke Physicians- Trainees Weekend- 18 -19 March 2016, Birmingham
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BMJ Masterclass- Stroke- 11 December 2015, London
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LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but havenâ&#x20AC;&#x2122;t got time to trawl the databases? Do you need a literature search carried out? Do you need to find evidence to support an improvement? Do you want to know how something has been done elsewhere and whether it worked?
Library staff provide a literature search service for busy clinicians who are pressed for time.
To request a search please complete and return the appropriate form, providing as much information as possible. Alternatively if you would like an assisted search training session, where we will sit down with you and go through the steps of a literature search, then please contact the library. Musgrove staff click here to access literature search form Somerset Partnership staff click here to access literature search form
TRAINING AND ATHENS BACK TO TOP Most electronic resources are available via an Athens password. You can register for this via the Library intranet page, or from home at www.swice.nhs.uk and following the link for Athens selfregistration. Please note that registering from home will take longer as it will need to be verified that you are NHS staff/student on placement. The library offers training on how to access and use Athens resources, as well as an introductory course on critical appraisal. You can book a course through the Learning and Development intranet page, or by contacting the library directly.
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