January stroke current awareness

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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 6 January 2016

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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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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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Twitter

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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: Impaired implicit learning and feedback processing after stroke Citation: Neuroscience, February 2016, vol./is. 314/(116-124), 0306-4522;1873-7544 (February 09, 2016) Author(s): Lam J.M., Globas C., Hosp J.A., Karnath H.-O., Wachter T., Luft A.R. Abstract: The ability to learn is assumed to support successful recovery and rehabilitation therapy after stroke. Hence, learning impairments may reduce the recovery potential. Here, the hypothesis is tested that stroke survivors have deficits in feedback-driven implicit learning. Stroke survivors (n=30) and healthy age-matched control subjects (n=21) learned a probabilistic classification task with brain activation measured using functional magnetic resonance imaging in a subset of these individuals (17 stroke and 10 controls). Stroke subjects learned slower than controls to classify cues. After being rewarded with a smiley face, they were less likely to give the same response when the cue was repeated. Stroke subjects showed reduced brain activation in putamen, pallidum, thalamus, frontal and prefrontal cortices and cerebellum when compared with controls. Lesion analysis identified those stroke survivors as learning-impaired who had lesions in frontal areas, putamen, thalamus, caudate and insula. Lesion laterality had no effect on learning efficacy or brain activation. These findings suggest that stroke survivors have deficits in reinforcement learning that may be related to dysfunctional processing of feedback-based decision-making, reward signals and working memory.

Title: A predictive model for diagnosing stroke-related apraxia of speech Citation: Neuropsychologia, January 2016, vol./is. 81/(129-139), 0028-3932;1873-3514 (January 29, 2016) Author(s): Ballard K.J., Azizi L., Duffy J.R., McNeil M.R., Halaki M., O'Dwyer N., Layfield C., Scholl D.I., Vogel A.P., Robin D.A. Abstract: Diagnosis of the speech motor planning/programming disorder, apraxia of speech (AOS), has proven challenging, largely due to its common co-occurrence with the language-based impairment of aphasia. Currently, diagnosis is based on perceptually identifying and rating the severity of several speech features. It is not known whether all, or a subset of the features, are required for a positive diagnosis. The purpose of this study was to assess predictor variables for the presence of AOS after left-hemisphere stroke, with the goal of increasing diagnostic objectivity and

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efficiency. This population-based case-control study involved a sample of 72 cases, using the outcome measure of expert judgment on presence of AOS and including a large number of independently collected candidate predictors representing behavioral measures of linguistic, cognitive, nonspeech oral motor, and speech motor ability. We constructed a predictive model using multiple imputation to deal with missing data; the Least Absolute Shrinkage and Selection Operator (Lasso) technique for variable selection to define the most relevant predictors, and bootstrapping to check the model stability and quantify the optimism of the developed model. Two measures were sufficient to distinguish between participants with AOS plus aphasia and those with aphasia alone, (1) a measure of speech errors with words of increasing length and (2) a measure of relative vowel duration in three-syllable words with weak-strong stress pattern (e.g., banana, potato). The model has high discriminative ability to distinguish between cases with and without AOS (c-index=0.93) and good agreement between observed and predicted probabilities (calibration slope=0.94). Some caution is warranted, given the relatively small sample specific to left-hemisphere stroke, and the limitations of imputing missing data. These two speech measures are straightforward to collect and analyse, facilitating use in research and clinical settings.

Title: A systematic review of the economic evidence for interventions for family carers of stroke patients. Citation: Clinical Rehabilitation, 2016, vol./is. 30/2(119-133), 02692155

Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH

Title: The effect of a structured programme to increase patient activity during inpatient stroke rehabilitation: a Phase I cohort study. Citation: Clinical Rehabilitation, 2016, vol./is. 30/2(191-198), 02692155 Full Text: Available from ProQuest in Clinical Rehabilitation Available from CLINICAL REHABILITATION in Library MPH

Title: Acute phase factors associated with the course of depression during the first 18 months after first-ever stroke. Citation: Disability & Rehabilitation, 2016, vol./is. 38/1(30-35), 09638288

Title: Acute ischaemic stroke patients – direct admission to a specialist centre or initial treatment in a local hospital? A systematic review. Citation: Journal of Health Services Research & Policy, 2016, vol./is. 21/1(51-60), 13558196

Title: Infection and Stroke: an Update on Recent Progress Citation: Current Neurology and Neuroscience Reports, January 2016, vol./is. 16/1(1-10), 15284042;1534-6293 (01 Jan 2016) Author(s): Miller E.C., Elkind M.S.V. Abstract: The role of infection in cerebrovascular disease is complex and remains incompletely understood. Over the last 5 years, investigators have made notable inroads in untangling this thorny topic. In this review, we examine these recent developments, concentrating on four aspects of the relationship between infection and stroke. We first discuss specific infectious agents as direct causes

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of stroke, focusing on recent work implicating herpesviruses and HIV in cerebral vasculopathy. We then discuss systemic infection of any type as a stroke trigger, focusing on the relationship of infection to timing of acute stroke, both in children and adults, as well as the role of vaccination in stroke prevention. We examine the evidence for chronic infection or "infectious burden" as a stroke risk factor. Finally, we discuss recent work on infection as a risk factor for increased morbidity after stroke, possible mechanisms mediating this effect, and the evidence for prophylactic antibiotics.

Title: A Two-Phase Pathogenetic Model of Depression after Stroke Citation: Gerontology, December 2015, vol./is. 62/1(33-39), 0304-324X;1423-0003 (01 Dec 2015) Author(s): Werheid K. Abstract: Depression is among the major long-term complications of cerebral stroke. Occurring in about 30% of all stroke survivors, 'poststroke depression' (PSD) is known to be associated with prolonged recovery, reduced quality of life, and increased mortality. Research over the past 25 years has enlarged our knowledge about organic and psychosocial risk factors, but their interaction is still unclear. In this paper, we start by reviewing and discussing pathogenetic PSD models that were proposed in the 1980s and 1990s. Based on these earlier approaches and on longitudinal research published since that time, a biphasic model is proposed that reflects the current knowledge on the emergence of PSD. The model integrates premorbid, stroke-related and psychosocial risk factors contributing to the emergence of PSD within the first 2 years after stroke. The distinction between 'reactive' and 'organic' PSD has been dropped, and groups of well-documented predictors are recommended for future research. Finally, we will outline possible implications of the model for prevention and therapy.

Title: Multimodal diagnostic imaging for hyperacute stroke Citation: American Journal of Neuroradiology, December 2015, vol./is. 36/12(2206-2213), 01956108;1936-959X (December 2015) Author(s): Vo K.D., Yoo A.J., Gupta A., Qiao Y., Vagal A.S., Hirsch J.A., Yousem D.M., Lum C. Abstract: In April 2015, the American Roentgen Ray Society and the American Society of Neuroradiology cosponsored a unique program designed to evaluate the state of the art in the imaging work-up of acute stroke. This topic has grown in importance because of the recent randomized controlled trials demonstrating the clear efficacy of endovascular stroke treatment. The authors, who were participants in that symposium, will highlight the points of emphasis in this article.

Title: Postacute stroke care: same standards as acute care? Citation: Lancet, 2015, vol./is. 386/10011(2366-2366), 00995355 Abstract: The author says that the Sentinel Stroke National Audit Programme (SSNAP), led by the Royal College of Physicians, has released the first comprehensive audit into 604 of 756 postacute stroke care services throughout Great Britain.

Title: Patient-directed therapy during in-patient stroke rehabilitation: stroke survivors’ views of feasibility and acceptability. Citation: Disability & Rehabilitation, 2015, vol./is. 37/25(2344-2349), 09638288

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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. Oxford textbook of stroke and cerebrovascular disease Norrving 2014

Fast facts for stroke care nursing: an expert guide in a nutshell Morrison 2014

From the back of the book:

From the back of the book:

The Oxford Textbook of Stroke and Cerebrovascular Disease is a comprehensive textbook on clinical stroke, covering all major aspects of cerebrovascular disease including epidemiology, risk factors, primary prevention, pathophysiology, diagnostics, clinical features, acute therapies, secondary prevention, prognosis, and rehabilitation. It makes use of current pedagogic principles, and includes not only aspects on management in the acute hospital phase of stroke, but also public health issues, prevention, long-term management, and silent vascular disease (which isbecoming increasingly epidemic in the general population). Topical aspects also include advice to improve clinical skills in examination, diagnosing, and treating stroke. The text also covers the fields ofsilent cerebrovascular disease (silent brain infarcts, microbleeds, white matter ischemic abnormalities) that more recently have been recognized to be highly prevalent in the general population, and that carry important risks on vascular events and cognitive decline/dementia. Practical, easy to use, yet detailed with respect to pathophysiology, diagnostics, and management, this text provides a source of reference for the detection and management of all stroke and less common cerebrovascular diseases for practising and trainee neurologists, geriatricians, and all stroke physicians and clinicians.

Provides a succinct yet comprehensive review of the evolution of stroke patient management. The text starts with a brief overview of the anatomy and physiology, tying it to the types of strokes, the assessment, and diagnostic tools. Acute measures and prevention of secondary injury are outlined and lead us to review the potential complications and finally the rehabilitation and patient/family education. This highly practical, pocket-sized reference for stroke care nurses provides quick, bedside access to the most current guidelines for diagnostic tests, state-of-the-art treatments, and best-practice standards. This resource distills lengthy and often complex national stroke care guidelines into clear, bite-size pieces of information. It also explains the rationale behind stroke standards, making them easier to embrace and incorporate into practice. The book is organized consistently to foster rapid information retrieval. Each chapter includes objectives and such helpful features as "Fast Facts in a Nutshell," targeted segments that provide critical information at a glance. The guide also serves as an instructive resource for nurses not specializing in neurology but who are increasingly being called on to care for stroke patients.

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 6


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

UPTODATE & DYNAMED BACK TO TOP What’s new from our clinical decision-making tools on the topic of stroke. UpToDate –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

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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.

TOPIC ALERTS AND UPDATES BACK TO TOP ABSTRACTS AVAILABLE VIA LINKS BELOW - FOR FULL-TEXT PLEASE ASK LIBRARY STAFF

NHS Evidence Ankle-Brachial Index and Recurrent Stroke Risk: Meta-Analysis. Stroke. 2015 Dec 10. [Epub ahead of print] Risks of Death and Stroke in Patients Undergoing Hemodialysis With New-Onset Atrial Fibrillation: A Competing-Risk Analysis of a Nationwide Cohort CIRCULATION Published online before print December 17, 2015 Polypharmacy and the Efficacy and Safety of Rivaroxaban versus Warfarin in the Prevention of Stroke in Patients With Nonvalvular Atrial Fibrillation CIRCULATION Published online before print December 16, 2015

Elsevier Practice Updates Diffusion-weighted imaging in transient neurological attacks Annals of Neurology Volume 78, Issue 6, pages 1005–1010, December 2015 FREE FULL TEXT Definition and Implications of the Preventable Stroke JAMA Neurol. Published online December 07, 2015 Modafinil May Alleviate Poststroke Fatigue: A Randomized, Placebo-Controlled, Double-Blinded Trial Stroke. 2015; 46: 3470-3477

Medscape Topic Alerts Telemedicine in Prehospital Stroke Evaluation and Thrombolysis: Taking Stroke Treatment to the Doorstep JAMA Neurology December 07, 2015 Online first Mechanical Thrombectomy for Acute Ischemic Stroke: A Meta-Analysis of Randomized Trials J Am Coll Cardiol. 2015;66(22):2498-2505

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Time to Reperfusion and Treatment Effect for Acute Ischemic Stroke: A Randomized Clinical Trial JAMA Neurol. Published online December 21, 2015

TRIP Database Fluid-Attenuated Inversion Recovery Vascular Hyperintensities-Diffusion-Weighted Imaging Mismatch Identifies Acute Stroke Patients Most Likely to Benefit From Recanalization. Stroke. 2016 Jan 5

Plaque Echolucency and the Risk of Ischaemic Stroke in Patients with Asymptomatic Carotid Stenosis Within the First Asymptomatic Carotid Surgery Trial (ACST-1). Eur J Vasc Endovasc Surg. 2015 Dec 22 Risk of death and stroke associated with anticoagulation therapy after mitral valve repair. Heart Published Online First: 4 January 2016 The Effects of Mirror Therapy in Stroke Patients with Complex Regional Pain Syndrome Type 1: A Randomized Controlled Study. Arch Phys Med Rehabil. 2015 Dec 23.[Epub ahead of print]

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 nd

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European Stroke Organisation Conference- 10 -12 May, Barcelona

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25 European Stroke Conference - 13 -15 April, Venice th

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10th World Stroke Congress- 26 -29 October, Hyderabad, India th

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British Association of Stroke Physicians- Trainees Weekend- 18 -19 March 2016, Birmingham

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LITERATURE SEARCH SERVICE BACK TO TOP Looking for the latest evidence-based research but haven’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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