Stroke prevention and management have changed, but most patients are not benefiting from these changes
The National Stroke Foundation’s recent rehabilitation services audit report confirms that only a small proportion of Australians receive evidence-based care.1 The gap between best evidence-based and actual care in many areas of stroke is staggering.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1. National Stroke Foundation. National stroke audit rehabilitation services report 2012. http://strokefoundation.com.au/health-professionals/clinical-guidelines/ (accessed Dec 2012).
- 2. National Stroke Foundation. National stroke audit acute services organisational survey report 2011. http://strokefoundation.com.au/health-professionals/clinical-guidelines/acute-audit/ (accessed Dec 2012).
- 3. National Stroke Foundation. Clinical guidelines for stroke management 2010. http://strokefoundation.com.au/health-professionals/tools-and-resources/clinical-guidelines-for-stroke-prevention-and-management/ (accessed Dec 2012).
- 4. Wardlaw JM, Murray V, Berge E, et al. Recombinant tissue plasminogen activator for acute ischaemic stroke: an updated systematic review and meta-analysis. Lancet 2012; 379: 2364-2372.
- 5. Community Affairs Legislation Committee. Examination of budget estimates 2010–2011. Answers to questions on notice. Consolidated volume 1: health and ageing portfolio. http://www.aph.gov.au/Parliamentary_Business/ Committees/Senate_Committees?url=clac_ctte/estimates/bud_1011/vol1_doha.pdf (accessed Dec 2012).
- 6. Australian Bureau of Statistics. Causes of death, Australia, 2010. Canberra: ABS, 2012. (ABS Cat. No. 3303.0.) http://www.abs.gov.au (accessed Dec 2012).
- 7. Begg S, Vos T, Barker B, et al. The burden of disease and injury in Australia 2003. Canberra: AIHW, 2007. (AIHW Cat. No. PHE 82.) http://www.aihw.gov. au/publication-detail/?id=6442467990 (accessed Feb 2013).
- 8. Rothwell PM. The high cost of not funding stroke research: a comparison with heart disease and cancer. Lancet 2001; 357: 1612-1616.
- 9. Cadilhac D, Carter R, Thrift A, Dewey H. Estimating the long-term costs of ischemic and hemorrhagic stroke for Australia: new evidence derived from the North East Melbourne Stroke Incidence Study (NEMESIS). Stroke 2009; 40: 915-921.
- 10. Rothwell P, Giles M, Chandratheva A, et al. Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet 2007; 370: 1432-1442.
- 11. Royal College of Physicians. Sentinel stroke national audit programme (SSNAP). Acute organisational audit report. London: RCP, 2012. http://www. rcplondon.ac.uk/projects/ssnap-acute-organisational-audit (accessed Dec 2012).
Online responses are no longer available. Please refer to our instructions for authors page for more information.
No relevant disclosures.