Mind the gap!

The Third SSNAP Annual Report

Research Papers referenced in the report

Importance of early assessments: Swallow assessment and pneumonia after stroke
Based on: Bray BD, Smith CJ, Cloud GC, Enderby P, et al, 2016. The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. Journal of Neurology, Neurosurgery & Psychiatry, [Epub ahead of print].

For further details, please contact:
Dr Ben Bray: benjamin.bray@kcl.ac.uk
Dr Craig Smith: Craig.Smith-2@manchester.ac.uk
Treating Intracerebral Haemorrhage (ICH)
Based on: Parry-Jones AR, Paley L, Bray BD, Hoffman AM, et al, 2016. Care-limiting decisions in acute stroke and association with survival: analyses of UK national quality register data. International Journal of Stroke, 11, 321-31. http://www.ncbi.nlm.nih.gov/pubmed/26763918

For further details, please contact:
Dr Adrian Parry-Jones: adrian.parry-jones@manchester.ac.uk
Intermittent Pneumatic Compression in focus
Based on: Dennis M, Sandercock P, Graham C, Forbes J, 2015. The Clots in Legs Or sTockings after Stroke (CLOTS) 3 trial: a randomised controlled trial to determine whether or not intermittent pneumatic compression reduces the risk of post-stroke deep vein thrombosis and to estimate its cost-effectiveness. Health Technology Assessment, 19. http://www.journalslibrary.nihr.ac.uk/hta/volume-19/issue-76#abstract

Further information can be found on the study webpage at http://www.dcn.ed.ac.uk/clots/

How can we provide more therapy after stroke?
Based on: Clarke DJ, Tyson S, Rodgers H, Drummond A, et al, 2015. Why do stroke patients not receive the recommended amount of active therapy? BMJ Open, 5, e008443. http://bmjopen.bmj.com/content/5/8/e008443.full

For further details, please contact:
Dr David Clarke: D.J.Clarke@leeds.ac.uk

Financing stroke care
For further details, please contact:

Simulation Modelling in focus
Further information can be found on the PenCLAHRC webpage
Restructuring of stroke services in focus
For further details, please contact:
Dr Matthew Burn: matthew.burn@buckshealthcare.nhs.uk

Stroke Specialist Nurse Staffing
Bray BD, Ayis S, Campbell J, Cloud GC, et al, 2014. Associations between Stroke Mortality and Weekend Working by Stroke Specialist Physicians and Registered Nurses: Prospective Multicentre Cohort Study, PLOS Medicine. 11(8) http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001705

For further details, please contact:
Dr Ben Bray: benjamin.bray@kcl.ac.uk
Choosing the best model of stroke services for patients
Based on: Morris S, Hunter RM, Ramsay AIG, Boaden R, et al, 2014. Impact of centralising acute stroke services in English metropolitan areas on mortality and length of hospital stay: difference-in-differences analysis. BMJ, 349. http://www.bmj.com/content/349/bmj.g4757
Further information, including accessible summaries of the work, can be found on the study webpage: https://www.ucl.ac.uk/dahr/research-pages/stroke_study

For further details, please contact:
Chief investigator, Professor Naomi Fulop: n.fulop@ucl.ac.uk
Senior research associate, Dr Angus Ramsay: angus.ramsay@ucl.ac.uk; @angusramsay

The “Weekend Effect”
Based on: Bray BD, Cloud GC, James MA, Hemingway H, et al, 2016. Weekly variation in health-care quality by day and time of admission: a nationwide, registry-based, prospective cohort study of acute stroke care. Lancet, 288, 170-77.

For further details, please contact:
Dr Ben Bray: benjamin.bray@kcl.ac.uk
Royal College of Physicians, 11 St Andrews Place, Regent's Park, London NW1 4LE
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