Secondary stroke prevention services in Canada: a cross-sectional survey and geospatial analysis of resources, capacity and geographic access

CMAJ Open
Lauren JewettM Patrice Lindsay

Abstract

Rapid assessment and management of transient ischemic attacks and nondisabling strokes by specialized stroke prevention services reduces the risk of recurrent stroke and improves outcomes. In Canada, with its vast geography and with 16.8% of the population living in rural areas, access to these services is challenging, and considerable variation in access to care exists. The purpose of this multiphase study was to identify sites across Canada providing stroke prevention services, evaluate resource capacity and determine geographic access for Canadians. We developed a Stroke Prevention Services Resource Inventory that contained 22 questions on the organization and delivery of stroke prevention services and quality monitoring. The inventory ran from November 2015 to January 2016 and was administered online. We conducted a geospatial analysis to estimate access by drive times. Considerations were made for hours of operation and access within and across provincial borders. A total of 123 stroke prevention sites were identified, of which 119 (96.7%) completed the inventory. Most (95) are designated stroke prevention or rapid assessment clinics. Of the 119 sites, 68 operate full time, and 39 operate less than 2.5 days per week. A tot...Continue Reading

References

Mar 9, 2005·Neurology·Peter M Rothwell, Charles P Warlow
Dec 12, 2007·Archives of Internal Medicine·Caren M WuWilliam A Ghali
Jun 23, 2009·Stroke; a Journal of Cerebral Circulation·David J GladstoneMoira K Kapral
May 26, 2012·Stroke; a Journal of Cerebral Circulation·Hans KruegerMichael D Hill
Dec 24, 2013·Lancet Neurology·Graeme J Hankey
Dec 24, 2014·International Journal of Stroke : Official Journal of the International Stroke Society·Shelagh B CouttsUNKNOWN Heart, and Stroke Foundation Canada Canadian Stroke Best Practices Advisory Committee
Mar 31, 2016·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Moira K KapralJack V Tu
Jul 14, 2016·Stroke; a Journal of Cerebral Circulation·Jodi D EdwardsUNKNOWN Investigators of the Registry of the Canadian Stroke Network
Jun 16, 2017·CMAJ Open·Prasanna Venkatesan EswaradassM Patrice Lindsay
Nov 25, 2017·International Journal of Stroke : Official Journal of the International Stroke Society·Theodore WeinUNKNOWN Heart and Stroke Foundation Canadian Stroke Best Practice Committees

❮ Previous
Next ❯

Citations

Jul 20, 2018·International Journal of Stroke : Official Journal of the International Stroke Society·J M BoulangerK Butcher
Oct 9, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·Gordon Ae JewettAmy Yx Yu
Jan 11, 2020·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Moira K KapralPeter C Austin
Jun 22, 2019·International Journal of Stroke : Official Journal of the International Stroke Society·Krista L LanctôtUNKNOWN Management of Mood, Cognition and Fatigue Following Stroke Best Practice Writing Group, the Heart & Stroke Canadian Stroke B
Sep 29, 2020·The Neurohospitalist·Tess FitzpatrickMichel Shamy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Journal of Rural Medicine : the Official Journal of the Society of Rural Physicians of Canada = Journal Canadien De La Médecine Rurale : Le Journal Officiel De La Société De Médecine Rurale Du Canada
Dorothy A Forbes, Bonnie L Janzen
© 2022 Meta ULC. All rights reserved