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Limited By:	Author = Harbison, J;

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A rare case of cryptogenic stroke with an incidental finding of patent foramen ovale. (2015)

Anglim, B; Maher, N; Cunningham, O; Mulcahy, D; Harbison, J; O'Connell, M

A rare case of cryptogenic stroke with an incidental finding of patent foramen ovale. (2015)

Anglim, B; Maher, N; Cunningham, O; Mulcahy, D; Harbison, J; O'Connell, M

Abstract:

Patent foramen ovale (PFO) occurs in 25-30% of the general population. Stroke in the puerperium is a rare phenomenon, 34 per 100,000 women. A 32 year old lady, Para3+2 presented eight days postnatally with symptoms of a transient episode of left sided facial and limb parathesia and dysphasia. She had a CT brain which was normal, however a subsequent MRI brain showed a small right parietal lobe infarct. An echocardiogram was performed which showed a small PFO, with an ejection fraction of 60-65%. A bubble study was performed which was positive with valsalva. She was started on aspirin 300mg once daily for 2 weeks, and shall remain on life-long aspirin 75mg.

http://hdl.handle.net/10147/559204

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Autumn Weather and Winter Increase in Cerebrovascular Disease Mortality (2016)

McDonagh, R; Harbison, J

Autumn Weather and Winter Increase in Cerebrovascular Disease Mortality (2016)

McDonagh, R; Harbison, J

Abstract:

Mortality from cerebrovascular disease increases in winter but the cause is unclear. Ireland’s oceanic climate means that it infrequently experiences extremes of weather. We examined how weather patterns relate to stroke mortality in Ireland. Seasonal data for Sunshine (% of average), Rainfall (% of average) and Temperature (degrees Celsius above average) were collected for autumn (September-November) and winter (December-February) using official Irish Meteorological Office data. National cerebrovascular mortality data was obtained from Quarterly Vital Statistics. Excess winter deaths were calculated by subtracting (nadir) 3rd quarter mortality data from subsequent 1st quarter data. Data for 12 years were analysed, 2002-2014. Mean winter mortality excess was 24.7%. Winter mortality correlated with temperature (r=.60, p=0.04). Rise in winter mortality correlated strongly with the weather in the preceding autumn (Rainfall: r=-0.19 p=0.53, Temperature: r=-0.60, p=0.03, Sunshine, r=0.58...

http://hdl.handle.net/10147/621018

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Evolution of carotid surgical practice in the last decade (2015)

Hanrahan, L; Canning, C; Abdulrahim, O; Fitzgerald, L; O’Neill, S; Madhavan, P; Harbiso...

Evolution of carotid surgical practice in the last decade (2015)

Hanrahan, L; Canning, C; Abdulrahim, O; Fitzgerald, L; O’Neill, S; Madhavan, P; Harbison, J; Colgan, MP; Martin, Z

Abstract:

Stroke units provide immediate care and appropriate intervention in the evolving stroke. The aims of this study were to review the practice of carotid endarterectomy (CEA) before and after the establishment of a Stroke Unit in St. James’s Hospital. Prior to the introduction of the Stroke Unit, 263 CEA’s were performed over a five-year period. 139/263 (53%) of these were for symptomatic disease. 229 were performed in the five years since. 179/229 (78%) of these were for symptomatic disease. The 30-day stroke and death rates were <2% before the introduction of the Stroke Unit, and have remained unchanged. Since the introduction of the Stroke Unit, there has been a slight decrease in the overall number of CEA’s performed with a 25% increase in the proportion of endarterectomies performed for symptomatic disease. Despite the reduction in surgery for asymptomatic disease the overall 30-day stroke and death rate remains excellent at 2/229 (2%).

http://hdl.handle.net/10147/578371

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In-hospital stroke: characteristics and outcomes. (2015)

Briggs, R; McDonagh, R; Mahon, O; Harbison, J

In-hospital stroke: characteristics and outcomes. (2015)

Briggs, R; McDonagh, R; Mahon, O; Harbison, J

Abstract:

In-hospital stroke (IS) made up 6.5% of strokes recorded in the Irish National Stroke Register in 2012. International research has demonstrated poorer outcomes post IS compared to out of hospital stroke (OS). We aimed to profile all IS and OS over a 22 month period and compare the two groups by gathering data from the HIPE portal stroke register. The study site is a primary stroke centre. IS represented 11% (50/458) of total strokes with over half (27/50, 54%) admitted initially with medical complaints. IS patients had a significantly longer length of stay (79.2 +/- 87.4 days vs. 21.9 +/- 45.9 days, p < 0.01) and higher mortality (13/50 vs. 39/408, p < 0.01). Patients in the IS group were also less likely to receive stroke unit care (1/50 vs. 136/408, p < 0.01). This study demonstrates the significant morbidity and mortality associated with IS and highlights the need for efforts to be made to optimize identification and management of acute stroke in this cohort.

http://hdl.handle.net/10147/559240

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Medical complications and outcomes at an onsite rehabilitation unit for older people. (2013)

Mulroy, M; O'Keeffe, L; Byrne, D; Coakley, D; Casey, M; Walsh, B; Harbison, J; Cun...

Medical complications and outcomes at an onsite rehabilitation unit for older people. (2013)

Mulroy, M; O'Keeffe, L; Byrne, D; Coakley, D; Casey, M; Walsh, B; Harbison, J; Cunningham, C

Abstract:

The rehabilitation of older patients in Ireland after an acute medical event occurs at dedicated onsite hospital units or at offsite centres. Information on medical complications and outcomes is inadequate.

http://hdl.handle.net/10147/324319

Marked Mark

National Stroke Audit 2015 (2016)

McElwaine, P; McCormack, J; Harbison, J

National Stroke Audit 2015 (2016)

McElwaine, P; McCormack, J; Harbison, J

Abstract:

The report of first Irish National Audit of Stroke Care published in 2008 made sobering reading. The care offered to Irish people suffering stroke summarised in that document could at best be described as sub-‐optimal and in many parameters assessed, care was clearly grossly inadequate leading to increased morbidity, mortality and reduced quality of life in Irish stroke survivors. The audit results laid a challenge to the Irish Health system addressed by the inclusion of stroke care in the HSE’s 2009 document, ‘Changing Cardiovascular Health: National Cardiovascular Health Policy 2010-‐2019’ and by the launch of the National Clinical Programme for Stroke in 2010. That these initiatives were launched at almost the exact moment that the country entered the worse economic crisis in its history is a matter of historical note and consequently left the task of improving care much more challenging. Whilst the Health service was s...

http://hdl.handle.net/10147/596575

Displaying Results 1 - 6 of 6 on page 1 of 1