How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

677 results for

stroke rehabilitation

Latest & greatest

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

101. The treatment of Glenohumeral Joint Osteoarthritis

, IL 60018 Janet L. Wies MPH AAOS Clinical Practice Guideline Manager Sara Anderson MPH – Lead Analyst Kevin Boyer Laura Raymond MA Patrick Sluka MPH AAOS v1.0 12.05.09 x Peer Review The following organizations participated in peer review of this clinical practice guideline: Arthroscopy Association of North America American Academy of Family Physicians American Academy of Physical Medicine and Rehabilitation American Orthopaedic Society for Sports Medicine American Physical Therapy Association

2009 American Academy of Orthopaedic Surgeons

102. Clinical Practice Guideline on Management of Hip Fractures in the Elderly

Research 254 Results 255 Rehabilitation 258 Sub-Recommendation Summary 258 Risks and Harms of Implementing these Recommendations 258 Future Research 258 Occupational and Physical Therapy 259 Rationale 259 Intensive Physical Therapy 260 Rationale 260 Nutrition 261 Rationale 261 Interdisciplinary Care Program 262 Rationale 262 Results 263 Postoperative MultiModal Analgesia 346 Rationale 346 Risks and Harms of Implementing this Recommendation 346 Future Research 346 Results 347 Calcium and Vitamin D

2014 American Academy of Orthopaedic Surgeons

103. Transcatheter Mitral Valve Intervention: Operator and Institutional Requirements

, Kansas City Cardiomyopathy Questionnaire; MDT, multidisciplinary team; MR, mitral In-hospital and 30-day all-cause mortality* “As expected” or “better than expected” based on national benchmark data with 95% CIs 30-day stroke, TIA Performance falls within 95% (outlier) and/or 90% (warning) boundaries on funnel plot 30-day major vascular complication Performance falls within 95% (outlier) and/or 90% (warning) boundaries on funnel plot 30-day major bleeding Performance falls within 95% (outlier (...) ; cardiac diagnostic and interventional catheters, vascular closure devices; balloon dilatation catheters ranging from 2 mm to 30 mm in diameter and of various lengths and profiles; a full inventory of coronary and peripheral stents, including covered stents, Bonow, et al. Mitral Valve Systems of Care Document 18 occlusive vascular devices, snares, and other retrieval devices; drainage catheters; portable vascular access ultrasound; and various implantable device sizes with their delivery systems. o

2020 American College of Cardiology

104. Appropriate prescribing of psychotropic medication for non-cognitive symptoms in people with dementia

with the person and/or their relevant Decision Supporter 4 about the benefits and risks, including the increased risk of stroke, transient ischemic attack and mortality, should occur before antipsychotic medication is commenced. Quality of evidence Low High High High High Moderate Low Strength of recommendation Strong Strong Strong Strong Strong Conditional Conditional General principles of care Antipsychotic medication Section 1 A comprehensive assessment should include: review of medical history and mental (...) dementia (VaD) In vascular dementia, changes in thinking skills sometimes occur suddenly following strokes that block major brain blood vessels. Thinking problems also may begin as mild changes that worsen gradually as a result of multiple minor strokes or other conditions that affect smaller blood vessels, leading to cumulative damage. Z-drugs These types of medications work in a similar way to benzodiazepines and are often used to treat sleep problems (insomnia). Abbreviations The following

2019 National Clinical Guidelines (Ireland)

105. Management of Major Depressive Disorder (2nd Ediiton)

REVIEWERS (in alphabetical order) Dr. Ang Jin Kiat Senior Lecturer & Psychiatrist Universiti Putra Malaysia, Selangor Professor Dr. Anne Buist Professor of Women’s Mental Health University of Melbourne, Austin Health Australia Dr. Cheah Yee Chuang Consultant Community & Rehabilitation Psychiatrist Hospital Bahagia Ulu Kinta, Perak Professor Dr. David J. Kupfer Professor Emeritus of Psychiatry University of Pittsburgh United States of America Professor Dr. Firdaus Mukhtar Head of Department & Clinical (...) of depression than men. Studies in a clinical setting found a prevalence of depression to be 20.7% in post-partum women, 36% in post-stroke patients and 19.1% in breast cancer patients. However, different instrument were used in these studies. 13, level III The US Preventive Services Task Force (USPSTF) guidelines recommend screening for depression in adults, including perinatal women. It should be implemented when there are adequate systems in place to ensure accurate diagnosis, effective treatment

2019 Ministry of Health, Malaysia

106. Management of Acute ST Segment Elevation Myocardial Infarction (STEMI) – (4th Edition)

attack (TIA) or other forms of vascular disease.MANAGEMENT OF ACUTE ST SEGMENT ELEVATION MYOCARDIAL INFARCTION (STEMI) 2019 47 also develop a RBBB due to involvement of the atrioventricular (A-V) branch of the right coronary artery. In these patients, often the myocardium involved is small and the prognosis is not that bad. 14 Generally, patients with new onset Bundle Branch Block (BBB) have more comorbidities and a worse prognosis. 15,16 In the early stages of MI, the initial ECG may be normal (...) consistent with chest pain of ischaemic origin of > 30 minutes. ii. ECG changes of ischaemia/ infarction and/or the development of pathological Q waves. iii. Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality. iv. Identification of an intracoronary (IC) thrombus by angiography or autopsy. • STEMI is diagnosed when there is:  ST elevation of = 1 mm in 2 contiguous leads or  a new onset LBBB in the resting ECG  in a patient with ischaemic type chest pains

2019 Ministry of Health, Malaysia

107. Management of Heart Failure (4th Edition)

: Outcome: ? Improvement in symptoms ? Reduce hospital readmissions for HF ? Reduction in Major Cardiovascular Disease Event Rate (myocardial infarction (MI), stroke, cardiovascular (CV) death) ? Reduction in all-cause mortality Type of Question - Involves: ? Therapy drug therapy, surgery, device therapy ? Harm - ? Worsening of symptoms and readmission rate ? Increase in cardiovascular event rate (MI, HF, CV death) ? Increase in bleeding risk and stroke rate ? Adverse effects due to pharmacotherapy (...) , orthopnoea, paroxysmal nocturnal dyspnoea, lung crepitations, jugular venous dilatation, hepatojugular reflux, congested hepatomegaly, gut congestion, ascites. From onset, evaluate to identify correctable/reversible lesions-arrhythmias, hypertension, myocardial ischaemia/infarction, valvular heart disease. - Diuretics, Continuous Infusion + Combination With Thiazides - Nitrates - Low Dose Dopamine - Dobutamine - Correct Hypoxia And Acidosis - Consider Invasive Ventilation - Refer To Tertiary Centres

2019 Ministry of Health, Malaysia

109. Enhanced Recovery

. Several meta- analyses of RCTs have shown that goal-directed fluid ther - apy (GDFT) reduces postoperative morbidity and length of hospital stay, especially in high-risk patients undergo- ing major surgery. 213–216 High-risk patients have been vari- ably defined but have been noted to include patients with a history of severe cardiorespiratory illness (acute myo- cardial infarction, chronic obstructive pulmonary disease, stroke, etc), planned extensive surgery (>8 h), age >70 years with evidence (...) However, inherent biases in the study design, lack of control group or randomization of participants, small sample sizes, wide variances in com- pliance with protocols, and limited generalizability limited these studies. When looking at postoperative quality out- comes, small, single-center studies report no differences in postoperative complication rates and hospital length of stay with prehabilitation compared with control subjects or postoperative rehabilitation 103,106,109 or results have been

2017 American Society of Colon and Rectal Surgeons

110. Clinical Practice Guideline on the Management of Osteoarthritis of the Hip

must be published in or after 1990 for surgical treatment, rehabilitation, bracing, prevention and MRI Study must be published in or after 1990 for x-rays and non-operative treatment Study must be published in or after 1990 for all others non specified Study should have 10 or more patients per group (Work group may further define sample size) Study must have at least 90% OA Patients 20 Standard Criteria for all CPGs Article must be a full peer-reviewed published article report of a clinical study

2017 American Academy of Orthopaedic Surgeons

111. Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances

if ineffective. Extreme caution needed for older adults; use PPI with NSAID or with COX-2/aspirin . NSAID use in patients with heart disease or its risk factors increases overall risk of heart attack or stroke. Naproxen Aleve Initial: 225 – 550 mg BID Typical: 375 mg BID Max: 500 mg BID $13 / $13 NSAID use in patients with heart disease or its risk factors increases overall risk of heart attack or stroke. Opioids (listed in order of increasing potency) 1 Tramadol [Schedule 4] Ultram Initial: 25 or 50 mg QID (...) Managing Chronic Non-Terminal Pain in Adults Including Prescribing Controlled Substances 1 Quality Department Guidelines for Clinical Care Ambulatory Chronic Pain Management Guideline Team Team Leads Daniel W Berland, MD General Medicine / Anesthesiology Phillip E Rodgers, MD Family Medicine Team Members Carmen R Green, MD Anesthesiology R Van Harrison, PhD Medical Education Randy S Roth, PhD Physical Medicine & Rehabilitation Consultants Daniel J. Clauw, MD Rheumatology Jennifer A. Meddings

2017 University of Michigan Health System

112. Updated consensus statement on the diagnosis and treatment of pediatric pulmonary hypertension (Full text)

; CXR, chest X-ray; ECG, electrocardiogram; FC, functional class; HIV, human immunodeficiency virus; HPAH, heritable pulmonary arterial hypertension; HR, high resolution; IPAH, idiopathic pulmonary arterial hypertension; LFT, liver function test; MRI, magnetic resonance imaging; PCH, pulmonary capillary hemangiomatosis; PH, pulmonary hypertension; PHVD, pulmonary hypertensive vascular disease; PVOD, pulmonary veno-occlusive disease; VQ, ventilation/perfusion; WHO, World Health Organization. Modified (...) , computed tomography; CTEPH, chronic thromboembolic pulmonary hypertension; CXR, chest X-ray; ECG, electrocardiogram; FC, functional class; HIV, human immunodeficiency virus; HPAH, heritable pulmonary arterial hypertension; HR, high resolution; IPAH, idiopathic pulmonary arterial hypertension; LFT, liver function test; MRI, magnetic resonance imaging; PCH, pulmonary capillary hemangiomatosis; PH, pulmonary hypertension; PHVD, pulmonary hypertensive vascular disease; PVOD, pulmonary veno-occlusive

2019 International Society for Heart and Lung Transplantation PubMed abstract

113. Impact of Affordable Care Act on Trauma and Emergency General Surgery

) Schoenfeld etal., 2015 Retrospectivepre-/post-MHRstudy,Massachusetts femoralneck fracturepatientsfrom the State InpatientDatabase Complications, AdjustedOdds Ratio OverallAOR1.56 (95%CI,1.46–1.67) Undurraga Perl etal.,2017 Retrospectivepre-/post-MEstudy,Traumapatients fromasingleLevelItraumacenterinOregon Complications, % Infection 32.4%to32.3%,p=0.98 VenousThromboembolism33.7%to23.4%, p<0.001 Pneumonia 15.9%to12.5%.p=0.18 Complicationswere definedasmyocardialinfarction,stroke orcerebrovascular accident (...) — importantoutcome Holzmacher etal.,2017 Retrospectivecohortstudy,Trauma patients from Maryland,WashingtonDC, andVirginiaseenata single LevelItrauma center inWashington, DC Discharge home,% Washington DC89.8%,Virginia 87.5%,Maryland 93.2% Discharge to SAR, SNF, oracute rehabilitation, % Washington DC7.9%,Virginia 12.5%, Maryland6.8% Virginiavs.DC,p=0.75 Marylandvs. DC, p=0.68 Leeetal.,2014 Retrospectivepre-/post-MHRstudy,Trauma patients admitted totheICUfromasingleLevelI trauma centerinMassachusetts

2019 Eastern Association for the Surgery of Trauma

114. Scleroderma Morphea

, radiation, or drugs, might cause microvascular injuries and induce T cell activation that subsequently result in a release of various adhesion molecules. 3 Up-regulation of some of these adhesion molecules (e.g. vascular cell adhesion molecule-1 and intercellular adhesion molecule-1) might induce T cell activation, which, in turn, activates 9 the release of key player pro-fibrotic cytokines, such as transforming growth factor-beta (TGF ß) and its signal transducers called SMAD proteins, platelet-derived (...) in clinical trials on LS, for example, ultrasound scanning, cutometer, durometer, thermography, laser Doppler flowmetry, and a computerized skin score. In most of the studies, these procedures were used as secondary outcome measures. Differential diagnoses A variety of differential diagnoses should be considered in LS. 48 In daily routine, the physicians’ pivotal challenge is to differentiate LS from SSc. 3 Typical facial (e.g. telangiectasia, beak-shaped nose, and microstomia) and vascular (e.g

2018 European Dermatology Forum

115. Transcatheter or surgical aortic valve replacement for patients with severe, symptomatic, aortic stenosis at low to intermediate surgical risk. (Full text)

). It pools data on 3128 patients with symptomatic severe aortic stenosis at low or moderate risk of perioperative death, typically followed for two years. Fig 2 Patient and trial characteristics in the four trials of the linked meta-analysis Compared with SAVR, transfemoral TAVI reduced mortality and stroke, life threatening bleeds, atrial fibrillation, and acute kidney injury at two years, but increased heart failure, major vascular complications, pacemaker insertion, and need for aortic valve (...) heart failure Strokes Life-threatening bleeds New onset atrial fibrillation Median days in hospital Pacemaker insertions Aortic valve reinterventions Aortic valve reinterventions 197 45 fewer 20 fewer 252 fewer 178 fewer 79 10 226 161 134 87 8 242 Events per 1000 people – within 10 years 226 99 3 92 413 312 69 12 7 fewer 134 fewer 18 fewer 4 fewer 92 134 fewer Moderate Moderate quality evidence We are moderately confident in the evidence supporting the recommendation. Further research could have

2016 BMJ Rapid Recommendations PubMed abstract

116. Acute Coronary Syndromes Guidelines

on the National Health and Medical Research Council (NHMRC) guideline development methodology, including grades of evidence, and Appendix 5 for details on the GRADE methodology. 900 D.P. Chew et al.1. Preamble 1.1. Incidence Acute coronary syndromes (ACS) – myocardial infarction (MI) and unstable angina (UA) – are the result of unstable atheromatous plaques or endothelial disruption with asso- ciated transient or permanent thrombotic occlusion of the coronary vascular tree leading to myocardial ischaemia (...) [EF] 40%) unless contraindicated. Strong IIA Initiate and continue angiotensin converting enzyme (ACE) inhibitors (or angiotensin receptor blockers [ARBs]) in patients with evidence of heart failure, LV systolic dysfunction, diabetes, anterior myocardial infarction or co-existent hypertension. Strong IA Attendance at cardiac rehabilitation or undertaking a structured secondary prevention service is recommended for all patients hospitalised with ACS. Strong IA Note: Refer to Appendix 4 for details

2016 Cardiac Society of Australia and New Zealand

117. Familial Hypercholesterolaemia

on Friday, 25 th November 2016. Diagnosis and Management of Familial Hypercholesterolaemia – CSANZ Position Statement Page 2 • FH should be suspected when there is a family history of premature ASCVD, and when LDL-C levels are greater than 4.9 mmol/L in adults or 4.0 mmol/L in children. • Family screening of patients is important to detect FH in near relatives at the earliest opportunity; all patients with premature CHD should be screened for FH, with coronary care and rehabilitation units having (...) from atherosclerotic disease prior to menopause, so the natural history of premature vascular disease is delayed by about one decade in women. However, the onset of CHD is accelerated by about 2 decades in both males and females (1). Additional metabolic and clinical features of FH are listed below. Table 1: Additional metabolic and clinical features of FH Metabolic Features Increased LDL-C Increased remnants including LDL’s precursor, IDL Clinical Features Premature CHD Premature CVD Aortic

2016 Cardiac Society of Australia and New Zealand

118. Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations (Full text)

recovery after major surgery. The ERAS strategy has been validated in colorectal surgery and is applied in other specialties including urology, thoracic, vascular and orthopedic surgery [ , , ]. In colorectal surgery, ERAS pathways allow significant reduction in postoperative complications, faster functional recovery, shorter hospital stays and reduced costs, even in elderly patients [ , , ]. Patients within ERAS pathways mainly benefit from reduced medical complications, while surgical morbidity (...) . The expert panel agreed in the first round of the Delphi process to focus the systematic review on non-obstructive jaundiced patients without cirrhosis. All types of hepatectomy according to the Brisbane classification were included [ ]. Major hepatectomy was defined as resection of 3 or more Couinaud’s segments. Patients with choledocho-jejunostomy or vascular reconstruction were also included. All series including liver transplantation and patients with additional non-liver surgery (e.g., hepato

2016 ERAS Society PubMed abstract

119. Management of adults with diabetes undergoing surgery

? Inappropriate use of intravenous insulin infusion ? Management errors when converting from the intravenous insulin infusion to usual medication ? Peri-operative infection. The high-risk surgical patient and the impact of diabetes The high-risk surgical population is made up of elderly patients with co-existing medical conditions undergoing complex or major surgery, often as an emergency. The most important co-morbid diseases include ischaemic heart disease, heart failure, respiratory disease, impaired renal (...) avoidable, still occurs on surgical wards and can result in post-operative death 13 . Complications of diabetes Diabetes is associated with a two to four fold increase in cardiovascular disease including hypertension, coronary artery disease and stroke 14 . The majority of people with diabetes booked for surgery are likely to have one or more of these cardiovascular diseases and a significant number will have microvascular disease (nephropathy or neuropathy). Those with impaired cardiac function

2016 Association of British Clinical Diabetologists

120. Heart Failure (Full text)

a , b , c , d , , x John J. Atherton Affiliations Department of Cardiology, Royal Brisbane and Women’s Hospital, Brisbane, Australia Faculty of Medicine, University of Queensland, Brisbane, Australia Faculty of Science, Health, Education and Engineering, University of Sunshine Coast, Australia Faculty of Health, Queensland University of Technology, Brisbane, Australia Correspondence Corresponding author. , x Andrew Sindone Affiliations Heart Failure Unit and Department of Cardiac Rehabilitation (...) in patients with either a suspected diagnosis or new diagnosis of heart failure, to assess cardiac rhythm, QRS duration, and the presence of underlying conditions such as myocardial ischaemia or LV hypertrophy. Strong FOR Low A chest X-ray is recommended in patients with either a suspected diagnosis or new diagnosis of heart failure, to detect signs of pulmonary congestion and to identify alternative cardiac or non-cardiac causes for the patient’s symptoms. Strong FOR Very low Plasma B-type natriuretic

2018 Cardiac Society of Australia and New Zealand PubMed abstract


Guidelines – filter by country