Dysphagia screening and risks of pneumonia and adverse outcomes after acute stroke : An international multicenter study

Journal article

Ouyang, Menglu, Boaden, Elizabeth, Arima, Hisatomi, Lavados, Pablo M., Billot, Laurent, Hackett, Maree L., Olavarria, Verónica V., Muñoz-Venturelli, Paula, Song, Lili, Rogers, Kris, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline, Robinson, Thompson and Anderson, Craig S.. (2020). Dysphagia screening and risks of pneumonia and adverse outcomes after acute stroke : An international multicenter study. International Journal of Stroke. 15(2), pp. 206-215. https://doi.org/10.1177/1747493019858778
AuthorsOuyang, Menglu, Boaden, Elizabeth, Arima, Hisatomi, Lavados, Pablo M., Billot, Laurent, Hackett, Maree L., Olavarria, Verónica V., Muñoz-Venturelli, Paula, Song, Lili, Rogers, Kris, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline, Robinson, Thompson and Anderson, Craig S.
Abstract

Background
Dysphagia is associated with aspiration pneumonia after stroke. Data are limited on the influences of dysphagia screen and assessment in clinical practice.

Aims
To determine associations between a “brief” screen and “detailed” assessment of dysphagia on clinical outcomes in acute stroke patients.

Methods
A prospective cohort study analyzed retrospectively using data from a multicenter, cluster cross-over, randomized controlled trial (Head Positioning in Acute Stroke Trial [HeadPoST]) from 114 hospitals in nine countries. HeadPoST included 11,093 acute stroke patients randomized to lying-flat or sitting-up head positioning. Herein, we report predefined secondary analyses of the association of dysphagia screening and assessment and clinical outcomes of pneumonia and death or disability (modified Rankin scale 3–6) at 90 days.

Results
Overall, 8784 (79.2%) and 3917 (35.3%) patients were screened and assessed for dysphagia, respectively, but the frequency and timing for each varied widely across regions. Neither use of a screen nor an assessment for dysphagia was associated with the outcomes, but their results were compared to “screen-pass” patients, those who failed had higher risks of pneumonia (adjusted odds ratio [aOR] = 3.00, 95% confidence interval [CI] = 2.18–4.10) and death or disability (aOR = 1.66, 95% CI = 1.41–1.95). Similar results were evidence for the results of an assessment for dysphagia. Subsequent feeding restrictions were related to higher risk of pneumonia in patients failed dysphagia screen or assessment (aOR = 4.06, 95% CI = 1.72–9.54).

Conclusions
Failing a dysphagia screen is associated with increased risks of pneumonia and poor clinical outcome after acute stroke. Further studies concentrate on determining the effective subsequent feeding actions are needed to improve patient outcomes.

Keywordsdysphagia; screen; assessment; acute stroke; pneumonia; disability; clinical trial
Year2020
JournalInternational Journal of Stroke
Journal citation15 (2), pp. 206-215
PublisherSAGE Publications
ISSN1747-4930
Digital Object Identifier (DOI)https://doi.org/10.1177/1747493019858778
Scopus EID2-s2.0-85068131483
Open accessPublished as green open access
Page range206-215
FunderThe George Institute for Global Health
Clínica Alemana de Santiago
Bayer
AstraZeneca
Comisión Nacional de Investigación Científica y Tecnológica (CONICYT), Chilean Government
Brazilian Stroke Research Network
Research GroupNursing Research Institute
Author's accepted manuscript
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Open
Publisher's version
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online21 Jun 2019
Publication process dates
Accepted22 May 2019
Grant ID402388/2013-5
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Stroke care equity in rural and remote areas - novel strategies
Walter, Silke, Fassbender, Klaus, Easton, Damien, Schwarz, Madeleine, Gardiner, Fergus W., Langenberg, Francesca, Santos, Angela Dos, Bil, Cees, Fox, Kate, Bishop, Lara, Coote, Skye, Zhao, Henry, Middleton, Sandy, Bladin, Christopher, Davis, Stephen M. and Donnan, Geoffrey A.. (2021). Stroke care equity in rural and remote areas - novel strategies. Vessel Plus. 5(27), pp. 1-10. https://doi.org/10.20517/2574-1209.2020.102
Are clinicians using routinely collected data to drive practice improvement? A cross-sectional survey
Gawthorne, Julie, Fasugba, Oyebola, Levi, Chris, McInnes, Elizabeth, Ferguson, Caleb, McNeil, John J., Cadilhac, Dominique A., Everett, Bronwyn, Fernandez, Ritin, Fry, Margaret, Goldsmith, Helen, Hickman, Louise, Jackson, Debra, Maguire, Jane, Murray, Edel, Perry, Lin and Middleton, Sandy. (2021). Are clinicians using routinely collected data to drive practice improvement? A cross-sectional survey. International Journal for Quality in Health Care. 33(4), pp. 1-10. https://doi.org/10.1093/intqhc/mzab141
Impact of a care bundle for patients with blunt chest injury (ChIP) : A multicentre controlled implementation evaluation
Curtis, Kate, Kourouche, Sarah, Asha, Stephen, Considine, Julie, Fry, Margaret, Middleton, Sandy, Mitchell, Rebecca, Munroe, Belinda, Shaban, Ramon Z., D'Amato, Alfa, Skinner, Clare, Wiseman, Glen and Buckley, Thomas. (2021). Impact of a care bundle for patients with blunt chest injury (ChIP) : A multicentre controlled implementation evaluation. PLoS ONE. 16(10), p. Article e0256027. https://doi.org/10.1371/journal.pone.0256027
Understanding coordinator roles in acute stroke care : A national survey
Purvis, Tara, Middleton, Sandy, Alexandrov, Anne W., Kilkenny, Monique F., Coote, Skye, Kuhle, Sarah and Cadilhac, Dominique A.. (2021). Understanding coordinator roles in acute stroke care : A national survey. Journal of Stroke and Cerebrovascular Diseases. 30(12), p. Article 106111. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.106111
Oral care practices in stroke : Findings from the UK and Australia
Bangee, Munirah, Martinez-Garduno, Cintia Mayel, Brady, Marian C., Cadilhac, Dominique A., Dale, Simeon, Hurley, Margaret A., McInnes, Elizabeth, Middleton, Sandy, Patel, Tahera, Watkins, Caroline L. and Lightbody, Elizabeth. (2021). Oral care practices in stroke : Findings from the UK and Australia. BMC Nursing. 20(1), p. Article 169. https://doi.org/10.1186/s12912-021-00642-y
Understanding the role of external facilitation to drive quality improvement for stroke care in hospitals
Thayabaranathan, Tharshanah, Andrew, Nadine E., Grimley, Rohan, Stroil-Salama, Enna, Grabsch, Brenda, Hill, Kelvin, Cadigan, Greg, Purvis, Tara, Middleton, Sandy, Kilkenny, Monique F. and Cadilhac, Dominique A.. (2021). Understanding the role of external facilitation to drive quality improvement for stroke care in hospitals. Healthcare. 9(9), p. Article 1095. https://doi.org/10.3390/healthcare9091095
Oxygen desaturation and adverse outcomes in acute stroke : Secondary analysis of the HeadPoST study
Ouyang, Menglu, Roffe, Christine, Billot, Laurent, Song, Lili, Wang, Xia, Munoz-Venturelli, Paula, Lavados, Pablo M., Robinson, Thompson, Middleton, Sandy, Olavarría, Verónica V., Watkins, Caroline L., Lee, Tsong-Hai, Brunser, Alejandro M., Pontes-Neto, Octavio M., Hackett, Maree L. and Anderson, Craig S.. (2021). Oxygen desaturation and adverse outcomes in acute stroke : Secondary analysis of the HeadPoST study. Clinical Neurology and Neurosurgery. 207, p. Article 106796. https://doi.org/10.1016/j.clineuro.2021.106796
Altering the rehabilitation environment to improve stroke survivor activity : A Phase II trial
Janssen, Heidi, Ada, Louise, Middleton, Sandy, Pollack, Michael, Nilsson, Michael, Churilov, Leonid, Blennerhassett, Jannette M., Faux, Steven, New, Peter, McCluskey, Annie, Spratt, Neil J. and Bernhardt, Julie. (2021). Altering the rehabilitation environment to improve stroke survivor activity : A Phase II trial. International Journal of Stroke. 17(3), pp. 299-307. https://doi.org/10.1177/17474930211006999
Evidence-based stroke rehabilitation : Do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries?
Gururaj, Sanjana, Bird, Marie-Louise, Borschmann, Karen, Eng, Janice J., Watkins, Caroline Leigh, Walker, Marion F. and Solomon, John M.. (2021). Evidence-based stroke rehabilitation : Do priorities for practice change and feasibility of implementation vary across high income, upper and lower-middle income countries? Disability and Rehabilitation. 44(17), pp. 4611-4618. https://doi.org/10.1080/09638288.2021.1910737
The role of stroke nurses in thrombolysis administration in Australia and the United Kingdom : A cross-sectional survey of current practice
Hamilton, H., Dale, Simeon, McElduff, Benjamin, Craig, L., Fasugba, Oyebola, McInnes, Elizabeth, Alexandrov, Anne W., Cadilhac, Dominique A., Lightbody, Elizabeth, Watkins, Caroline and Middleton, Sandra. (2021). The role of stroke nurses in thrombolysis administration in Australia and the United Kingdom : A cross-sectional survey of current practice. Journal of Clinical Nursing. 31(1-2), pp. 158-166. https://doi.org/10.1111/jocn.15892
Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department
Gawthorne, Julie, Stevens, Jennifer, Faux, Steven G., Leung, Julie, McInnes, Elizabeth, Fasugba, Oyebola, McElduff, Benjamin and Middleton, Sandy. (2021). Can emergency nurses safely and effectively insert fascia iliaca blocks in patients with a fractured neck of femur? A prospective cohort study in an Australian emergency department. Journal of Clinical Nursing. 30(23-24), pp. 3611-3622. https://doi.org/10.1111/jocn.15883
Barriers and enablers to implementing hospital-acquired urinary tract infection prevention strategies : A qualitative study using the Theoretical Domains Framework
Fasugba, O., McInnes, E., Baye, J., Cheng, H., Gordon, R. and Middleton, S.. (2021). Barriers and enablers to implementing hospital-acquired urinary tract infection prevention strategies : A qualitative study using the Theoretical Domains Framework. Journal of Hospital Infection. 113, pp. 172-179. https://doi.org/10.1016/j.jhin.2021.03.028
Protocol of a randomized controlled trial investigating the effectiveness of recovery-focused community support to avoid readmissions and improve participation after stroke (ReCAPS)
Cadilhac, Dominique A., Cameron, Jan, Kilkenny, Monique F., Andrew, Nadine E., Harris, Dawn, Ellery, Fiona, Thrift, Amanda G., Purvis, Tara, Kneebone, Ian, Dewey, Helen, Drummond, Avril, Hackett, Maree, Grimley, Rohan, Middleton, Sandy, Thijs, Vincent, Cloud, Geoffrey, Carey, Mariko, Butler, Ernest, Ma, Henry, ... Lannin, Natasha A.. (2021). Protocol of a randomized controlled trial investigating the effectiveness of recovery-focused community support to avoid readmissions and improve participation after stroke (ReCAPS). International Journal of Stroke. 17(2), pp. 236-241. https://doi.org/10.1177/17474930211022678
Self-care research : Where are we now? Where are we going?
Riegel, Barbara, Dunbar, Sandra B., Fitzsimons, Donna, Freedland, Kenneth E., Lee, Christopher S., Middleton, Sandy, Stromberg, Anna, Vellone, Ercole, Webber, David E. and Jaarsma, Tiny. (2021). Self-care research : Where are we now? Where are we going? International Journal of Nursing Studies. 116, p. Article 103402. https://doi.org/10.1016/j.ijnurstu.2019.103402
Self-care research : How to grow the evidence base? (reprint)
Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., Vellone, E., Freedland, K. E. and Riegel, B.. (2021). Self-care research : How to grow the evidence base? (reprint). International Journal of Nursing Studies. 116, p. Article 103903. https://doi.org/10.1016/j.ijnurstu.2021.103903
Fatal and nonfatal events within 14 days after early, intensive mobilization poststroke
Bernhardt, Julie, Borschmann, Karen, Collier, Janice M., Thrift, Amanda G., Langhorne, Peter, Middleton, Sandy, Lindley, Richard I., Dewey, Helen M., Bath, Philip, Said, Catherine M., Churilov, Leonid, Ellery, Fiona, Bladin, Christopher, Reid, Christopher M., Frayne, Judith H., Srikanth, Velandai, Reid, Stephen J. and Donnan, Geoffrey A.. (2021). Fatal and nonfatal events within 14 days after early, intensive mobilization poststroke. Neurology. 96(8), pp. 1156-1166. https://doi.org/10.1212/WNL.0000000000011106
COVID-19 pandemic impact on care for stroke in Australia : Emerging evidence from the Australian Stroke Clinical Registry
Cadilhac, Dominique A., Kim, Joosup, Tod, Emma K., Morrison, Julie L., Breen, Sibilah J., Jaques, Katherine, Grimley, Rohan, Jones, Brett, Cloud, Geoffrey C., Kleinig, Timothy, Hillier, Susan, Castley, Helen, Lindley, Richard I., Lannin, Natasha A., Middleton, Sandy, Yan, Bernard, Hill, Kelvin, Clissold, Benjamin B., Mitchell, Peter J., ... the AuSCR Covid-Reporting Consortium Group. (2021). COVID-19 pandemic impact on care for stroke in Australia : Emerging evidence from the Australian Stroke Clinical Registry. Frontiers in Neurology. 12, p. Article 621495. https://doi.org/10.3389/fneur.2021.621495
Low blood pressure and adverse outcomes in acute stroke : HeadPoST study explanations
Ouyang, Menglu, Muñoz-Venturelli, Paula, Billot, Laurent, Wang, Xia, Song, Lili, Arima, Hisatomi, Lavados, Pablo M., Hackett, Maree L., Olavarría, Verónica V., Brunser, Alejandro, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline L., Robinson, Thompson and Anderson, Craig S.. (2021). Low blood pressure and adverse outcomes in acute stroke : HeadPoST study explanations. Journal of Hypertension. 39(2), pp. 273-279. https://doi.org/10.1097/HJH.0000000000002649
The prevalence and impact of unprofessional behaviour among hospital workers : A survey in seven Australian hospitals
Westbrook, Johanna, Sunderland, Neroli, Li, Ling, Koyama, Alain, McMullan, Ryan, Urwin, Rachel, Churruca, Kate, Baysari, Melissa T., Jones, Catherine, Loh, Erwin, McInnes, Elizabeth C., Middleton, Sandy and Braithwaite, Jeffrey. (2021). The prevalence and impact of unprofessional behaviour among hospital workers : A survey in seven Australian hospitals. Medical Journal of Australia. 214(1), pp. 31-37. https://doi.org/10.5694/mja2.50849
Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes
Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Fasugba, Oyebola, Cadilhac, Dominique A., Considine, Julie, Grimshaw, Jeremy M., Cheung, N. Wah, Levi, Chris, Gerraty, Richard, Fitzgerald, Mark and Middleton, Sandy. (2021). Measuring organizational context in Australian emergency departments and its impact on stroke care and patient outcomes. Nursing Outlook. 69(1), pp. 103-115. https://doi.org/10.1016/j.outlook.2020.08.009
Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial [Letter]
Cheung, N. Wah, Campbell, Lesley V. and Middleton, Sandy. (2020). Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial [Letter] John Wiley & Sons Australia, Ltd. https://doi.org/10.5694/mja2.50549
Self-care research : How to grow the evidence base?
Jaarsma, T., Strömberg, A., Dunbar, S. B., Fitzsimons, D., Lee, C., Middleton, S., Vellone, E., Freedland, K. E. and Riegel, B.. (2020). Self-care research : How to grow the evidence base? International Journal of Nursing Studies. 105, p. Article 103555. https://doi.org/10.1016/j.ijnurstu.2020.103555
International translation of fever, sugar, swallow protocols : The quality in acute stroke care Europe project
Middleton, S. and Pfeilschifter, W.. (2020). International translation of fever, sugar, swallow protocols : The quality in acute stroke care Europe project. International Journal of Stroke. 15(6), pp. 591-594. https://doi.org/10.1177/1747493020915130
A randomized control trial of intensive aphasia therapy after acute stroke : The Very Early Rehabilitation for SpEech (VERSE) study
Godecke, Erin, Armstrong, Elizabeth, Rai, Tapan, Ciccone, Natalie, Rose, Miranda L., Middleton, Sandy, Whitworth, Anne, Holland, Audrey, Ellery, Fiona, Hankey, Graeme J., Cadilhac, Dominique A. and Bernhardt, Julie. (2020). A randomized control trial of intensive aphasia therapy after acute stroke : The Very Early Rehabilitation for SpEech (VERSE) study. International Journal of Stroke. 16(5), pp. 556-572. https://doi.org/10.1177/1747493020961926
Quantifying regional variations in components of acute stroke unit (ASU) care in the international HeadPoST study
Ouyang, Menglu, Zhang, Yao, Wang, Xia, Song, Lili, Billot, Laurent, Robinson, Thompson, Lavados, Pablo M., Arima, Hisatomi, Hackett, Maree L., Olavarría, Verónica V., Muñoz-Venturelli, Paula, Middleton, Sandy, Watkins, Caroline L., Pontes-Neto, Octavio M., Lee, Tsong-Hai, Brunser, Alejandro M. and Anderson, Craig S.. (2020). Quantifying regional variations in components of acute stroke unit (ASU) care in the international HeadPoST study. Journal of the Neurological Sciences. 419, p. Article 117187. https://doi.org/10.1016/j.jns.2020.117187
Prognostic significance of early urinary catheterization after acute stroke : Secondary analyses of the international HeadPoST trial
Ouyang, Menglu, Billot, Laurent, Song, Lili, Wang, Xia, Roffe, Christine, Arima, Hisatomi, Lavados, Pablo M., Hackett, Maree L., Olavarría, Verónica V., Muñoz-Venturelli, Paula, Middleton, Sandy, Pontes-Neto, Octavio M., Lee, Tsong-Hai, Watkins, Caroline L., Robinson, Thompson G. and Anderson, Craig S.. (2020). Prognostic significance of early urinary catheterization after acute stroke : Secondary analyses of the international HeadPoST trial. International Journal of Stroke. 16(2), pp. 200-206. https://doi.org/10.1177/1747493020908140
Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study
McInnes, Elizabeth, Dale, Simeon, Craig, Louise, Phillips, Rosemary, Fasugba, Oyebola, Schadewaldt, Verena, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Fitzgerald, Mark, Ward, Jeanette, D’Este, Catherine and Middleton, Sandy. (2020). Process evaluation of an implementation trial to improve the triage, treatment and transfer of stroke patients in emergency departments (T3 trial) : A qualitative study. Implementation Science. 15(1), p. Article 99. https://doi.org/10.1186/s13012-020-01057-0
No benefit of flat head positioning in early moderate–severe acute ischaemic stroke : A HeadPoST study subgroup analysis
Brunser, Alejandro M., Ouyang, Menglu, Arima, Hisatomi, Lavados, Pablo M., Robinson, Thompson, Muñoz-Venturelli, Paula, Olavarría, Verónica V., Billot, Laurent, Hackett, Marre L., Song, Lili, Middleton, Sandy, Pontes-Neto, Octavio, Lee, Tsong-Hai, Watkins, Caroline and Anderson, Craig S.. (2020). No benefit of flat head positioning in early moderate–severe acute ischaemic stroke : A HeadPoST study subgroup analysis. Stroke and Vascular Neurology. 5(4), p. Article e000387. https://doi.org/10.1136/svn-2020-000387
Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review
Fasugba, O., Mitchell, B. G., McInnes, E., Koerner, J., Cheng, A. C., Cheng, H. and Middleton, S.. (2020). Increased fluid intake for the prevention of urinary tract infection in adults and children in all settings : A systematic review. Journal of Hospital Infection. 104(1), pp. 68-77. https://doi.org/10.1016/j.jhin.2019.08.016
Cluster-randomized trial of thrombolysis implementation support in metropolitan and regional Australian stroke centers : Lessons for individual and systems behavior change
Levi, Christopher R., Attia, John A., D'Este, Cate, Ryan, Annika E., Henskens, Frans, Kerr, Erin, Parsons, Mark William, Sanson-Fisher, Robert W., Bladin, Christopher F., Lindley, Richard I., Middleton, Sandy, Paul, Christine L. and the TIPS (Thrombolysis Implementation in Stroke) Study Group. (2020). Cluster-randomized trial of thrombolysis implementation support in metropolitan and regional Australian stroke centers : Lessons for individual and systems behavior change. Journal of the American Heart Association. 9(3), p. Article e012732. https://doi.org/10.1161/JAHA.119.012732
14th International Symposium on Thrombolysis, Thrombectomy and Acute Stroke Therapy : Proceedings and summary of discussions
Sheth, Sunil A., Lopez-Rivera, Victor, Lee, Songmi, Savitz, Sean I., Liebeskind, David S., Grotta, James C. and *Middleton, Sandy. (2019). 14th International Symposium on Thrombolysis, Thrombectomy and Acute Stroke Therapy : Proceedings and summary of discussions. International Journal of Stroke. 14(4), pp. 439-441. https://doi.org/10.1177/1747493019838760
Inclusion of a care bundle for fever, hyperglycaemia and swallow management in a National Audit for acute stroke : Evidence of upscale and spread
Purvis, Tara, Middleton, Sandy, Craig, Louise E., Kilkenny, Monique F., Dale, Simeon, Hill, Kelvin, D’Este, Catherine and Cadilhac, Dominique A.. (2019). Inclusion of a care bundle for fever, hyperglycaemia and swallow management in a National Audit for acute stroke : Evidence of upscale and spread. Implementation Science. 14(1), p. Article 87. https://doi.org/10.1186/s13012-019-0934-y
Moving stroke rehabilitation research evidence into clinical practice : Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable
Eng, Janice J., Bird, Marie-Louise, Godecke, Erin, Hoffmann, Tammy C., Laurin, Carole, Olaoye, Olumide A., Solomon, John, Teasell, Robert, Watkins, Caroline L. and Walker, Marion F.. (2019). Moving stroke rehabilitation research evidence into clinical practice : Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. International Journal of Stroke. 14(8), pp. 766-773. https://doi.org/10.1177/1747493019873597
Review article : A primer for clinical researchers in the emergency department : Part VIII. Implementation science: An introduction
Tavender, Emma, Babl, Franz and Middleton, Sandy. (2019). Review article : A primer for clinical researchers in the emergency department : Part VIII. Implementation science: An introduction. Emergency Medicine Australasia. 31(3), pp. 332-338. https://doi.org/10.1111/1742-6723.13296
Impact of evidence-based stroke care on patient outcomes : A multilevel analysis of an international study
Venturelli, Paula Muñoz, Li, Xian, Middleton, Sandy, Watkins, Caroline, Lavados, Pablo M., Olavarría, V. Olavarría, Brunser, Alejandro, Pontes‐Neto, Octavio, Santos, Taiza E. G., Arima, Hisatomi, Billot, Laurent, Hackett, Maree L., Song, Lily, Robinson, Thompson and Anderson, Craig S.. (2019). Impact of evidence-based stroke care on patient outcomes : A multilevel analysis of an international study. Journal of the American Heart Association. 8(13), p. Article e012640. https://doi.org/10.1161/JAHA.119.012640
A systems change intervention for nurse-led smoking cessation care in hospitals
Malone, Victoria, Ezard, Nadine, Clifford, Brendan, Middleton, Sandy, McInnes, Elizabeth and Bonevski, Billie. (2019). A systems change intervention for nurse-led smoking cessation care in hospitals. Collegian. 26(2), pp. 235-241. https://doi.org/10.1016/j.colegn.2018.07.007
Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial
Middleton, Sandy, Dale, Simeon, Cheung, N. Wah, Cadilhac, Dominique A., Grimshaw, Jeremy M., Levi, Chris, McInnes, Elizabeth, Considine, Julie, McElduff, Patrick, Gerraty, Richard, Craig, Louise Eisten, Schadewaldt, Verena, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark, Ward, Jeanette and D'Este, Catherine. (2019). Nurse-initiated acute stroke care in emergency departments : The triage, treatment, and transfer implementation cluster randomized controlled trial. Stroke. 50(6), pp. 1346-1355. https://doi.org/10.1161/STROKEAHA.118.020701
Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke : Evidence from a randomized controlled pilot study
Rogers, Jeffrey M., Duckworth, Jonathan, Middleton, Sandy, Steenbergen, Bert and Wilson, Peter H.. (2019). Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke : Evidence from a randomized controlled pilot study. Journal of NeuroEngineering and Rehabilitation. 16(56), p. Article 56. https://doi.org/10.1186/s12984-019-0531-y
Acute EEG patterns associated with transient ischemic attack
Rogers, Jeffrey M., Bechara, Jacob, Middleton, Sandy and Johnstone, Stuart J.. (2019). Acute EEG patterns associated with transient ischemic attack. Clinical EEG and Neuroscience. 50(3), pp. 196-204. https://doi.org/10.1177/1550059418790708
Predicting functional outcomes after stroke : An observational study of acute single-channel EEG
Rogers, Jeffrey M., Middleton, Sandy, Wilson, Peter H. and Johnstone, Stuart J.. (2019). Predicting functional outcomes after stroke : An observational study of acute single-channel EEG. Topics in Stroke Rehabilitation. 27(3), pp. 161-172. https://doi.org/10.1080/10749357.2019.1673576
Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial
Cheung, N. Wah, Campbell, Lesley V., Fulcher, Gregory R., McElduff, Patrick, Depczynski, Barbara, Acharya, Shamasunder, Carter, John, Champion, Bernard L., Chen, Roger, Chipps, David, Flack, Jeff, Kinsella, Jen, Layton, Margaret, McLean, Mark, Moses, Robert G., Park, Kris, Poynten, Ann M., Pollock, Carol, Scadden, Debbie, ... Middleton, Sandy. (2019). Routine glucose assessment in the emergency department for detecting unrecognised diabetes : A cluster randomised trial. Medical Journal of Australia. 211(10), pp. 454-459. https://doi.org/10.5694/mja2.50394
Patients with heart failure with and without a history of stroke in the Netherlands : A secondary analysis of psychosocial, behavioural and clinical outcomes up to three years from the COACH trial
Ski, Chantal F., van der Wal, Martje H. L., Le Grande, Michael R., van Veldhuisen, Dirk J., Lesman-Leegte, Ivonne, Thompson, David R., Middleton, Sandy, Cameron, Jan and Jaarsma, Tiny. (2019). Patients with heart failure with and without a history of stroke in the Netherlands : A secondary analysis of psychosocial, behavioural and clinical outcomes up to three years from the COACH trial. BMJ Open. 9(8), p. Article e025525. https://doi.org/10.1136/bmjopen-2018-025525
Outcomes for patients with in-hospital stroke : A multicenter study from the Australian stroke clinical registry (AuSCR)
Cadihac, Dominique A., Kilkenny, Monique F., Lannin, Natasha A., Dewey, Helen M., Levi, Christopher R., Hill, Kelvin, Grabsch, Brenda, Grimley, Rohan, Blacker, David, Thrift, Amanda G., Middleton, Sandy, Anderson, Craig S. and Donnan, Geoffrey A.. (2019). Outcomes for patients with in-hospital stroke : A multicenter study from the Australian stroke clinical registry (AuSCR). Journal of Stroke and Cerebrovascular Diseases. 28(5), pp. 1302-1310. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.01.026
Are service and patient indicators different in the presence or absence of nurse practitioners? The EDPRAC cohort study of Australian emergency departments
Middleton, Sandy, Gardner, Glenn, Gardner, Anne, Considine, Julie, Fitzgerald, Gerard, Christofis, Luke, Doubrovsky, Anna, Della, Phillip, Fasugba, Oyebola and D'Este, Catherine. (2019). Are service and patient indicators different in the presence or absence of nurse practitioners? The EDPRAC cohort study of Australian emergency departments. BMJ Open. 9(7), p. Article e024529. https://doi.org/10.1136/bmjopen-2018-024529
Maximising data value and avoiding data waste : A validation study in stroke research
Kilkenny, Monique F., Kim, Joosup, Andrew, Nadine E., Sundararajan, Vijaya, Thrift, Amanda G., Katzenellenbogen, Judith M., Flack, Felicity, Gattellari, Melina, Boyd, James H., Anderson, Phil, Lannin, Natasha, Sipthorp, Mark, Chen, Ying, Johnston, Trisha, Anderson, Craig S., Middleton, Sandy, Donnan, Geoffrey A. and Cadihac, Dominique A.. (2019). Maximising data value and avoiding data waste : A validation study in stroke research. Medical Journal of Australia. 210(1), pp. 27-31. https://doi.org/10.5694/mja2.12029
Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA
Craig, Louise E., Middleton, Sandy, Hamilton, Helen, Cudlip, Fern, Swatzell, Victoria, Alexandrov, Andrei V., Lightbody, Elizabeth, Watkins, Caroline, Philip, Sheeba, Cadihac, Dominique A., McInnes, Elizabeth, Dale, Simeon and Alexandrov, Anne W.. (2019). Does the addition of non-approved inclusion and exclusion criteria for rtPA impact treatment rates? Findings in Australia, the UK, and the USA. Interventional Neurology. 8(1), pp. 1-12. https://doi.org/10.1159/000493020
Weekend hospital discharge is associated with suboptimal care and outcomes : An observational Australian Stroke Clinical Registry study
Kilkenny, Monique F., Lannin, Natasha A., Levi, Christopher, Faux, Steve G., Dewey, Helen M., Grimley, Rohan, Hill, Kelvin, Grabsch, Brenda, Kim, Joosup, Hand, Peter, Crosby, Vanessa, Gardner, Michele, Rois-Gnecco, Juan, Thijs, Vincent, Anderson, Craig S., Donnan, Geoffrey A., Middleton, Sandy and Cadilhac, Dominique A.. (2019). Weekend hospital discharge is associated with suboptimal care and outcomes : An observational Australian Stroke Clinical Registry study. International Journal of Stroke. 14(4), pp. 430-438. https://doi.org/10.1177/1747493018806165
Vital sign monitoring following stroke associated with 90-day independence : A secondary analysis of the QASC cluster randomized trial
Middleton, Sandy, McElduff, Patrick, Drury, Peta, D'Este, Catherine, Cadilhac, Dominique A., Dale, Simeon, Grimshaw, Jeremy M., Ward, Jeanette, Quinn, Clare, Cheung, N. Wah and Levi, Chris. (2019). Vital sign monitoring following stroke associated with 90-day independence : A secondary analysis of the QASC cluster randomized trial. International Journal of Nursing Studies. 89, pp. 72-79. https://doi.org/10.1016/j.ijnurstu.2018.09.014
Blood pressure variability and outcome in acute ischemic and hemorrhagic stroke : A post hoc analysis of the HeadPoST study
Minhas, Jatinder S., Wang, Xia, Lavados, Pablo M., Moullaali, Tom J., Arima, Hisatomi, Billot, Laurent, Hackett, Maree L., Olavarria, Veronica V., Middleton, Sandy, Pontes-Neto, Octavio, De Silva, H. Asita, Lee, Tsong-Hai, Pandian, Jeyaraj D., Mead, Gillian E., Watkins, Caroline, Chalmers, John, Anderson, Craig S. and Robinson, Thompson G.. (2019). Blood pressure variability and outcome in acute ischemic and hemorrhagic stroke : A post hoc analysis of the HeadPoST study. Journal of Human Hypertension. 33(5), pp. 411-418. https://doi.org/10.1038/s41371-019-0193-z
Multicenter, prospective, controlled, before-and-after, quality improvement study (Stroke123) of acute stroke care
Cadilhac, Dominique A., Grimley, Rohan, Kilkenny, Monique F., Andrew, Nadine E., Lannin, Natasha A., Hill, Kelvin, Grabsch, Brenda, Levi, Chris, Thrift, Amanda G., Faux, Steven G., Wakefield, John, Cadigan, Greg, Donnan, Geoffrey A., Middleton, Sandy and Anderson, Craig S.. (2019). Multicenter, prospective, controlled, before-and-after, quality improvement study (Stroke123) of acute stroke care. Stroke. 50(6), pp. 1525-1530. https://doi.org/10.1161/STROKEAHA.118.023075
Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population
Schadewaldt, Verena, McElduff, Benjamin, D'Este, Catherine, McInnes, Elizabeth, Dale, Simeon, Gunaratne, Anoja, Squires, Janet, Cadilhac, Dominique A. and Middleton, Sandy. (2019). Validating the Alberta Context Tool in a multi-site Australian emergency department nurse population. PLoS ONE. 14(4), p. Article e0215153. https://doi.org/10.1371/journal.pone.0215153
Hospital organizational context and delivery of evidence-based stroke care : A cross sectional study
Andrew, Nadine E., Middleton, Sandy, Grimley, Rohan, Anderson, Craig S., Donnan, Geoffrey A., Lannin, Natasha A., Stroil-Salama, Enna, Grabsch, Brenda, Kilkenny, Monique F., Squires, Janet E. and Cadilhac, Dominique A.. (2019). Hospital organizational context and delivery of evidence-based stroke care : A cross sectional study. Implementation Science. 14, p. Article 6. https://doi.org/10.1186/s13012-018-0849-z
Prescription of antihypertensive medication at discharge influences survival following stroke
Andrew, Nadine E., Kim, Joosup, Thrift, Amanda, Kilkenny, Monique F., Lannin, Natasha, Anderson, Craig, Donnan, Geoffrey A., Hill, Kelvin, Middleton, Sandy, Levi, Chris, Faux, Steve, Grimley, Rohan, Gange, Nisal, Geraghty, Richard, Ermel, Sharan and Cadilhac, Dominique A.. (2018). Prescription of antihypertensive medication at discharge influences survival following stroke. Neurology. 90(9), pp. e745-e753. https://doi.org/10.1212/WNL.0000000000005023
Oral care after stroke : Where are we now?
Lyons, Mary, Smith, Craig, Boaden, Elizabeth, Brady, Marian C., Brocklehurst, Paul, Dickinson, Hazel, Hamdy, Shaheen, Higham, Susan, Langhorne, Peter, Lightbody, Catherine, McCracken, Giles, Medina-Lara, Antonieta, Sproson, Lise, Walls, Angus and Watkins, Dame Caroline. (2018). Oral care after stroke : Where are we now? European Stroke Journal. 3(4), pp. 347-354. https://doi.org/10.1177/2396987318775206
Motivational interviewing for low mood and adjustment early after stroke : A feasibility randomised trial
Patel, Kulsum, Watkins, Caroline L., Sutton, Chris J., Holland, Emma-Joy, Benedetto, Valerio, Auton, Malcolm F., Barer, David, Chatterjee, Kausik and Lightbody, Catherine E.. (2018). Motivational interviewing for low mood and adjustment early after stroke : A feasibility randomised trial. Pilot and Feasibility Studies. 4(1), p. 152. https://doi.org/10.1186/s40814-018-0343-z
Implementing a protocol for a research impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery
Ramanathan, Shanthi, Reeves, Penny, Deeming, Simon, Bernhardt, Julie, Nilsson, Michael, Cadihac, Dominique A., Walker, Frederick Rohan, Carey, Leeanne, Middleton, Sandy, Lynch, Elizabeth and Searles, Andrew. (2018). Implementing a protocol for a research impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery. Health Research Policy and Systems. 16(1), p. Article 71. https://doi.org/10.1186/s12961-018-0349-2
Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial : An international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy
Godecke, Erin, Rai, Tapan, Cadihac, Dominique A., Armstrong, Elizabeth, Middleton, Sandy, Ciccone, Natalie, Whitworth, Anne, Rose, Miranda L., Holland, Audrey, Ellery, Fiona, Hankey, Graeme J. and Bernhardt, Julie. (2018). Statistical analysis plan (SAP) for the Very Early Rehabilitation in Speech (VERSE) after stroke trial : An international 3-arm clinical trial to determine the effectiveness of early, intensive, prescribed, direct aphasia therapy. International Journal of Stroke. 13(8), pp. 863-880. https://doi.org/10.1177/1747493018790055
Improving the quality of healthcare : A cross-sectional study of the features of successful clinical networks
Haines, Mary M., Brown, Bernadette, D'Este, Catherine, Yano, Elizabeth M., Craig, Jonathon C., Middleton, Sandy, Castaldi, Peter A., Pollock, Carol A., Needham, Kate, Watt, William H., Elliott, Elizabeth J., Scott, Anthony, Dominello, Amanda, Klineberg, Emily, Atkinson, Jo-An, Paul, Christine and Redman, Sally. (2018). Improving the quality of healthcare : A cross-sectional study of the features of successful clinical networks. Public Health Research and Practice. 28(4), p. Article e28011803. https://doi.org/10.17061/phrp28011803
A mixed methods study to explore opinions of research translation held by researchers working in a Centre of Research Excellence in Australia
Lynch, Elizabeth A., Ramanathan, Shanthi, Middleton, Sandy, Bernhardt, Julie, Nilsson, Michael and Cadilhac, Dominique A.. (2018). A mixed methods study to explore opinions of research translation held by researchers working in a Centre of Research Excellence in Australia. BMJ Open. 8, p. Article e022357. https://doi.org/10.1136/bmjopen-2018-022357
Back to basics : Adherence with guidelines for glucose and temperature control in an American comprehensive stroke center sample
Alexandrov, Anne W., Palazzo, Paola, Biby, Sharon, Doerr, Abbigayle, Dusenbury, Wendy, Young, Rhonda, Lindstrom, Anne, Grove, Mary, Tsivgoulis, Georgios, Middleton, Sandy and Alexandrov, Andrei V.. (2018). Back to basics : Adherence with guidelines for glucose and temperature control in an American comprehensive stroke center sample. Journal of Neuroscience Nursing. 50(3), pp. 131-137. https://doi.org/10.1097/JNN.0000000000000358
Mapping workforce configuration and operational models in australian emergency departments : A national survey
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Considine, Julie, Fitzgerald, Gerard, Christofis, Luke, Doubrovsky, Anna, Adams, Margaret and O'Connell, Jane. (2018). Mapping workforce configuration and operational models in australian emergency departments : A national survey. Australian Health Review. 42(3), pp. 340-347. https://doi.org/10.1071/AH16231
Improving quality and outcomes of stroke care in hospitals : Protocol and statistical analysis plan for the Stroke 123 implementation study
Cadilhac, Dominique A., Andrew, Nadine E., Kilkenny, Monique F., Hill, Kelvin, Grabsch, Brenda, Lannin, Natasha A., Thrift, Amanda G., Anderson, Craig S., Donnan, Geoffrey A., Middleton, Sandy and Grimley, Rohan. (2018). Improving quality and outcomes of stroke care in hospitals : Protocol and statistical analysis plan for the Stroke 123 implementation study. International Journal of Stroke. 13(1), pp. 96-106. https://doi.org/10.1177/1747493017730741
Quality of life is poorer for patients with stroke who require an interpreter : An observational Australian Registry study
Kilkenny, Monique F., Lannin, Natasha A., Anderson, Craig S., Dewey, Helen M., Kim, Joosup, Barclay-Moss, Karen, Levi, Chris, Faux, Steven, Hill, Kelvin, Grabsch, Brenda, Middleton, Sandy, Thrift, Amanda G., Grimley, Rohan, Donnan, Geoffrey and Cadilhac, Dominique A.. (2018). Quality of life is poorer for patients with stroke who require an interpreter : An observational Australian Registry study. Stroke. 49(3), pp. 761-764. https://doi.org/10.1161/STROKEAHA.117.019771
What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes
Aminov, Anna, Rogers, Jeffrey M., Middleton, Sandy, Caeyenberghs, Karen and Wilson, Peter H.. (2018). What do randomized controlled trials say about virtual rehabilitation in stroke? A systematic literature review and meta-analysis of upper-limb and cognitive outcomes. Journal of NeuroEngineering and Rehabilitation. 15(29), p. Article 29. https://doi.org/10.1186/s12984-018-0370-2
Treatment with exenatide in acute ischaemic stroke trial protocol : A prospective, randomised, open label, blinded end-point study of exenatide vs. standard care in post stroke hyperglycaemia
Muller, Claire, Cheung, N. Wah, Dewey, Helen, Churilov, Leonid, Middleton, Sandy, Thijs, Vincent, Ekinci, Elif I., Levi, Chris, Lindley, Richard, Donnan, Geoffrey, Parsons, Mark and Bladin, Christopher. (2018). Treatment with exenatide in acute ischaemic stroke trial protocol : A prospective, randomised, open label, blinded end-point study of exenatide vs. standard care in post stroke hyperglycaemia. International Journal of Stroke. 13(8), pp. 857-862. https://doi.org/10.1177/1747493018784436
Is length of time in a stroke unit associated with better outcomes for patients with stroke in Australia? An observational study
Busingye, Doreen, Kilkenny, Monique F., Purvis, Tara, Kim, Joosup, Middleton, Sandy, Campbell, Bruce C. V. and Cadihac, Dominique A.. (2018). Is length of time in a stroke unit associated with better outcomes for patients with stroke in Australia? An observational study. BMJ Open. 8(11), p. Article e022536. https://doi.org/10.1136/bmjopen-2018-022536
Implementation of a patient blood management program in an Australian private hospital orthopedic unit
Morgan, Paul N., Coleman, Patrick L., Martinez-Garduno, Cintia Mayel, Gunaratne, Anoja W., McInnes, Elizabeth and Middleton, Sandy. (2018). Implementation of a patient blood management program in an Australian private hospital orthopedic unit. Journal of Blood Medicine. 9, pp. 83-90. https://doi.org/10.2147/JBM.S157571
Fidelity to a motivational interviewing intervention for those with post-stroke aphasia : A small-scale feasibility study
Holland, Emma-Joy, Watkins, Caroline L., Boaden, Elizabeth and Lightbody, Catherine E.. (2018). Fidelity to a motivational interviewing intervention for those with post-stroke aphasia : A small-scale feasibility study. Topics in Stroke Rehabilitation. 25(1), pp. 54-60. https://doi.org/10.1080/10749357.2017.1376916
Interventions for the uptake of evidence-based recommendations in acute stroke settings
Luker, Julie A., Bernhardt, Julie, Graham, Ian D., Middleton, Sandy, Lynch, Elizabeth A., Thayabaranathan, Tharshanah, Craig, Louise and Cadilhac, Dominique A.. (2017). Interventions for the uptake of evidence-based recommendations in acute stroke settings. Cochrane Database of Systematic Reviews. 2017(1), p. Article CD012520. https://doi.org/10.1002/14651858.CD012520
Acute single channel EEG predictors of cognitive function after stroke
Aminov, Anna, Rogers, Jeffrey M., Johnstone, Stuart J., Middleton, Sandy and Wilson, Peter H.. (2017). Acute single channel EEG predictors of cognitive function after stroke. PLoS ONE. 12(10), p. Article e0185841. https://doi.org/10.1371/journal.pone.0185841
Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation : Patient and provider perspectives
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2017). Barriers and enablers to adherence to anticoagulation in heart failure with atrial fibrillation : Patient and provider perspectives. Journal of Clinical Nursing. 26(23-24), pp. 4325-4334. https://doi.org/10.1111/jocn.13759
Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable
Walker, Marion F., Hoffmann, Tammy C., Brady, Marian C., Dean, Catherine M., Eng, Janice J., Farrin, Amanda J., Felix, Cynthia, Forster, Anne, Langhorne, Peter, Lynch, Elizabeth A., Radford, Kathryn A., Sunnerhagen, Katharina S. and Watkins, Caroline L.. (2017). Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. Neurorehabilitation and Neural Repair. 31(10-11), pp. 877 - 884. https://doi.org/10.1177/1545968317732686
Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention : QASC trial (Quality In Acute Stroke Care) follow-up
Middleton, Sandy, Coughlan, Kelly, Mnatzaganian, George, Choy, Nancy Low, Dale, Simeon, Jammali-Blasi, Asmara, Levi, Chris, Grimshaw, Jeremy, Ward, Jeanette, Cadilhac, Dominique A., McElduff, Patrick, Hiller, Janet E. and D'Este, Catherine. (2017). Mortality reduction for fever, hyperglycemia, and swallowing nurse-initiated stroke intervention : QASC trial (Quality In Acute Stroke Care) follow-up. Stroke. 48(5), pp. 1331-1336. https://doi.org/10.1161/STROKEAHA.116.016038
Improving discharge care : The potential of a new organisational intervention to improve discharge after hospitalisation for acute stroke, a controlled before – after pilot study
Cadilhac, Dominique A., Andrew, Nadine E., Salama, Enna Stroil, Hill, Kelvin, Middleton, Sandy, Horton, Eleanor, Meade, Ian, Kuhle, Sarah, Nelson, Mark R. and Grimley, Rohan. (2017). Improving discharge care : The potential of a new organisational intervention to improve discharge after hospitalisation for acute stroke, a controlled before – after pilot study. BMJ Open. 7(8), p. Article e016010. https://doi.org/10.1136/bmjopen-2017-016010
Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention
Craig, Louise E., Churilov, Leonid, Olenko, Liudmyla, Cadilhac, Dominique A., Grimley, Rohan, Dale, Simeon, Martinez-Garduno, Cintia, McInnes, Elizabeth, Considine, Julie, Grimshaw, Jeremy M. and Middleton, Sandy. (2017). Testing a systematic approach to identify and prioritise barriers to successful implementation of a complex healthcare intervention. BMC Medical Research Methodology. 17(1), p. Article 24. https://doi.org/10.1186/s12874-017-0298-4
Treatment and outcomes of working aged adults with stroke : Results from a national prospective registry
Lannin, Natasha A., Anderson, Craig S., Kim, Joosup, Kilkenny, Monique, Bernhardt, Julie, Levi, Christopher, Dewey, Helen M., Bladin, Christopher, Hand, Peter, Castley, Helen, Hill, Kelvin, Faux, Steven, Grimley, Rohan, Grabsch, Brenda, Middleton, Sandy, Donnan, Geoffrey and Cadilhac, Dominique A.. (2017). Treatment and outcomes of working aged adults with stroke : Results from a national prospective registry. Neuroepidemiology. 49, pp. 113-120. https://doi.org/10.1159/000484141
Barriers and outcomes of an evidence-based approach to diagnosis and management of chronic obstructive pulmonary disease (COPD) in Australia : A qualitative study
Dennis, Sarah, Reddel, Helen K., Middleton, Sandy, Hasan, Iqbal, Hermiz, Oshana, Phillips, Rosemary, Crockett, Alan J., Vagholkar, Sanjyot, Marks, Guy B. and Zwar, Nicholas. (2017). Barriers and outcomes of an evidence-based approach to diagnosis and management of chronic obstructive pulmonary disease (COPD) in Australia : A qualitative study. Family Practice. 34(4), pp. 485-490. https://doi.org/10.1093/fampra/cmw103
Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable
Walker, Marion F., Hoffmann, Tammy C., Brady, Marian C., Dean, Catherine M., Eng, Janice J., Farrin, Amanda J., Felix, Cynthia, Forster, Anne, Langhorne, Peter, Lynch, Elizabeth A., Radford, Kathryn A., Sunnerhagen, Katharina S. and Watkins, Caroline L.. (2017). Improving the development, monitoring and reporting of stroke rehabilitation research: Consensus-based core recommendations from the Stroke Recovery and Rehabilitation Roundtable. International Journal of Stroke. 12(5), pp. 472 - 479. https://doi.org/10.1177/1747493017711815
Cluster-randomized, crossover trial of head positioning in acute stroke
Anderson, Craig S., Arima, Hisatomi, Lavados, Pablo, Billot, Laurent, Hackett, Maree L., Olavarria, Veronica, Muñoz Venturelli, Paula, Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Rogers, Kerrylee, Middleton, Sandy, Lim, Joyce Y., Forshaw, Denise, Lighbody, C. Elizabeth, Woodward, Mark, Pontes-Neto, Octavio, de Silva, H. Asita, ... Watkins, Caroline Leigh. (2017). Cluster-randomized, crossover trial of head positioning in acute stroke. The New England Journal of Medicine. 376(25), pp. 2437-2447. https://doi.org/10.1056/NEJMoa1615715
Oral flora in acute stroke patients: A prospective exploratory observational study
Boaden, Elizabeth, Lyons, Mary, Singhrao, Sim K., Dickinson, Hazel, Leathley, Michael J., Lightbody, Catherine E., McLoughlin, Alison, Khan, Zarine, Crean, Stjohn, Smith, Craig, Higham, Susan and Watkins, Caroline. (2017). Oral flora in acute stroke patients: A prospective exploratory observational study. Gerodontology. 34(3), pp. 343 - 356. https://doi.org/10.1111/ger.12271
Screening for aspiration risk associated with dysphagia in acute stroke (Protocol)
Boaden, Elizabeth, Doran, Dawn, Burnell, Jane, Clegg, Andrew, Dey, Paola, Hurley, Margaret, Alexandrov, Anne, McInnes, Elizabeth and Watkins, Caroline L.. (2017). Screening for aspiration risk associated with dysphagia in acute stroke (Protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD012679
International uptake of a proven intervention to reduce death and dependency in acute stroke : A cross-sectional-survey following the QASC trial
Middleton, Sandy, Bruch, Dominik, Martinez-Garduno, Cintia M., Dale, Simeon and McNamara, Maria. (2017). International uptake of a proven intervention to reduce death and dependency in acute stroke : A cross-sectional-survey following the QASC trial. Worldviews on Evidence-Based Nursing. 14(6), pp. 447-454. https://doi.org/10.1111/wvn.12253
Risk-adjusted hospital mortality rates for stroke: evidence from the Australian Stroke Clinical Registry (AuSCR)
Cadihac, Dominique A., Kilkenny, Monique F., Levi, Christopher R., Lannin, Natasha A., Thrift, Amanda G., Kim, Joosup, Grabsch, Brenda, Churilov, Leonid, Dewey, Helen M., Hill, Kelvin, Faux, Steven G., Grimley, Rohan, Castley, Helen, Hand, Peter J., Wong, Andrew, Herkes, Geoffrey K., Gill, Melissa, Crompton, Douglas, Middleton, Sandy, ... Anderson, Craig S.. (2017). Risk-adjusted hospital mortality rates for stroke: evidence from the Australian Stroke Clinical Registry (AuSCR). Medical Journal of Australia. 206(8), pp. 345-350. https://doi.org/10.5694/mja16.00525
Interventions for treating anxiety after stroke
Knapp, Peter, Campbell, Alexia, Holmes, John, Murray, Jenni, Gillespie, David, Lightbody, C. E., Watkins, Caroline L., Chun, Ho Yan Y. and Lewis, Sharon R.. (2017). Interventions for treating anxiety after stroke. Cochrane Database of Systematic Reviews. 2017(5), pp. 1 - 39. https://doi.org/10.1002/14651858.CD008860.pub3
Repetitive task training for improving functional ability after stroke: A major update of a Cochrane Review
Thomas, Lois H., French, Beverley, Coupe, Jacqueline, McMahon, Naoimh E., Connell, Louise, Harrison, Joanna, Sutton, Christopher J., Tishkovskaya, Svetlana and Watkins, Caroline L.. (2017). Repetitive task training for improving functional ability after stroke: A major update of a Cochrane Review. Stroke. 48(4), pp. e102 - e103. https://doi.org/10.1161/STROKEAHA.117.016503
Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial
Craig, Louise E., Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., McInnes, Elizabeth, Phillips, Rosemary, Dale, Simeon, O'Connor, Denise, Levi, Chris, Fitzgerald, Mark, Considine, Julie, Grimshaw, Jeremy M., Gerraty, Richard, Cheung, N. Wah, Ward, Jeanette and Middleton, Sandy. (2017). Development of a theory-informed implementation intervention to improve the triage, treatment and transfer of stroke patients in emergency departments using the Theoretical Domains Framework (TDF) : The T3 Trial. Implementation Science. 12(1), p. Article 88. https://doi.org/10.1186/s13012-017-0616-6
Leaving a legacy of stroke in Europe : A community of dedicated professionals is changing the face of stroke in Europe
Mikulik, Robert, Ylikotila, Pauli, Roine, Risto, Brozman, Miroslav and Middleton, Sandy. (2017). Leaving a legacy of stroke in Europe : A community of dedicated professionals is changing the face of stroke in Europe. The CNS Journal. 3(1), pp. 8-18.
Multi-morbidity, frailty and self-care : Important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2017). Multi-morbidity, frailty and self-care : Important considerations in treatment with anticoagulation drugs. Outcomes of the AFASTER study. European Journal of Cardiovascular Nursing. 16(2), pp. 113-124. https://doi.org/10.1177/1474515116642604
Hospital arrival times and post-imaging delays in stroke thrombolysis implementation
Kawano, Hiroyuki, Bivard, Andrew, Parsons, Mark W., Paul, Christine L., Krause, Martin, D'Este, Catherine, Bladin, Christopher F., Lindley, Richard I., Attia, John R., Henskens, Frans, Longworth, Mark, Middleton, Sandy, Ryan, Annika, Kerr, Erin, Sanson-Fisher, Robert W., Levi, Christopher R. and Thrombolysis ImPlementation in Stroke (TIPS) Study Group. (2017). Hospital arrival times and post-imaging delays in stroke thrombolysis implementation. Journal of Neurological Disorders & Stroke. 5(3), pp. 1-6.
Quality of acute care and long-term quality of life and survival
Cadilhac, Dominique A., Andrew, Nadine E., Lannin, Natasha A., Middleton, Sandy, Levi, Christopher R., Dewey, Helen M., Grabsch, Brenda, Faux, Steven, Hill, Kelvin, Grimley, Rohan, Wong, Andrew, Sabet, Arman, Butler, Ernest, Bladin, Christopher F., Bates, Timothy R., Groot, Patrick, Castley, Helen, Donnan, Geoffry A. and Anderson, Craig S.. (2017). Quality of acute care and long-term quality of life and survival. Stroke: a journal of cerebral circulation. 48(4), pp. 1026-1032. https://doi.org/10.1161/STROKEAHA.116.015714
Client and clinical staff perceptions of barriers to and enablers of the uptake and delivery of behavioural interventions for urinary incontinence: Aualitative evidence synthesis
French, Beverley, Thomas, Lois H., Harrison, Joanna, Coupe, Jacqueline, Roe, Brenda, Booth, Joanne, Cheater, Francine M., Leathley, Michael J., Watkins, Caroline L. and Hay-Smith, Jean. (2017). Client and clinical staff perceptions of barriers to and enablers of the uptake and delivery of behavioural interventions for urinary incontinence: Aualitative evidence synthesis. Journal of Advanced Nursing. 73(1), pp. 21 - 38. https://doi.org/10.1111/jan.13083
Integrating acute stroke telemedicine consultations into specialists' usual practice: A qualitative analysis comparing the experience of Australia and the United Kingdom
Bagot, Kathleen L., Cadilhac, Dominique A., Bladin, Christopher F., Watkins, Caroline L., Vu, Michelle, Donnan, Geoffrey A., Dewey, Helen M., Emsley, Hedley C. A., Davies, D. Paul, Day, Elaine, Ford, Gary A., Price, Christopher I., May, Carl R., McLoughlin, Alison S. R., Gibson, Josephine M. E. and Lightbody, Catherine E.. (2017). Integrating acute stroke telemedicine consultations into specialists' usual practice: A qualitative analysis comparing the experience of Australia and the United Kingdom. BMC Health Services Research. 17, pp. 1 - 8. https://doi.org/10.1186/s12913-017-2694-1
Statistical analysis plan for the Head Position in Stroke Trial (HeadPoST) : An international cluster cross-over randomised trial
Billot, Laurent, Woodward, Mark, Arima, Hisatomi, Hackett, Maree, Muñoz Venturelli, Paula, Lavados, Pablo M., Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Heritier, Stephane, Jan, Stephen, Middleton, Sandy, Olavarría, Verónica V., Lim, Joyce, Robinson, Thompson, Pontes-Neto, Octavio, Watkins, Caroline L. and Anderson, Craig S.. (2017). Statistical analysis plan for the Head Position in Stroke Trial (HeadPoST) : An international cluster cross-over randomised trial. International Journal of Stroke. 12(6), pp. 667-670. https://doi.org/10.1177/1747493017701943
Effectiveness of a ‘do not interrupt’ bundled intervention to reduce interruptions during medication administration : A cluster randomised controlled feasibility study
Westbrook, Johanna I., Li, Ling, Hooper, Tamara D., Raban, Magda Z., Middleton, Sandy and Lehnbom, Elin C.. (2017). Effectiveness of a ‘do not interrupt’ bundled intervention to reduce interruptions during medication administration : A cluster randomised controlled feasibility study. BMJ Quality and Safety. 26(9), pp. 734-742. https://doi.org/10.1136/bmjqs-2016-006123
Influence of stroke coordinators on delivery of acute stroke care and hospital outcomes : An observational study
Purvis, Tara, Kilkenny, Monique F., Middleton, Sandy and Cadilhac, Dominique A.. (2017). Influence of stroke coordinators on delivery of acute stroke care and hospital outcomes : An observational study. International Journal of Stroke. 13(6), pp. 585-591. https://doi.org/10.1177/1747493017741382
Motivational interviewing post-stroke : An analysis of stroke survivors' concerns and adjustment
Auton, Malcolm F., Patel, Kulsum, Carter, Bernie, Hackett, Maree, Thornton, Tim, Lightbody, Catherine E., Leathley, Michael J. and Watkins, Caroline. (2016). Motivational interviewing post-stroke : An analysis of stroke survivors' concerns and adjustment. Qualitative Health Research. 26(2), pp. 264-272. https://doi.org/10.1177/1049732315582197
Development and validation of a survey to measure features of clinical networks
Brown, Bernadette Bea, Haines, Mary, Middleton, Sandy, Paul, Christine, D'Este, Catherine, Klineberg, Emily and Elliot, Elizabeth. (2016). Development and validation of a survey to measure features of clinical networks. BMC Health Services Research. 16, p. Article 531. https://doi.org/10.1186/s12913-016-1800-0
A randomized controlled trial of very early rehabilitation in speech after stroke
Godecke, Erin, Armstrong, Elizabeth A., Rai, Tapan, Middleton, Sandy, Ciccone, Natalie, Whitworth, Anne, Rose, Miranda, Holland, Audrey, Ellery, Fiona, Hankey, Graeme J., Cadilhac, Dominique A. and Bernhardt, Julie. (2016). A randomized controlled trial of very early rehabilitation in speech after stroke. International Journal of Stroke. 11(5), pp. 586-592. https://doi.org/10.1177/1747493016641116
Early intervention for chronic obstructive pulmonary disease by practice nurse and GP teams : A cluster randomized trial
Zwar, Nicholas A., Bunker, Jeremy M., Reddel, Helen K., Dennis, Sarah M., Middleton, Sandy, van Schayck, Onno C. P., Crockett, Alan J., Hasan, Iqbal, Hermiz, Oshana, Vagholkar, Sanjyot, Xuan, Wei and Mark, Guy B.. (2016). Early intervention for chronic obstructive pulmonary disease by practice nurse and GP teams : A cluster randomized trial. Family Practice. 33(6), pp. 663-670. https://doi.org/10.1093/fampra/cmw077
From QASC to QASCIP : Successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pretest/post-test study design
Middleton, Sandy, Lydtin, Anna, Comerford, Daniel, Cadilhac, Dominique A., McElduff, Patrick, Dale, Simeon, Hill, Kelvin, Longworth, Mark, Ward, Jeanette, Cheung, N. Wah and D'Este, Cate. (2016). From QASC to QASCIP : Successful Australian translational scale-up and spread of a proven intervention in acute stroke using a prospective pretest/post-test study design. BMJ Open. 6(5), p. Article e011568. https://doi.org/10.1136/bmjopen-2016-011568
Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF)
Craig, Louise E., McInnes, Elizabeth, Taylor, Natalie, Grimley, Rohan, Cadilhac, Dominique A., Considine, Julie and Middleton, Sandy. (2016). Identifying the barriers and enablers for a triage, treatment, and transfer clinical intervention to manage acute stroke patients in the emergency department : A systematic review using the theoretical domains framework (TDF). Implementation Science. 11, p. Article 157. https://doi.org/10.1186/s13012-016-0524-1
Education and practice gaps on atrial fibrillation and anticoagulation: A survey of cardiovascular nurses
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2016). Education and practice gaps on atrial fibrillation and anticoagulation: A survey of cardiovascular nurses. BMC Medical Education. 16, p. Article 9. https://doi.org/10.1186/s12909-015-0504-1
How has the profile of Australian Nurse practitioners changed over time?
Middleton, Sandy, Gardner, Anne, Della, Phillip R., Lam, Lawrence, Allnutt, Nissa and Gardner, Glenn. (2016). How has the profile of Australian Nurse practitioners changed over time? Collegian. 23(1), pp. 69-77. https://doi.org/10.1016/j.colegn.2014.10.004
Addressing the stroke evidence-treatment gap
Ferguson, Caleb, Hickman, Louise D., Lal, Sara, Newton, Phillip J., Kneebone, Ian I., Mcgowan, Sharon and Middleton, Sandy. (2016). Addressing the stroke evidence-treatment gap. Contemporary Nurse. 52(2-3), pp. 253-257. https://doi.org/10.1080/10376178.2016.1215235
Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey
Drury, Peta, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon and Middleton, Sandy. (2016). Stroke unit nurse managers’ views of individual and organisational factors liable to influence evidence-based practice : A survey. International Journal of Nursing Practice. 22(2), pp. 169-178. https://doi.org/10.1111/ijn.12396
Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol
Middleton, Sandy, Levi, Chris, Dale, Simeon, Chung, N. Wah, McInnes, Elizabeth, Considine, Julie, D'Este, Catherine, Cadilhac, Dominique A., Grimshaw, Jeremy, Gerraty, Richard, Craig, Louise, Schadewaldt, Verena, McElduff, Patrick, Fitzgerald, Mark, Quinn, Clare, Cadigan, Greg, Denisenko, Sonia, Longworth, Mark and Ward, Jeanette. (2016). Triage, treatment and transfer of patients with stroke in emergency department trial (the T3 Trial) : A cluster randomised trial protocol. Implementation Science. 11, p. Article 139. https://doi.org/10.1186/s13012-016-0503-6
What are the reasons for clinical network success? A qualitative study
McInnes, Elizabeth C., Haines, Mary, Dominello, Amanda, Kalucy, Deanna, Jammali-Blasi, Asmara, Middleton, Sandy and Klineberg, Emily. (2016). What are the reasons for clinical network success? A qualitative study. BMC Health Services Research. 15(497), p. Article 497. https://doi.org/10.1186/s12913-015-1096-5
Regional variation in acute stroke care organisation
Muñoz-Venturelli, Paula, Robinson, Thompson, Olavarría, Verónica V., Arima, Hisaromi, Billot, Laurent, Hackett, Maree L., Lim, Joyce y., Middleton, Sandy, Pontes-Neto, Octavio, Peng, Bin, Cui, Liying, Song, Lily, Mead, Gillian, Watkins, Caroline, Lin, Ruey-Tay, Lee, Tsong-Hai, Pandian, Jeyaraj, de Silva, H. Asita, Anderson, Craig S. and the HeadPoST Investigators. (2016). Regional variation in acute stroke care organisation. Journal of the Neurological Sciences. 371, pp. 126-130. https://doi.org/10.1016/j.jns.2016.10.026
A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams : The Out-and-About trial
McCluskey, Annie, Ada, Louise, Kelly, Patrick J., Middleton, Sandy, Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, Aspasia. (2016). A behaviour change program to increase outings delivered during therapy to stroke survivors by community rehabilitation teams : The Out-and-About trial. International Journal of Stroke. 11(4), pp. 425-437. https://doi.org/10.1177/1747493016632246
A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance
Jammali-Blasi, Asmara, McInnes, Elizabeth and Middleton, Sandy. (2016). A survey of acute care clinicians views on factors influencing hand hygiene practice and actions to improve hand hygiene compliance. Infection, Disease and Health. 21(1), pp. 16-25. https://doi.org/10.1016/j.idh.2016.01.004
Better outcomes for hospitalized patients with TIA when in stroke units: An observational study
Cadilhac, Dominique A., Kim, Joosup, Lannin, Natasha A., Levi, Christopher R., Dewey, Helen M., Hill, Kelvin, Faux, Steven, Andrew, Nadine E., Kilkenny, Monique F., Grimley, Rohan, Thrift, Amanda G., Grabsch, Brenda, Middleton, Sandy, Anderson, Craig S. and Donnan, Geoffrey A.. (2016). Better outcomes for hospitalized patients with TIA when in stroke units: An observational study. Neurology. 86(22), pp. 2042-2048. https://doi.org/10.1212/WNL.0000000000002715
Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services : An observational cohort study
McCluskey, Annie, Ada, Louise, Kelly, Patrick J., Middleton, Sandy, Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, Aspasia. (2015). Compliance with Australian stroke guideline recommendations for outdoor mobility and transport training by post-inpatient rehabilitation services : An observational cohort study. BMC Health Services Research. 15, p. Article 296. https://doi.org/10.1186/s12913-015-0952-7
Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the Quality in Acute Stroke Care (QASC) Project — A mixed methods study
Dale, Simeon, Levi, Christopher, Ward, Jeanette, Grimshaw, Jeremy M., Jammali-Blasi, Asmara, D'Este, Catherine, Griffiths, Rhonda, Quinn, Clare, Evans, Malcolm, Cadilhac, Dominic, Cheung, N. Wah and Middleton, Sandy. (2015). Barriers and enablers to implementing clinical treatment protocols for fever, hyperglycaemia, and swallowing dysfunction in the Quality in Acute Stroke Care (QASC) Project — A mixed methods study. Worldviews on Evidence-Based Nursing. 12(1), pp. 41-50. https://doi.org/10.1111/wvn.12078
Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff
Knowles, Serena, Lam, Lawrence T., McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2015). Knowledge, attitudes, beliefs and behaviour intentions for three bowel management practices in intensive care : Effects of a targeted protocol implementation for nursing and medical staff. BMC Nursing. 14, p. Article 6. https://doi.org/10.1186/s12912-015-0056-z
Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial
Muñoz-Venturelli, Paula, Arima, Hisatomi, Lavados, Pablo, Brunser, Alejandro, Peng, Bin, Cui, Liying, Song, Lily, Billot, Laurent, Boaden, Elizabeth, Hackett, Maree L., Heritier, Stephane, Jan, Stephen, Middleton, Sandy, Olavarría, Verónica V., Lim, Joyce Y., Lindley, Richard I., Heeley, Emma, Robinson, Thompson, Pontes-Neto, Octavio, ... Anderson, Craig S.. (2015). Head Position in Stroke Trial (HeadPoST) – sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial. Trials. 16, p. Article 256. https://doi.org/10.1186/s13063-015-0767-1
Triage, treatment and transfer : Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke
Middleton, Sandy, Grimley, Rohan and Alexandrov, Anne W.. (2015). Triage, treatment and transfer : Evidence-based clinical practice recommendations and models of nursing care for the first 72 hours of admission to hospital for acute stroke. Stroke. 46(2), pp. e18-e25. https://doi.org/10.1161/STROKEAHA.114.006139
The caregiver role in thromboprophylaxis management in atrial fibrillation : A literature review
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2015). The caregiver role in thromboprophylaxis management in atrial fibrillation : A literature review. European Journal of Cardiovascular Nursing. 14(2), pp. 98-107. https://doi.org/10.1177/1474515114547647
A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene
McInnes, Elizabeth, Phillips, Rosemary, Middleton, Sandy and Gould, Dinah. (2014). A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. BMC Infectious Diseases. 14, p. Article 611. https://doi.org/10.1186/s12879-014-0611-3
Prescribing uper limb exercises after stroke: A survey of curent UK therapy practice
Connell, Louise A., McMahon, Naoimh E., Eng, Janice Jennifer and Watkins, Caroline Leigh. (2014). Prescribing uper limb exercises after stroke: A survey of curent UK therapy practice. Journal of Rehabilitation Medicine. 46(3), pp. 212 - 218. https://doi.org/10.2340/16501977-1268
Atrial fibrillation : Stroke prevention in focus
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2014). Atrial fibrillation : Stroke prevention in focus. Australian Critical Care. 27(2), pp. 92-98. https://doi.org/10.1016/j.aucc.2013.08.002
Health service management study for stroke : A randomized controlled trial to evaluate two models of stroke care
Chan, Daniel K.Y., Levi, Chris, Cordato, Dennis, O'Rourke, Fintan, Chen, Jack, Redmond, Helen, Xu, Ying-Hua, Middleton, Sandy, Pollack, Michael and Hankey, Graeme. (2014). Health service management study for stroke : A randomized controlled trial to evaluate two models of stroke care. International Journal of Stroke. 9(4), pp. 400-405. https://doi.org/10.1111/ijs.12240
Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia
Drury, Peta, Levi, Christopher, McInnes, Elizabeth, Hardy, Jennifer, Ward, Jeanette, Grimshaw, Jeremy M., D'Este, Catherine, Dale, Simeon, McElduff, Patrick, Cheung, N. Wah, Quinn, Clare, Griffiths, Rhonda, Evans, Malcolm, Cadilhac, Dominique and Middleton, Sandy. (2014). Management of fever, hyperglycemia, and swallowing dysfunction following hospital admission for acute stroke in New South Wales, Australia. International Journal of Stroke. 9(1), pp. 23-31. https://doi.org/10.1111/ijs.12194
Identifying continence options after stroke (ICONS): A cluster randomised controlled feasibility trial
Thomas, Lois H., Watkins, Caroline Leigh, Sutton, Christopher J., Forshaw, Denise, Leathley, Michael J., French, Beverley, Burton, Christopher R., Cheater, Francine, Roe, Brenda, Britt, David, Booth, Jo, McColl, Elaine, Carter, Bernadette, Rodgers, Helen, Brittain, Katie, Walker, Andrew, Barrett, James, Whiteley, Gemma, Brand, Pat, ... Wright, Jean. (2014). Identifying continence options after stroke (ICONS): A cluster randomised controlled feasibility trial. Trials. 15(1), pp. 1 - 15. https://doi.org/10.1186/1745-6215-15-509
Therapists' use of the graded repetitive arm supplementary program (GRASP) intervention: A practice implementation survey study
Connell, Louise A., McMahon, Naoimh E., Watkins, Caroline Leigh and Eng, Janice Jennifer. (2014). Therapists' use of the graded repetitive arm supplementary program (GRASP) intervention: A practice implementation survey study. Physical Therapy. 94(5), pp. 632 - 643. https://doi.org/10.2522/ptj.20130240
Thrombolysis ImPlementation in Stroke (TIPS) : Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care
Paul, Christine L., Levi, Christopher R., D'Este, Catherine, Parsons, Mark W., Bladin, Christopher F., Lindley, Richard I., Attia, John R., Henskens, Frans, Lalor, Erin, Longworth, Mark, Middleton, Sandy, Ryan, Annika, Kerr, Erin, Sanson-Fisher, Robert W. and Thrombolysis ImPlementation in Stroke (TIPS) Study Group. (2014). Thrombolysis ImPlementation in Stroke (TIPS) : Evaluating the effectiveness of a strategy to increase the adoption of best evidence practice - protocol for a cluster randomised controlled trial in acute stroke care. Implementation Science. 9, p. Article 38. https://doi.org/10.1186/1748-5908-9-38
Not just a 'funny turn'.
Watkins, Caroline, Jones, Stephanie and Gibson, J. M.. (2014). Not just a 'funny turn'. Nursing Older People. 26(4), pp. 11 - 11. https://doi.org/10.7748/nop2014.04.26.4.11.s15
Investigating measures of intensity during a structured upper limb exercise program in stroke rehabilitation: An exploratory study
Connell, Louise A., McMahon, Naoimh E., Simpson, Lisa A., Watkins, Caroline Leigh and Eng, Janice Jennifer. (2014). Investigating measures of intensity during a structured upper limb exercise program in stroke rehabilitation: An exploratory study. Archives of Physical Medicine and Rehabilitation. 95(12), pp. 2410 - 2419. https://doi.org/10.1016/j.apmr.2014.05.025
Quality in Acute Stroke Care (QASC) : Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke
Drury, Peta, Levi, Christopher, D'Este, Catherine, McElduff, Patrick, McInnes, Elizabeth, Hardy, Jennifer, Dale, Simeon, Cheung, N. Wah, Grimshaw, Jeremy M., Quinn, Clare, Ward, Jeanette, Evans, Malcolm, Cadilhac, Dominique, Griffiths, Rhonda and Middleton, Sandy. (2014). Quality in Acute Stroke Care (QASC) : Process evaluation of an intervention to improve the management of fever, hyperglycaemia and swallowing dysfunction following acute stroke. International Journal of Stroke. 9(6), pp. 766-776. https://doi.org/10.1111/ijs.12202
Evaluation of the implementation of a bowel management protocol in intensive care : Effect on clinical practices and patient outcomes
Knowles, Serena, McInnes, Elizabeth, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2014). Evaluation of the implementation of a bowel management protocol in intensive care : Effect on clinical practices and patient outcomes. Journal of Clinical Nursing. 23(5-6), pp. 716-730. https://doi.org/10.1111/jocn.12448
A formative evaluation of the implementation of an upper limb stroke rehabilitation intervention in clinical practice: a qualitative interview study
Connell, Louise, McMahon, Naoimh E., Harris, Jocelyn E., Watkins, Caroline and Eng, Janice J.. (2014). A formative evaluation of the implementation of an upper limb stroke rehabilitation intervention in clinical practice: a qualitative interview study. Implementation Science. 9(1), pp. 1 - 12. https://doi.org/10.1186/s13012-014-0090-3
Postal and face-to-face administration of stroke outcome measures : Can mixed modes be used?
Sutton, C, Watkins, Caroline, Cook, N, Leathley, M, McAdam, J and Dey, P. (2013). Postal and face-to-face administration of stroke outcome measures : Can mixed modes be used? Stroke: a journal of cerebral circulation. https://doi.org/10.1161/STROKEAHA.112.671743
Training emergency services' dispatchers to recognise stroke: An interrupted time-series analysis
Watkins, Caroline, Leathley, Michael, Jones, Susanne, Ford, Gary, Quinn, Tom and Sutton, Chris. (2013). Training emergency services' dispatchers to recognise stroke: An interrupted time-series analysis. BMC Health Services Research. 13(318), pp. 1 - 9. https://doi.org/10.1186/1472-6963-13-318
Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients
Duff, Jed, Walker, Kim, Abdulla, Omari, Middleton, Sandy and McInnes, Elizabeth. (2013). Educational outreach visits to improve nurses' use of mechanical venous thromboembolism prevention in hospitalized medical patients. Journal of Vascular Nursing. 31(4), pp. 139-149. https://doi.org/10.1016/j.jvn.2013.04.002
'is he awake?' : Dialogues between callers and call handlers about consciousness during emergency calls for suspected acute stroke
Gibson, J, Bullock, M, Ford, G, Jones, Susanne, Leathley, M, McAdam, J, Quinn, T and Watkins, Caroline. (2013). 'is he awake?' : Dialogues between callers and call handlers about consciousness during emergency calls for suspected acute stroke. Emergency Medicine Journal. https://doi.org/10.1136/emermed-2012-201195
The identification of acute stroke : An analysis of emergency calls
Jones, Susanne, Carter, B, Ford, G, Gibson, J, Leathley, M, McAdam, J, O'Donnell, Maryanne, Punekar, S, Quinn, T and Watkins, Caroline. (2013). The identification of acute stroke : An analysis of emergency calls. International Journal of Stroke. https://doi.org/10.1111/j.1747-4949.2011.00749.x
Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients : A prospective before-and-after intervention study
Duff, Jed, Omari, Abdulla, Middleton, Sandy, McInnes, Elizabeth and Walker, Kim. (2013). Educational outreach visits to improve venous thromboembolism prevention in hospitalised medical patients : A prospective before-and-after intervention study. BMC Health Services Research. 13, p. Article 398. https://doi.org/10.1186/1472-6963-13-398
The challenges of implementing a telestroke network: A systematic review and case study
French, Beverley, Day, Elaine, Watkins, Caroline, McLoughlin, Alison, Fitzgerald, Jane, Leathley, Michael, Davies, Paul, Emsley, Hedley, Ford, Gary and Jenkinson, Damian. (2013). The challenges of implementing a telestroke network: A systematic review and case study. BMC Medical Information and Decision Making. 13(125), pp. 1 - 9. https://doi.org/10.1186/1472-6947-13-125
The use of formal and informal knowledge sources in patients' treatment decisions in secondary stroke prevention : Qualitative study
Gibson, J and Watkins, Caroline. (2013). The use of formal and informal knowledge sources in patients' treatment decisions in secondary stroke prevention : Qualitative study. Health Expectations. https://doi.org/10.1111/j.1369-7625.2011.00724.x
Illustrating problems faced by stroke researchers : A review of cluster-randomized controlled trials
Sutton, C, Watkins, Caroline and Dey, P. (2013). Illustrating problems faced by stroke researchers : A review of cluster-randomized controlled trials. International Journal of Stroke. https://doi.org/10.1111/j.1747-4949.2012.00915.x
Using telemedicine for acute stroke assessment
Gibson, J, Fitzgerald, Jenny, Gibson, A, McAdam, J, Lightbody, L, McLoughlin, A, Watkins, Caroline and Day, E. (2013). Using telemedicine for acute stroke assessment. Nursing Times.
Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers
Ahern, Tracey, Gardner, Anne, Gardner, Glenn, Middleton, Sandy and Della, Phillip. (2013). Development and interrater reliability testing of a telephone interview training programme for Australian nurse interviewers. Nurse Education Today. 33(5), pp. 470-474. https://doi.org/10.1016/j.nedt.2012.05.001
Atrial fibrillation and thromboprophylaxis in heart failure : The need for patient-centered approaches to address adherence
Ferguson, Caleb, Inglis, Sally C., Newton, Phillip J., Middleton, Sandy, Macdonald, Peter S. and Davidson, Patricia M.. (2013). Atrial fibrillation and thromboprophylaxis in heart failure : The need for patient-centered approaches to address adherence. Vascular Health and Risk Management. 9, pp. 3-11. https://doi.org/10.2147/VHRM.S39571
Comprehensive stroke units : A review of comparative evidence and experience
Chan, Daniel K. Y., Cordato, Dennis, O'Rourke, Fintan, Chan, Daniel L., Pollack, Michael, Middleton, Sandy and Levi, Chris. (2013). Comprehensive stroke units : A review of comparative evidence and experience. International Journal of Stroke. 8(4), pp. 260-264. https://doi.org/10.1111/j.1747-4949.2012.00850.x
Clinical guidelines for acute stroke management : Which recommendations should remain consensus-based?
Middleton, Sandy, Rowley, Julianne, Hillege, Sharon, Hill, Kelvin, Churilov, Leonid and Allnutt, Nissa. (2013). Clinical guidelines for acute stroke management : Which recommendations should remain consensus-based? Journal of Vascular Nursing. 31(2), pp. 72-83. https://doi.org/10.1016/j.jvn.2012.10.001
What people say about travelling outdoors after their stroke : A qualitative study
Barnsley, Lara, McCluskey, Annie and Middleton, Sandy. (2012). What people say about travelling outdoors after their stroke : A qualitative study. Australian Occupational Therapy Journal. 59, pp. 71-78. https://doi.org/10.1111/j.1440-1630.2011.00935.x
Stroke clinicians' priorities for stroke research
Lannin, Natasha, Ada, Louise, Lindley, Richard, Longworth, Mark, McCluskey, Annie and Middleton, Sandy. (2012). Stroke clinicians' priorities for stroke research. The Internet Iournal of Allied Health Sciences and Practice. 10(4), pp. 1-8. https://doi.org/10.46743/1540-580X/2012.1419
Care of patients with a diagnosis of chronic obstructive pulmonary disease : A cluster randomised controlled trial
Zwar, Nicholas A., Hermitz, Oshana, Comino, Elizabeth, Middleton, Sandy, Vagholkar, Sanjyot, Xuan, Wei, Wilson, Stephen and Marks, Guy B.. (2012). Care of patients with a diagnosis of chronic obstructive pulmonary disease : A cluster randomised controlled trial. Medical Journal of Australia. 197(7), pp. 394-398. https://doi.org/10.5694/mja12.10813
Clinical effectiveness, cost-effectiveness and service users' perceptions of early, well-resourced communication therapy following a stroke : A randomised controlled trial (the ACT NoW study)
Bowen, A, Hesketh, A, Patchick, E, Young, A, Davies, Lauren, Vail, A, Long, A, Watkins, Caroline, Wilkinson, Michael David and Pearl, G. (2012). Clinical effectiveness, cost-effectiveness and service users' perceptions of early, well-resourced communication therapy following a stroke : A randomised controlled trial (the ACT NoW study). Health Technology Assessment. 16(26), pp. 1 - 159. https://doi.org/10.3310/hta16260
People's experiences of the impact of transient ischaemic attack and its consequences : Qualitative study
Gibson, J and Watkins, Caroline. (2012). People's experiences of the impact of transient ischaemic attack and its consequences : Qualitative study. Journal of Advanced Nursing. 68(8), pp. 1707 - 1715. https://doi.org/10.1111/j.1365-2648.2011.05849.x
Stroke management : Updated recommendations for treatment along the care continuum
Wright, L., Hill, K. M., Bernhardt, J., Lindley, R., Ada, L., Bajorek, B. V., Barber, P. A., Beer, C., Golledge, J., Gustafsson, L., Hersh, D., Kenardy, J., Perry, L., Middleton, S., Brauer, S. G. and Nelson, M. R.. (2012). Stroke management : Updated recommendations for treatment along the care continuum. Internal Medicine Journal. 42(5), pp. 562-569. https://doi.org/10.1111/j.1445-5994.2012.02774.x
Hi4D-ADSiP 3-D dynamic facial articulation database
Matuszewski, B, Quan, W, Shark, L, McLoughlin, A, Lightbody, C, Emsley, H and Watkins, Caroline. (2012). Hi4D-ADSiP 3-D dynamic facial articulation database. Image and Vision Computing. 30(10), pp. 713 - 727. https://doi.org/10.1016/j.imavis.2012.02.002
A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams : Study Protocol
Bunker, Jeremy M., Reddel, Helen K., Dennis, Sarah M., Middleton, Sandy, Van Schayck, CP, Crockett, Alan J., Hasan, Iqbal, Hermiz, Oshana, Vagholkar, Sanjyot, Marks, Guy B. and Zwar, Nicholas A.. (2012). A pragmatic cluster randomized controlled trial of early intervention for chronic obstructive pulmonary disease by practice nurse-general practitioner teams : Study Protocol. Implementation Science. 7(1), pp. 1 - 10. https://doi.org/10.1186/1748-5908-7-83
A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks
McInnes, Elizabeth, Middleton, Sandy, Gardner, Glenn, Haines, Mary, Haertsch, Maggie, Paul, Christine L. and Castaldi, Peter. (2012). A qualitative study of stakeholder views of the conditions for and outcomes of successful clinical networks. BMC Health Services Research. 12(1), p. Article 49. https://doi.org/10.1186/1472-6963-12-49
Determinants of successful clinical networks : The conceptual framework and study protocol
Haines, Mary, Brown, Bernadette, Craig, Jonathan, D'Este, Catherine, Elliott, Elizabeth, Klineberg, Emily, McInnes, Elizabeth, Middleton, Sandy, Paul, Christine, Redman, Sally and Yano, Elizabeth M.. (2012). Determinants of successful clinical networks : The conceptual framework and study protocol. Implementation Science. 7(16), pp. 1-10. https://doi.org/10.1186/1748-5908-7-16
Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention : A before-after intervention study
Sutherland-Fraser, Sally, McInnes, Elizabeth, Maher, Elisabeth and Middleton, Sandy. (2012). Peri-operative nurses' knowledge and reported practice of pressure injury risk assessment and prevention : A before-after intervention study. BMC Nursing. 11, p. Article 25. https://doi.org/10.1186/1472-6955-11-25
Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria : A randomised controlled trial
Bowen, Audrey, Hesketh, Anne, Patchick, Emma, Young, Alys, Davies, Linda, Vail, Andy, Long, Andrew, Watkins, Caroline, Wilkinson, Michael David, Pearl, Gill, Ralph, Matthew A. Lambon and Tyrrell, Pippa. (2012). Effectiveness of enhanced communication therapy in the first four months after stroke for aphasia and dysarthria : A randomised controlled trial. British Medical Journal. 345(e4407), pp. 1 - 15. https://doi.org/10.1136/bmj.e4407
Preventing hypothermia in elective arthroscopic shoulder surgery patients : A protocol for a randomised controlled trial
Duff, Jed, di Staso, Renatta, Cobbe, Kerry-Anne, Draper, Nicole, Tan, Simon, Haliday, Emma, Middleton, Sandy, Lam, Lawerence and Walker, Kim. (2012). Preventing hypothermia in elective arthroscopic shoulder surgery patients : A protocol for a randomised controlled trial. BMC Surgery. 12(14), pp. 1-6. https://doi.org/10.1186/1471-2482-12-14
Callers' experiences of making emergency calls at the onset of acute stroke : A qualitative study
Jones, Stephanie, Dickinson, H, Ford, G, Gibson, J, Leathley, M, McAdam, J, McLoughlin, A, Quinn, T and Watkins, Caroline. (2012). Callers' experiences of making emergency calls at the onset of acute stroke : A qualitative study. Emergency Medicine Journal. 29(6), pp. 502 - 505. https://doi.org/10.1136/emj.2010.108563
Improving quality of life by increasing outings after stroke : Study protocol for the Out-and-About trial
McClusky, Annie, Ada, Louise, Middleton, Sandy, Kelly, Patrick J., Goodall, Stephen, Grimshaw, Jeremy M., Logan, Pip, Longworth, Mark and Karageorge, A.. (2012). Improving quality of life by increasing outings after stroke : Study protocol for the Out-and-About trial. International Journal of Stroke. 8(1), pp. 54-58. https://doi.org/10.1111/j.1747-4949.2012.00966.x
An outcomes approach to stroke care : The importance of teamwork and evidence-based nursing care
Middleton, Sandy. (2012). An outcomes approach to stroke care : The importance of teamwork and evidence-based nursing care. International Journal of Stroke. 7(3), pp. 224-226. https://doi.org/10.1111/j.1747-4949.2012.00774.x
Authors' reply to Enderby, Meteyard, and Thornton
Bowen, Audrey, Hesketh, Anne, Patchick, Emma, Young, Alys, Davies, Linda, Vail, Andy, Long, Andrew F., Watkins, Caroline, Wilkinson, Mo, Pearl, Gill, Ralph, Matthew A. and Tyrrell, Pippa. (2012). Authors' reply to Enderby, Meteyard, and Thornton. BMJ: British Medical Journal. 345(7874), pp. 1 - 2. https://doi.org/10.1136/bmj.e6023
Predictors of accuracy of diagnosis of chronic obstructive pulmonary disease in general practice
Zwar, Nicholas A., Marks, Guy B., Hermiz, Oshana, Middleton, Sandy, Comino, Elizabeth J., Hasan, Iqbal, Vagholkar, Sanjyot and Wilson, Stephen F.. (2011). Predictors of accuracy of diagnosis of chronic obstructive pulmonary disease in general practice. Medical Journal of Australia. 195(4), pp. 168-171. https://doi.org/10.5694/j.1326-5377.2011.tb03271.x
Mapping vocational rehabilitation services for people with long term neurological conditions: Summary report
Playford, E, Radford, K, Burton, C, Gibson, A, Sweetland, J and Watkins, Caroline. (2011). Mapping vocational rehabilitation services for people with long term neurological conditions: Summary report United Kingdom: Department of Health.
An investigation of family carers' needs following stroke survivors' discharge from acute hospital care in Australia
Perry, Lin and Middleton, Sandy. (2011). An investigation of family carers' needs following stroke survivors' discharge from acute hospital care in Australia. Disability and Rehabilitation. 33(19-20), pp. 1890-1900. https://doi.org/10.3109/09638288.2011.553702
A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit
Jammali-Blasi, Asmara, McInnes, Elizabeth, Markus, Romesh, Faux, Steven, O'Loughlin, Grainne, Dale, Simeon and Middleton, Sandy. (2011). A study of 90-day outcomes for a cohort of patients admitted to an Australian metropolitan acute stroke unit. Journal of Vascular Nursing. 29(1), pp. 3-10. https://doi.org/10.1016/j.jvn.2010.11.004
The UK forum for stroke training and the stroke-specific education framework
Watkins, Caroline, Barron, Tracey, Davis, David, Hatton, Steve, Jenkinson, D, Jones, Stephanie, Price, Chris, South, Adrian, Quinn, T and Leathley, M. (2011). The UK forum for stroke training and the stroke-specific education framework. Journal of Paramedic Practice. 3(9), pp. 481 - 482. https://doi.org/10.12968/jpar.2011.3.9.481
Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC) : A cluster randomised controlled trial
Middleton, Sandy, McElduff, Patrick, Ward, Jeanette, Grimshaw, Jeremy M., Dale, Simeon, D'Este, Catherine, Drury, Peta, Griffiths, Rhonda, Cheung, N. Wah, Quinn, Clare, Evans, Malcolm, Cadilhac, Dominique and Levi, Christopher. (2011). Implementation of evidence-based treatment protocols to manage fever, hyperglycaemia, and swallowing dysfunction in acute stroke (QASC) : A cluster randomised controlled trial. The Lancet. 378(9804), pp. 1699-706. https://doi.org/10.1016/S0140-6736(11)61485-2
Study protocol :iCONS: identifying continence options after stroke: A randomised trial
Thomas, Lois, Watkins, Caroline, French, B, Sutton, C, Forshaw, D, Cheater, F, Roe, B, Leathley, M, Burton, C, McColl, E and Booth, J. (2011). Study protocol :iCONS: identifying continence options after stroke: A randomised trial. Trials. 12, pp. 1 - 10. https://doi.org/10.1186/1745-6215-12-131
The status of Australian nurse practitioners: The second national census
Middleton, Sandy, Gardner, Anne, Gardner, G. and Della, P R.. (2011). The status of Australian nurse practitioners: The second national census. Australian Health Review. 35(4), pp. 448 - 454. https://doi.org/10.1071/AH10987
Death, dependency and health status 90 days following hospital admission for acute stroke in NSW
Middleton, S., Levi, C., Ward, J., Grimshaw, J., Griffiths, R., D'Este, C., Dale, S., Quinn, C., Evans, M., Cadilhac, D. and McElduff, P.. (2011). Death, dependency and health status 90 days following hospital admission for acute stroke in NSW. Internal Medicine Journal. 41(10), pp. 736-743. https://doi.org/10.1111/j.1445-5994.2010.02330.x
Continence management in acute stroke : A survey of current practices in Australia
Jordan, Louise-Anne, Mackey, Elizabeth, Coughlan, Kelly, Wyer, Mary, Allnutt, Nissa and Middleton, Sandy. (2011). Continence management in acute stroke : A survey of current practices in Australia. Journal of Advanced Nursing. 67(1), pp. 94-104. https://doi.org/10.1111/j.1365-2648.2010.05480.x
The 12-month effects of early motivational interviewing after acute stroke :A randomized controlled trial
Watkins, Caroline, Wathan, J, Leathley, M, Auton, M, Deans, Carol, Dickinson, H, Jack, Cathy, Sutton, C, Van Den Broek, M and Lightbody, C. (2011). The 12-month effects of early motivational interviewing after acute stroke :A randomized controlled trial. Stroke: a journal of cerebral circulation. 42(7), pp. 1956 - 1961. https://doi.org/10.1161/STROKEAHA.110.602227
Clinical guidelines for stroke management 2010
National Stroke Foundation and *Middleton, Sandy. (2010). Clinical guidelines for stroke management 2010 National Stroke Foundation.
Foreword
Middleton, Sandy. (2010). Foreword. In In Williams, Jane, Perry, Lin and Watkins, Caroline (Ed.). Acute stroke nursing pp. vii-xi Wiley-Blackwell.
A snapshot of Australian nurse practitioners' extended practice activities
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip and Doubrovsky, Anna. (2010). A snapshot of Australian nurse practitioners' extended practice activities. The Nurse Practitioner Series. 3(1), pp. 8-15.
Evaluation of a housing support program for people who are at risk of homelessness : Perspective of people who refer clients
Rose, McMaster,, Hawley, Rhonda, Fletcher, Terese, Gillett, Wendy, McDermott, Susan and Middleton, Sandy. (2010). Evaluation of a housing support program for people who are at risk of homelessness : Perspective of people who refer clients. Journal of Social Distress and the Homeless. 19(April), pp. 18-46. https://doi.org/10.1179/105307810805365080
Combined conservative interventions for urge, stress or mixed incontinence in adults (protocol)
French, Beverley, Thomas, Lois H., Sutton, Christopher J., Booth, J., Brittain, Katie, Burton, Christopher R., Cheater, Francine, Roe, Brenda, Hay-Smith, E. Jean C., McAdam, J. J. and Watkins, Caroline. (2010). Combined conservative interventions for urge, stress or mixed incontinence in adults (protocol). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD008910
Changing stroke mortality trends in middle-aged people : An age-period-cohort analysis of routine mortality data in persons aged 40 to 69 in England
Sutton, C, Marsden, J, Watkins, Caroline, Leathley, M and Dey, P. (2010). Changing stroke mortality trends in middle-aged people : An age-period-cohort analysis of routine mortality data in persons aged 40 to 69 in England. Journal of Epidemiology and Community Health. 64(6), pp. 523 - 529. https://doi.org/10.1136/jech.2008.086785
The work of nurse practitioners
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Della, Phillip, Kain, Victoria and Doubrovsky, Anna. (2010). The work of nurse practitioners. Journal of Advanced Nursing. 66(10), pp. 2160-2169. https://doi.org/10.1111/j.1365-2648.2010.05379.x
The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group
Middleton, Sandy, Gardner, Glenn, Gardner, Anne, Della, Phillip, Gibb, Michelle and Millar, Lynne. (2010). The first Australian nurse practitioner census : A protocol to guide standardized collection of information about an emergent professional group. International Journal of Nursing Practice. 16(5), pp. 517-524. https://doi.org/10.1111/j.1440-172X.2010.01877.x
Does repetitive task training improve functional activity after stroke? : A Cochrane systematic review and meta-analysis
French, Beverley, Thomas, Lois, Leathley, Michael, Sutton, Christopher, McAdam, Joanna, Forster, Anne, Langhorne, Peter, Price, Chris, Walker, Annette and Watkins, Caroline. (2010). Does repetitive task training improve functional activity after stroke? : A Cochrane systematic review and meta-analysis. Journal of Rehabilitation Medicine. 42(1), pp. 9 - 15. https://doi.org/10.2340/16501977-0473
Development and validation of a novel approach to work sampling : A study of work practitioner work patterns
Gardner, Glenn, Gardner, Anne, Middleton, Sandy, Gibb, Michelle, Della, Phillip and Duffield, Christine. (2010). Development and validation of a novel approach to work sampling : A study of work practitioner work patterns. Australian Journal of Advanced Nursing. 27(4), pp. 4-12.
Setting stroke research priorities : The consumer perspective
Sangvatanakul, Pukkaporn, Hillege, Sharon, Lalor, Erin, Levi, Christopher, Hill, Kelvin and Middleton, Sandy. (2010). Setting stroke research priorities : The consumer perspective. Journal of Vascular Nursing. 28(4), pp. 121-131. https://doi.org/10.1016/j.jvn.2010.09.001
Very early rehabilitation or intensive telemetry after stroke : A pilot randomised trial
Langhorne, P, Stott, D, Knight, A, Bernhardt, Julie, Barer, D and Watkins, Caroline. (2010). Very early rehabilitation or intensive telemetry after stroke : A pilot randomised trial. Cerebrovascular Diseases. 29(4), pp. 352 - 360. https://doi.org/10.1159/000278931
Patient care guidelines : A telephone survey of intensive care practices in New South Wales
Knowles, Serena, Rolls, Kaye, Elliott, Doug, Hardy, Jennifer and Middleton, Sandy. (2010). Patient care guidelines : A telephone survey of intensive care practices in New South Wales. Australian Critical Care. 23(1), pp. 21-29. https://doi.org/10.1016/j.aucc.2009.10.001
Increasing delivery of an outdoor journey intervention to people with stroke : A feasibility study involving five community rehabilitation teams
McCluskey, Annie and Middleton, Sandy. (2010). Increasing delivery of an outdoor journey intervention to people with stroke : A feasibility study involving five community rehabilitation teams. Implementation Science. 5, p. Article 59. https://doi.org/10.1186/1748-5908-5-59
Clients' understanding of the role of nurse practitioners
Susan, Allnutt,, Allnutt, Nissa, McMaster, Rose, O'Connell, Jane, Middleton, Sandy, Hillege, Sharon, Della, Phillip R., Gardner, Glenn E. and Gardner, Anne. (2010). Clients' understanding of the role of nurse practitioners. Australian Health Review. 34(1), pp. 59-65. https://doi.org/10.1071/AH09688
Nurses report a healthy culture : Results of the Practice Environment Scale (Australia) in an Australian hospital seeking magnet recognition
Walker, Kim, Middleton, Sandy, Rolley, John and Duff, Jed. (2010). Nurses report a healthy culture : Results of the Practice Environment Scale (Australia) in an Australian hospital seeking magnet recognition. International Journal of Nursing Practice. 16(6), pp. 616-623. https://doi.org/10.1111/j.1440-172X.2010.01890.x
Protocol and pilot data for establishing the Australian Stroke Clinical Registry
Cadihac, Dominique A., Lannin, Natasha A., Anderson, Craig S., Levi, Christopher R., Faux, Steven, Price, Chris, Middleton, Sandy, Lim, Joyce, Thrift, Amanda G. and Donnan, Geoffrey. (2010). Protocol and pilot data for establishing the Australian Stroke Clinical Registry. International Journal of Stroke. 5(3), pp. 217-226. https://doi.org/10.1111/j.1747-4949.2010.00430.x
Does repetitive task training improve functional activity after stroke? : A Cochrane systematic review and meta-analysis
French, Beverley, Thomas, Lois, Leathley, Michael, Sutton, Christopher, McAdam, Joanna, Forster, Anne, Langhorne, Peter, Price, Chris, Walker, Annette and Watkins, Caroline. (2010). Does repetitive task training improve functional activity after stroke? : A Cochrane systematic review and meta-analysis. Journal of Rehabilitation Medicine. 42(1), pp. 9 - 15. https://doi.org/10.2340/16501977-0473
Stroke knowledge and awareness : An integrative review of the evidence
Jones, Susanne, Jenkinson, A, Leathley, M and Watkins, Caroline. (2010). Stroke knowledge and awareness : An integrative review of the evidence. Age and Ageing. 39(1), pp. 11 - 22. https://doi.org/10.1093/ageing/afp196;10.1093/ageing/afp196
Delivering an evidence-based outdoor journey intervention to people with stroke : Barriers and enablers experienced by community rehabilitation teams
McCluskey, Annie and Middleton, Sandy. (2010). Delivering an evidence-based outdoor journey intervention to people with stroke : Barriers and enablers experienced by community rehabilitation teams. BMC Health Services Research. 10, p. Article 18. https://doi.org/10.1186/1472-6963-10-18
The status of Australian nurse practitioners : The first national census
Gardner, Anne, Della, Phillip R., Middleton, Sandy and Gardner, Glenn. (2009). The status of Australian nurse practitioners : The first national census. Australian Health Review. 33(4), pp. 679-689. https://doi.org/10.1071/AH090679
Nursing patients with neurological problems
Watkins, Caroline Leigh. (2009). Nursing patients with neurological problems. In In G. Castledine and A. Close (Ed.). Oxford handbook of adult nursing pp. 435 - 484 Oxford University Press. https://doi.org/10.1093/med/9780199231355.003.0013
Why fellowship? Peak professional bodies, peer recognition and credentialing in Australia
Middleton, Sandy, Walker, Kim and Leigh, Trina. (2009). Why fellowship? Peak professional bodies, peer recognition and credentialing in Australia. Collegian. 16(4), pp. 177-183. https://doi.org/10.1016/j.colegn.2009.06.002
Repetitive task training for improving functional ability after stroke
French, Beverley, Thomas, Lois H., Leathley, Michael John, Sutton, Christopher J., McAdam, Joanna J., Forster, Anne, Langhorne, Peter J., Price, Christopher I.M., Walker, Andrew and Watkins, Caroline L.. (2009). Repetitive task training for improving functional ability after stroke. Stroke: a journal of cerebral circulation. 40(4), pp. 98 - 99. https://doi.org/10.1161/STROKEAHA.108.519553
Implementing clinical guidelines for acute stroke management : Do nurses have a lead role?
Hill, Kelvin, Middleton, Sandy, O'Brien, Elizabeth and Lalor, Erin. (2009). Implementing clinical guidelines for acute stroke management : Do nurses have a lead role? Australian Journal of Advanced Nursing. 26(3), pp. 53-58.
Fever, hyperglycaemia and swallowing dysfunction management in acute stroke : A cluster randomised controlled trial of knowledge transfer
Middleton, Sandy, Levi, Christopher, Ward, Jeanette, Grimshaw, Jeremy, Griffiths, Rhonda, D'Este, Catherine, Dale, Simeon, Cheung, N. Wah, Quinn, Clare, Evans, Malcolm and Cadihac, Dominique. (2009). Fever, hyperglycaemia and swallowing dysfunction management in acute stroke : A cluster randomised controlled trial of knowledge transfer. Implementation Science. 4, p. Article 16. https://doi.org/10.1186/1748-5908-4-16
Psychological intervention poststroke: ready for action?
Watkins, Caroline and French, Beverley. (2009). Psychological intervention poststroke: ready for action? Stroke. 40(9), pp. 2951 - 2952. https://doi.org/10.1161/STROKEAHA.109.562348
Treatment of stroke: Acting on the symptoms
Jones, Stephanie, Leathley, Michael J. and Watkins, Caroline Leigh. (2008). Treatment of stroke: Acting on the symptoms. Asian Hospital and Healthcare Management.
The management of non-valvular atrial fibrillation (NVAF) in Australian general practice : Bridging the evidence-practice gap. A national representative postal survey
Gatellari, Melina, Worthington, John, Zwar, Nicholas A. and Middleton, Sandy. (2008). The management of non-valvular atrial fibrillation (NVAF) in Australian general practice : Bridging the evidence-practice gap. A national representative postal survey. BMC Family Practice. 9, p. Article 62. https://doi.org/10.1186/1471-2296-9-62
Nursing practice environment : How does one Australian hospital compare with magnet hospitals?
Middleton, Sandy, Griffiths, Rhonda, Fernandez, Ritin and Smith, Bronwyn. (2008). Nursing practice environment : How does one Australian hospital compare with magnet hospitals? International Journal of Nursing Practice. 14(5), pp. 366-372. https://doi.org/10.1111/j.1440-172X.2008.00708.x
A cluster randomised controlled trial of nurse and GP partnership for care of Chronic Obstructive Pulmonary Disease
Zwar, Nicholas, Hermiz, Oshana, Hasan, Iqbal, Comino, Elizabeth, Middleton, Sandy, Vagholkar, Sanjyot and Marks, Guy. (2008). A cluster randomised controlled trial of nurse and GP partnership for care of Chronic Obstructive Pulmonary Disease. BMC Pulmonary Medicine. 8, p. Article 8. https://doi.org/10.1186/1471-2466-8-8
Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians
Gatellari, Melina, Worthington, John, Zwar, Nicholas and Middleton, Sandy. (2008). Barriers to the use of anticoagulation for nonvalvular atrial fibrillation : A representative survey of Australian family physicians. Stroke. 39(1), pp. 227-230. https://doi.org/10.1161/STROKEAHA.107.495036
Treatment of urinary incontinence after stroke in adults (review)
Thomas, Lois H., Cross, S., French, B., Leathley, M. J., Sutton, C. J. and Watkins, Caroline Leigh. (2008). Treatment of urinary incontinence after stroke in adults (review). Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004462.pub3
Engaging service users in the development of stroke services: An action research study
Jones, Stephanie P., Auton, Malcolm F., Burton, Christopher R. and Watkins, Caroline L.. (2008). Engaging service users in the development of stroke services: An action research study. Journal of Clinical Nursing. 17(10), pp. 1270 - 1279. https://doi.org/10.1111/j.1365-2702.2007.02259.x
Acute stroke management: An online course
Jones, Stephanie, McLoughlin, A. and Watkins, Caroline. (2008). Acute stroke management: An online course. Journal of Paramedic Practice: the clinical monthly for emergency care professionals. 3(6), pp. 322 - 326.
Can early onset bone loss be effectively managed in post-stroke patients? An integrative review of the evidence
Marsden, Jenny, Gibson, Lorna Mary, Lightbody, Catherine Elizabeth, Sharma, Anil Kumar, Siddiqi, Mashood and Watkins, Caroline. (2008). Can early onset bone loss be effectively managed in post-stroke patients? An integrative review of the evidence. Age and Ageing. 37(2), pp. 142 - 150. https://doi.org/10.1093/ageing/afm198
A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness
French, Beverley, Leathley, Michael John, Sutton, Christopher J., McAdam, Joanna J., Thomas, Lois H., Forster, A., Langhorne, Peter J., Price, Christopher I.M., Walker, Annette and Watkins, Caroline. (2008). A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness. Health Technology Assessment. 12(30), pp. 1 - 140. https://doi.org/10.3310/hta12300
Identifying measures for evaluating new models of nursing care : A survey of NSW nurse practitioners
Middleton, Sandy, Allnutt, Susan, Griffiths, R., McMaster, Rose, O'Connell, Jane and Hillege, Sharon. (2007). Identifying measures for evaluating new models of nursing care : A survey of NSW nurse practitioners. International Journal of Nursing Practice. 13(6), pp. 331-340. https://doi.org/10.1111/j.1440-172X.2007.00647.x
Reviewing recommendations of root cause analyses
Middleton, Sandy, Chapman, Barbara, Griffiths, Rhonda and Chester, Rosemary. (2007). Reviewing recommendations of root cause analyses. Australian Health Review. 31(2), pp. 288-295. https://doi.org/10.1071/AH070288
Audit or research? Should nurse practitioners participate in these types of evaluation and what is the difference between them?
Middleton, Sandy. (2007). Audit or research? Should nurse practitioners participate in these types of evaluation and what is the difference between them? The Nurse Practitioner Series. 2(1), pp. 26-32.
Assessing surgeons' disclosure of risk information before carotid endarterrctomy
Middleton, Sandy, Gatellari, Melina, Harris, John P. and Ward, Jeanette E.. (2006). Assessing surgeons' disclosure of risk information before carotid endarterrctomy. ANZ Journal of Surgery. 76(7), pp. 618-624. https://doi.org/10.1111/j.1445-2197.2006.03788.x
Implementing root cause analysis in an area health service : Views of the participants
Middleton, Sandy, Walker, Carol and Chester, Rosemary. (2005). Implementing root cause analysis in an area health service : Views of the participants. Australian Health Review. 29(4), pp. 422-428. https://doi.org/10.1071/AH050422
Nursing intervention after carotid endarterectomy : A randomized trial of co-ordinated care post discharge (CCPD)
Middleton, Sandy, Donnelly, Neil, Harris, John and Ward, Jeanette. (2005). Nursing intervention after carotid endarterectomy : A randomized trial of co-ordinated care post discharge (CCPD). Journal of Advanced Nursing. 52(3), pp. 250-261. https://doi.org/10.1111/j.1365-2648.2005.03587.x
Effective discharge policy : Are we getting there?
Middleton, Sandy, Appleberg, Michael, Girgis, Seham and Ward, Jeanette E.. (2004). Effective discharge policy : Are we getting there? Australian Health Review. 28(3), pp. 255-259. https://doi.org/10.1071/AH040255
Improving stroke outcomes in Australia : A study of GP perspectives
Middleton, Sandy, Harris, John P., Sharpe, David M., Corbett, Alastair J., Lusby, Robert J. and Ward, Jeanette E.. (2004). Improving stroke outcomes in Australia : A study of GP perspectives. Australian Journal of Primary Health. 10(2), pp. 21-28. https://doi.org/10.1071/PY04022
Contamination of interventional research is possible through GP membership of more than one division
Middleton, Sandy and Ward, Jeanette. (2003). Contamination of interventional research is possible through GP membership of more than one division. Australian Family Physician. 32(1-2), pp. 95-96.
GP's views of quality initiatives to improve stroke outcomes following CEA
Middleton, Sandy, Harris, John, Lusby, Robert and Ward, Jeanette. (2003). GP's views of quality initiatives to improve stroke outcomes following CEA. Australian Family Physician. 32(10), pp. 858-861.
Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed?
Middleton, Sandy, Harris, John, Lusby, R. and Ward, Jeanette. (2003). Vascular disease risk factor management four years after carotid endarterectomy : Are opportunities missed? ANZ Journal of Surgery. 73(4), pp. 225-231. https://doi.org/10.1046/j.1445-1433.2002.02570.x
Case scenarios to assess Australian general practitioners' understanding of stroke diagnosis, management and prevention
Middleton, Sandy, Sharpe, David, Harris, John, Corbett, Alastair, Lusby, Robert and Ward, Jeanette. (2003). Case scenarios to assess Australian general practitioners' understanding of stroke diagnosis, management and prevention. Stroke. 34(11), pp. 2681-2686. https://doi.org/10.1161/01.STR.0000096209.04460.BB