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Primary care practices receiving the intervention did not demonstrate significantly better performance on any targeted guideline-recommended clinical behaviours relative to control practices . For prescribing behaviours and foot examination, intervention and control arms improved at 12 months relative to baseline, but this cannot be attributed to the intervention.
Objective: To determine whether an early increased-intensity upper limb therapy programme following acute stroke improves outcome. Setting: A stroke unit which provides acute care and rehabilitation for all stroke admissions. Subjects: One hundred and twenty-three patients who had had a stroke causing upper limb impairment within the previous 10 days.
Background and Purpose—Although time-dependent treatment is available, most people delay contacting emergency medical services for stroke. Given differences in the healthcare system and public health campaigns, exploring between-country differences in stroke preparedness may identify novel ways to increase acute stroke treatment. Methods—A survey was mailed to population-based samples in Ingham County, Michigan, US (n=2500), and Newcastle upon Tyne, UK (n=2500).
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