Research Topics
| G A DonnanSummaryAffiliation: University of Melbourne Country: Australia Publications
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Publications
Stroke drug development: usually, but not always, animal modelsGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Centre, University of Melbourne, Melbourne, Australia
Stroke 36:2326. 2005
StrokeGeoffrey A Donnan
National Stroke Research Institute, Austin Hospital, University of Melbourne, Melbourne, Victoria, Australia
Lancet 371:1612-23. 2008..These advances have exposed a worldwide shortage of stroke health-care workers, especially in developing countries...
Moving beyond a single perfusion threshold to define penumbra: a novel probabilistic mismatch definitionYoshinari Nagakane
National Stroke Research Institute, Florey Neuroscience Institutes, Austin Health, University of Melbourne, Victoria 3053, Australia
Stroke 43:1548-55. 2012....
Subacute ischemic stroke is associated with focal 11C PiB positron emission tomography retention but not with global neocortical Aβ depositionJohn V Ly
University of Melbourne, Carlton South, Australia
Stroke 43:1341-6. 2012..Specifically, we hypothesized that patients with recent ischemic stroke have higher local and neocortical PiB positron emission tomography retention and that this may be associated with major vascular risk factors...
Family physician decisions following stroke symptom onset and delay times to ambulance callIan Mosley
National Stroke Research Institute, Melbourne, Australia
BMC Fam Pract 12:82. 2011..Time to ambulance call will be longer when a family physician is first contacted.• Medical examination prior to the ambulance call will be associated with longer delay times...
Stroke: prediction, prevention, and outcomeGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Centre, University of Melbourne, Heidelberg West, Victoria, Australia
Lancet Neurol 3:9. 2004
Can the time window for administration of thrombolytics in stroke be increased?Geoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Centre, 300 Waterdale Road, West Heidelberg, Victoria 3081, Australia
CNS Drugs 17:995-1011. 2003..Should these means of extending the time window for thrombolysis prove successful, a more widespread use of this form of acute stroke therapy will be possible...
PROGRESS results: implementation in stroke guidelinesGeoffrey A Donnan
National Stroke Research Institute, West Heidelberg, Victoria, Australia
J Hypertens Suppl 21:S25-8. 2003..Hence, transfer of this information into clinical practice should put blood pressure lowering in place as the fourth major secondary prevention strategy for stroke...
How to make better use of thrombolytic therapy in acute ischemic strokeGeoffrey A Donnan
Florey Neuroscience Institutes, University of Melbourne, Level 2, 161 Barry Street, Carlton South, VIC 3053, Australia
Nat Rev Neurol 7:400-9. 2011..Elimination of prehospital and in-hospital delays is an urgent priority...
Surgery for intracerebral hemorrhage: an evidence-poor zoneGeoffrey A Donnan
The National Stroke Research Institute, Austin and Repatriation Medical Centre, Level 1, Neuroscience Bldg, Banksia Street, Heidelberg VIC 3084 Australia
Stroke 34:1569-70. 2003
Controversy: the essence of medical debateGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Center and the University of Melbourne, Victoria, Australia
Stroke 34:372-3. 2003
Surgical decompression for malignant middle cerebral artery infarction: a challenge to conventional thinkingGeoffrey A Donnan
The National Stroke Research Institute, Austin and Repatriation Medical Centre, Level 1, Neuroscience Bldg, Banksia Street, Heidelberg VIC 3084
Stroke 34:2307. 2003
The role of blood pressure lowering before and after strokeGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Centre, University of Melbourne, West Heidelberg, and Department of Neurology, Royal Melbourne Hospital, Parkville, Victoria, Australia
Curr Opin Neurol 16:81-6. 2003..There have been a number of significant randomized controlled trials which may influence management in each of these three categories...
Penumbral selection of patients for trials of acute stroke therapyGeoffrey A Donnan
National Stroke Research Institute, Austin Health, University of Melbourne, Australia
Lancet Neurol 8:261-9. 2009..Recent advances in penumbral imaging technology should enable a phase III alteplase trial to be done beyond 4.5 h by use of techniques to select patients with penumbral tissue...
Neuroprotection: still achievable in humansGeoffrey A Donnan
Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia
Stroke 39:525. 2008
The 2007 Feinberg lecture: a new road map for neuroprotectionGeoffrey A Donnan
National Stroke Research Institute, Austin Health, University of Melbourne, Waterdale Road, Heidelberg Heights, 3081, Australia
Stroke 39:242. 2008..The purpose of this article is to review how we reached this stage and make recommendations for a new approach to neuroprotection research...
MRI and stroke: why has it taken so long?Geoffrey A Donnan
National Stroke Research Institute, Austin Hospital, University of Melbourne, Melbourne, Victoria 3081, Australia
Lancet 369:252-4. 2007
Extracranial arterial dissection: anticoagulation is the treatment of choiceGeoffrey A Donnan
National Stroke Research Institute, Austin Hospital, University of Melbourne, 300 Waterdale Rd, Heidelberg Heights, VIC 3081, Australia
Stroke 36:2043-4. 2005
Warfarin for atrial fibrillation: the end of an era?Geoffrey A Donnan
National Stroke Research Institute, Department of Neurology, Austin Health, Department of Medicine, University of Melbourne, Heidelberg Heights, Victoria, Australia
Lancet Neurol 3:305-8. 2004..The place of surgical procedures and devices to control rhythm and prevent stroke is unclear. Whatever happens, there is a high probability that the days of warfarin are numbered...
Stroke and nutrition: FOOD for thoughtGeoffrey A Donnan
National Stroke Research Institute, Austin Hospital, University of Melbourne, Heidelberg West, Victoria 3081, Australia
Lancet 365:729-30. 2005
Stenting for middle cerebral artery stenosis: inevitable but when and howGeoffrey A Donnan
National Stroke Research Institute, Heidelberg Heights, Victoria, Australia
Stroke 38:1422. 2007
Baseline diabetic status and admission blood glucose were poor prognostic factors in the EPITHET trialD A De Silva
The Royal Melbourne Hospital, Melbourne, Australia
Cerebrovasc Dis 29:14-21. 2010..Previous data have suggested that diabetes and hyperglycemia predict poor outcome following stroke. We studied the prognostic impact of diabetes and admission blood glucose in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET)...
Topography and temporal evolution of hypoxic viable tissue identified by 18F-fluoromisonidazole positron emission tomography in humans after ischemic strokeR Markus
Department of Medicine, University of Melbourne, Melbourne, Australia
Stroke 34:2646-52. 2003..These findings have important pathophysiological and therapeutic implications...
Streptokinase increases luxury perfusion after strokeB Infeld
Department of Neurology, Royal Melbourne Hospital, Victoria, Australia
Stroke 27:1524-9. 1996..We aimed to study the effect of streptokinase on the nature of reperfusion and the relation between reperfusion and clinical outcome...
Ischemic diffusion lesion reversal is uncommon and rarely alters perfusion-diffusion mismatchT Chemmanam
Department of Neurology, The Royal Melbourne Hospital, Grattan Street, Parkville VIC 3050, Australia
Neurology 75:1040-7. 2010..However, previous studies have not considered infarct involution. We investigated the prevalence of DWI lesion reversal in the EPITHET Trial...
Hypoxic tissue in ischaemic stroke: persistence and clinical consequences of spontaneous survivalR Markus
FRACP, National Stroke Research Institute, 300 Waterdale Road, Heidelberg Heights, Victoria 3084, Australia
Brain 127:1427-36. 2004....
Baseline blood pressure but not early computed tomography changes predicts major hemorrhage after streptokinase in acute ischemic strokeA K Gilligan
National Stroke Research Institute and University of Melbourne Department of Medicine, Austin and Repatriation Medical Centre, Heidelberg West, Victoria, Australia
Stroke 33:2236-42. 2002..Intracerebral hemorrhage is the most serious complication of thrombolytic therapy for stroke. We explored factors associated with this complication in the Australian Streptokinase Trial...
Cost of stroke in Australia from a societal perspective: results from the North East Melbourne Stroke Incidence Study (NEMESIS)H M Dewey
National Stroke Research Institute and the Neurology Department, Austin and Repatriation Medical Centre, Heidelberg, Australia
Stroke 32:2409-16. 2001..The purpose of this study was to determine the patterns of resource use among stroke patients and to estimate the total costs (direct service use and indirect production losses) of stroke (excluding SAH) in Australia for 1997...
Three important subgroups of hypertensive persons at greater risk of intracerebral hemorrhage. Melbourne Risk Factor Study GroupA G Thrift
Department of Epidemiology and Preventive Medicine, Monash Medical School, Alfred Hospital, Prahran, Victoria, Australia
Hypertension 31:1223-9. 1998....
Incidence of the major stroke subtypes: initial findings from the North East Melbourne stroke incidence study (NEMESIS)A G Thrift
National Stroke Research Institute, Austin and Repatriation Medical Centre, West Heidelberg, Australia. thrift@ austin.unimelb.edu.au
Stroke 32:1732-8. 2001..There may, however, be some differences in the incidence of subtypes within Australia...
Stroke incidence on the east coast of Australia: the North East Melbourne Stroke Incidence Study (NEMESIS)A G Thrift
National Stroke Research Institute, Austin and Repatriation Medical Center, West Heidelberg, Australia
Stroke 31:2087-92. 2000..The purpose of this study was to determine the incidence of stroke in a geographically defined region of Melbourne, Australia...
White matter medullary infarcts: acute subcortical infarction in the centrum ovaleS J Read
Department of Neurology, Austin and Repatriation Medical Centre, Melbourne, Australia
Cerebrovasc Dis 8:289-95. 1998..More data are required to elucidate the mechanism of larger (> 1.5 cm) infarcts. Because of the potential overlap between white matter medullary infarcts and internal watershed infarcts, suggested criteria for each are presented...
Assessment of suitability of thrombolysis in middle cerebral artery infarction: a proof of concept study of a stereologically-based techniqueThanh G Phan
National Stroke Research Institute, Melbourne, Australia
Cerebrovasc Dis 24:321-7. 2007....
Neuroprotection and thrombolysis: combination therapy in acute ischaemic strokeJohn V Ly
National Stroke Research Institute, Level 1, Neurosciences Building, Austin Health, University of Melbourne, 300 Waterdale Road, Heidleberg Heights, Victoria 3081, Australia
Expert Opin Pharmacother 7:1571-81. 2006..Numerous studies in animal models support this view, but the concept has not, as yet, been rigorously tested in humans...
Increased risk of cognitive impairment 3 months after mild to moderate first-ever stroke: a Community-Based Prospective Study of Nonaphasic English-Speaking SurvivorsVelandai K Srikanth
Epidemiology Division, National Stroke Research Institute, Austin and Repatriation Medical Center, Melbourne, Australia
Stroke 34:1136-43. 2003..There are no comprehensive data on this issue from prospective community-based studies comparing first-ever stroke patients with stroke-free subjects...
Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): a placebo-controlled randomised trialStephen M Davis
Department of Neurology, Royal Melbourne Hospital, University of Melbourne, Australia
Lancet Neurol 7:299-309. 2008..We aimed to test whether alteplase given 3-6 h after stroke onset promotes reperfusion and attenuates infarct growth in patients who have a mismatch in perfusion-weighted MRI (PWI) and diffusion-weighted MRI (DWI)...
Results of a multicentre, randomised controlled trial of intra-arterial urokinase in the treatment of acute posterior circulation ischaemic strokeM R Macleod
National Stroke Research Institute, Melbourne, Australia
Cerebrovasc Dis 20:12-7. 2005..While intra-arterial thrombolysis may be used in this context, no randomised controlled data exist to support its safety or efficacy...
The use of PWI and DWI measures in the design of "proof-of-concept" stroke trialsP Alan Barber
Department of Neurology, Royal Melbourne Hospital, Parkville, VIC 3050, Australia
J Neuroimaging 14:123-32. 2004..These measures could be used as surrogate markers of outcome in late phase II proof-of-concept stroke studies designed to provide efficacy signals before embarking on large phase III studies with definitive clinical endpoints...
Stroke units, tissue plasminogen activator, aspirin and neuroprotection: which stroke intervention could provide the greatest community benefit?Amanda K Gilligan
Department of Neurology, Austin and Repatriation Medical Center, Heidelberg, Australia
Cerebrovasc Dis 20:239-44. 2005..Although a number of acute stroke interventions are of proven efficacy, there is uncertainty about their community benefits. We aimed to assess this within a defined population...
The functional neuroanatomy and long-term reproducibility of brain activation associated with a simple finger tapping task in older healthy volunteers: a serial PET studyL M Carey
National Stroke Research Institute, Austin and Repatriation Medical Centre, Heidelberg, Victoria, 3084
Neuroimage 11:124-44. 2000..Evidence of individual differences in extent of activation over time highlights the need for caution when interpreting similar changes in patient studies...
Dextran reduces embolic signals after carotid endarterectomyC R Levi
Department of Neurology, John Hunter Hospital, Newcastle, Australia
Ann Neurol 50:544-7. 2001..040). We conclude that dextran reduces embolic signals within 3 hours of CEA...
Improvements in the quality of care and health outcomes with new stroke care units following implementation of a clinician-led, health system redesign programme in New South Wales, AustraliaD A Cadilhac
National Stroke Research Institute, Austin Health, Heidelberg Heights, Victoria, Australia
Qual Saf Health Care 17:329-33. 2008..Our objective was to determine the effects of this initiative for improving: (i) access to SCUs and care quality and (ii) health outcomes...
Risk of ischemic stroke among users of the oral contraceptive pill: The Melbourne Risk Factor Study (MERFS) GroupSasitorn Siritho
National Stroke Research Institute, Austin and Repatriation Medical Centre, West Heidelberg, Australia
Stroke 34:1575-80. 2003..Other modifiable risk factors such as hypertension, diabetes mellitus, and smoking are important...
Long-term outcome in the North East Melbourne Stroke Incidence Study: predictors of quality of life at 5 years after strokeSeana L Paul
National Stroke Research Institute, Heidelberg Heights, Victoria, Australia
Stroke 36:2082-6. 2005..As our population ages, the number of strokes and, thus, stroke survivors with poor HRQoL is likely to increase. Therefore, strategies to improve HRQoL should be vigorously pursued...
The benefits of intravenous thrombolysis relate to the site of baseline arterial occlusion in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET)Deidre A De Silva
Department of Neurology, Royal Melbourne Hospital, Melbourne, Australia
Stroke 41:295-9. 2010..We studied the influence of site and degree of arterial obstruction patients enrolled in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET)...
Multidisciplinary approach to carotid stentingC S Mak
National Stroke Research Institute, Australia
Intern Med J 41:789-94. 2011..The aims of this study were to describe our organisational model and to determine whether 30-day complications and early outcomes were similar to those of major trials...
Timing of clinically significant microembolism after carotid endarterectomyA L Abbott
National Stroke Research Institute, Melbourne, Australia
Cerebrovasc Dis 23:362-7. 2007..The aims here were to quantify this risk and determine the most efficient monitoring protocol...
Paracentral strip infarcts of the middle cerebral artery: borderzone ischaemia or cortical artery occlusion?Takeshi Iwanaga
National Stroke Research Institute, Austin Health, Vic, Australia
Cerebrovasc Dis 27:215-22. 2009..To clarify these issues we retrospectively and prospectively identified these patients in our own stroke unit population...
Long-term cognitive transitions, rates of cognitive change, and predictors of incident dementia in a population-based first-ever stroke cohortVelandai K Srikanth
National Stroke Research Institute, Heidelberg Heights, Melbourne, Australia
Stroke 37:2479-83. 2006..We aimed to study long-term cognitive transitions, rates of cognitive change, and factors associated with incident dementia and cognitive impairment-no dementia (CIND) 2 years after first-ever stroke...
Hypertension and TIAW W Zhang
National Stroke Research Institute, part of Florey Neuroscience Institutes, Victoria, Australia
Int J Stroke 4:206-14. 2009..Diurnal blood pressure patterns may influence subsequent stroke risk after transient ischemic attack and more evidence is needed to inform clinical practice to improve blood pressure management for transient ischemic attack patients...
Prediction of the final infarct volume within 6 h of stroke using single photon emission computed tomography with technetium-99m hexamethylpropylene amine oximeT Hirano
Department of Neurology, Austin and Repatriation Medical Centre, Melbourne, Australia
Cerebrovasc Dis 11:119-27. 2001..CONCLUSIONS: If no significant early reperfusion or clinical recovery occurs, a CBF threshold value of 63.7% on (99m)Tc-HMPAO SPECT performed within 6 h of stroke onset will reliably predict the final infarct size...
Fragmentation of the classical magnetic resonance mismatch "penumbral" pattern with timeHenry Ma
National Stroke Research Institute, Austin Health, University of Melbourne, 300 Waterdale Rd, Heidelberg West, VIC 3081, Australia
Stroke 40:3752-7. 2009..Because of variable rates of tissue salvage, we hypothesized that this pattern may fragment over time and may be influenced by vessel patency, mismatch volume, and infarct core location...
Possible determinants of early microembolism after carotid endarterectomyJacinda L Stork
National Stroke Research Institute, Austin and Repatriation Medical Centre, West Heidelberg, Victoria 3081, Australia
Stroke 33:2082-5. 2002..Microembolism might explain why these same factors are associated with higher rates of perioperative stroke...
Using mismatch on MRI to select thrombolytic responders: an attractive hypothesis awaiting confirmationStephen M Davis
Department of Neurology, Royal Melbourne Hospital, and University of Melbourne, Parkville, Australia
Stroke 36:1106-7. 2005
Blood pressure reduction and ACE inhibition in secondary stroke prevention: mechanism uncertainStephen M Davis
Department of Neurology, Royal Melbourne Hospital, University of Melbourne, Australia
Stroke 34:1335-6. 2003
The existence and evolution of diffusion-perfusion mismatched tissue in white and gray matter after acute strokeMasatoshi Koga
National Stroke Research Institute, Melbourne, Australia
Stroke 36:2132-7. 2005..They also raise the possibility that the therapeutic window is longer for white matter and may require alternative therapeutic strategies...
Diffusion- and perfusion-weighted MRI response to thrombolysis in strokeMark W Parsons
Royal Melbourne Hospital Echoplanar Imaging Stroke Study Group, Melbourne, Australia
Ann Neurol 51:28-37. 2002..This has implications for the use of diffusion- and perfusion-weighted imaging in selecting and monitoring patients for thrombolytic therapy...
CT screening for thrombolysis: uncertainties remainStephen M Davis
Department of Neurology, Royal Melbourne Hospital and the University of Melbourne, Parkville Victoria 3050, Australia
Stroke 34:822-3. 2003
Lifetime cost of stroke subtypes in Australia: findings from the North East Melbourne Stroke Incidence Study (NEMESIS)Helen M Dewey
National Stroke Research Institute, Level 1, Neurosciences Bldg, Repatriation Campus, Austin and Repatriation Medical Centre, 300 Waterdale Rd, Heidelberg Heights, Victoria 3081, Australia au
Stroke 34:2502-7. 2003..The purpose of this study was to describe the patterns of resource use and to estimate the first-year and lifetime costs for stroke subtypes...
Lacunar stroke: transoesophageal echocardiographic factors influencing long-term prognosisS Kazui
The National Stroke Research Institute, Austin and Repatriation Medical Centre, Heidelberg, Vic, Australia
Cerebrovasc Dis 12:325-30. 2001..002). CONCLUSIONS: Until the mechanism of lacunar stroke is better understood, it is reasonable to suggest that its investigation and prevention should be directed at all potential causes of future strokes including cardioembolism...
Ischemic stroke risk and passive exposure to spouses' cigarette smoking. Melbourne Stroke Risk Factor Study (MERFS) GroupR X You
National Stroke Research Institute, Austin, Australia
Am J Public Health 89:572-5. 1999..This study investigated the association between ischemic stroke risk and passive exposure to cigarette smoking...
Interrater reliability of the National Institutes of Health Stroke Scale: rating by neurologists and nurses in a community-based stroke incidence studyH M Dewey
National Stroke Research Institute, Austin and Repatriation Medical Centre, Melbourne, Australia
Cerebrovasc Dis 9:323-7. 1999..This ability could be used to advantage in large community-based trials and epidemiological studies...
Risk factors for stroke due to cerebral infarction in young adultsR X You
Department of Neurology, Austin and Repatriation Medical Centre, University of Melbourne, Heidelberg, Vic, Australia
Stroke 28:1913-8. 1997..Given the importance of risk factor assessment in primary prevention, we aimed to assess this using case-control methodology in a hospital-based series and community-based control subjects...
The risk of intracerebral haemorrhage with smoking. The Melbourne Risk Factor Study GroupA G Thrift
Department of Epidemiology and Preventive Medicine, Monash Medical School, Alfred Hospital, Vic, Australia
Cerebrovasc Dis 9:34-9. 1999..13, 95% CI 2.0432.42). This interaction is a new finding, but the post-hoc nature of this analysis requires that it be further tested, preferably in a large prospective study...
Risk factors for cerebral hemorrhage in the era of well-controlled hypertension. Melbourne Risk Factor Study (MERFS) GroupA G Thrift
Department of Epidemiology and Preventive Medicine, Monash Medical School, Alfred Hospital, Prahran, Australia
Stroke 27:2020-5. 1996....
Risk of primary intracerebral haemorrhage associated with aspirin and non-steroidal anti-inflammatory drugs: case-control studyA G Thrift
Department of Epidemiology and Preventive Medicine, Monash Medical School, Alfred Hospital, Prahran 3181, Australia
BMJ 318:759-64. 1999..To examine the association between use of aspirin or other non-steroidal anti-inflammatory drugs and intracerebral haemorrhage...
Chronic information-processing changes in individuals with a first-ever clinical lacunar syndromeJacqueline F I Anderson
Department of Psychology, School of Behavioural Science, The University of Melbourne, Victoria, Australia
Cogn Behav Neurol 21:236-41. 2008..The aim of this study was to examine whether chronic cognitive changes occur after a first-ever single clinical lacunar syndrome...
Individuals with first-ever clinical presentation of a lacunar infarction syndrome: Is there an increased likelihood of developing mild cognitive impairment in the first 12 months after stroke?Jacqueline F I Anderson
Department of Psychology, The University of Melbourne, Melbourne, Australia
J Neuropsychol 2:373-85. 2008..It was concluded that a clinically diagnosed first ever stroke event, presenting as a lacunar syndrome, was not associated with an elevated risk of developing mild cognitive impairment 12 months post-stroke...
Improving access to evidence-based acute stroke services: development and evaluation of a health systems model to address equity of access issuesDominique A Cadilhac
National Stroke Research Institute, Level 1 Neurosciences Building, Repatriation Hospital, 300 Waterdale Road, Melbourne, and the University of Melbourne, Vic, Australia
Aust Health Rev 30:109-18. 2006..The development process and initial evaluation of the model are described. Use of the model to increase capacity within the health care system to treat stroke is discussed...
Very early mobilization after stroke fast-tracks return to walking: further results from the phase II AVERT randomized controlled trialToby B Cumming
Florey Neuroscience Institute, Australia
Stroke 42:153-8. 2011..We hypothesized that introducing earlier and more intensive out-of-bed activity after stroke would reduce time to unassisted walking and improve independence in activities of daily living...
Greater incidence of both fatal and nonfatal strokes in disadvantaged areas: the Northeast Melbourne Stroke Incidence StudyAmanda G Thrift
National Stroke Research Institute, Austin Health, Heidelberg Heights, Victoria, Australia
Stroke 37:877-82. 2006..Greater stroke mortality has been reported among lower socioeconomic groups. We aimed to determine whether fatal, nonfatal, and overall stroke incidence varied by socioeconomic status...
Development and application of Model of Resource Utilization, Costs, and Outcomes for Stroke (MORUCOS): an Australian economic model for strokeCatherine Mihalopoulos
The University of Melbourne, 4 207 Bouverie Street, Melbourne, 3010 Victoria, Australia
Int J Technol Assess Health Care 21:499-505. 2005..To outline the development, structure, data assumptions, and application of an Australian economic model for stroke (Model of Resource Utilization, Costs, and Outcomes for Stroke [MORUCOS])...
Reduced risk of intracerebral hemorrhage with dynamic recreational exercise but not with heavy work activityAmanda G Thrift
National Stroke Research Institute, Austin and Repatriation Medical Centre, West Heidelberg, Victoria, Australia
Stroke 33:559-64. 2002..It is unclear whether intracerebral hemorrhage (ICH) is associated with dynamic or static exercise. Our aim was to assess whether such an association exists...
Trial application of a Model of Resource Utilization, Costs, and Outcomes for Stroke (MORUCOS) to assist priority setting in strokeMarjory L Moodie
National Stroke Research Institute, Health, Heidelberg Heights, Australia
Stroke 35:1041-6. 2004..The aim of this study was to trial the use of the intervention module of the economic model, a Model of Resource Utilization, Costs, and Outcomes for Stroke (MORUCOS) to facilitate evaluation and ranking of the options...
'Out of pocket' costs to stroke patients during the first year after stroke - results from the North East Melbourne Stroke Incidence StudyHelen M Dewey
National Stroke Research Institute, Austin, USA
J Clin Neurosci 11:134-7. 2004..The majority of 'out of pocket' costs relate to post-acute care aimed at minimising disability and handicap rather than to 'acute' healthcare...
Neuroimaging, the ischaemic penumbra, and selection of patients for acute stroke therapyGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Centre, University of Melbourne, West Heidelberg, Victoria, Australia
Lancet Neurol 1:417-25. 2002..Future developments in imaging technologies may provide other opportunities for surrogate outcome studies...
Recommendations for the relationship between sponsors and investigators in the design and conduct of clinical stroke trialsGeoffrey A Donnan
National Stroke Research Institute, Department of Neurology, Austin and Repatriation Medical Centre, University of Melbourne, West Heidelberg, Victoria, Australia
Stroke 34:1041-5. 2003..Both parties need benchmarks or recommendations to act as a reference point when trials are initiated and conducted. These recommendations are designed to fulfill this role...
Heparin in stroke: not for most, but the controversy lingersGeoffrey A Donnan
National Stroke Research Institute, Austin and Repatriation Medical Center and the University of Melbourne, Australia
Stroke 34:232-3. 2003
Incidence and outcome of subtypes of ischaemic stroke: initial results from the north East melbourne stroke incidence study (NEMESIS)Helen M Dewey
National Stroke Research Institute and Department of Neurology, Austin and Repatriation Medical Centre, Melbourne, Australia
Cerebrovasc Dis 15:133-9. 2003..TACI had the poorest functional outcome at 3 and 12 months. These findings are similar to those of two previous studies conducted in the northern hemisphere...
Brief comprehensive quality of life assessment after stroke: the assessment of quality of life instrument in the north East melbourne stroke incidence study (NEMESIS)Jonathan W Sturm
National Stroke Research Institute, Department of Neurology, Austin, Australia
Stroke 33:2888-94. 2002..The aim of this study was to validate the Assessment of Quality of Life (AQoL) instrument in a stroke population...
Aspirin therapy should be first line: probably, but watch this spaceGeoffrey A Donnan
National Stroke Research Institute, University of Melbourne, Heidelberg West, Victoria, Australia
Stroke 33:2139-40. 2002
Handicap after stroke: how does it relate to disability, perception of recovery, and stroke subtype?: the north North East Melbourne Stroke Incidence Study (NEMESIS)Jonathan W Sturm
National Stroke Research Institute and Department of Neurology, Austin and Repatriation Medical Centre, West Heidelberg, Victoria 3081, Australia
Stroke 33:762-8. 2002..The aim of this study was to assess handicap 3 and 12 months after first-ever stroke in a community-based study...
Multicenter comparison of processes of care between Stroke Units and conventional care wards in AustraliaDominique A Cadilhac
National Stroke Research Institute, Level 1 Neurosciences Building, Repatriation Hospital, 300 Waterdale Road, Heidelberg Heights, Victoria, Australia 3081
Stroke 35:1035-40. 2004..Reasons may include greater adherence to processes of care (PoC). The primary hypothesis was that adherence to selected PoC is greater in SUs than in other acute care models...
Pooling of animal experimental data reveals influence of study design and publication biasMalcolm R Macleod
National Stroke Research Institute, Melbourne, Australia
Stroke 35:1203-8. 2004..To our knowledge, such assessments have not been made. Nicotinamide is a candidate neuroprotective drug with efficacy in experimental stroke, but the limits to and characteristics of that efficacy have not been fully described...
1,026 experimental treatments in acute strokeMalcolm R Macleod
Neuroscience Lab, Department of Medicine, University of Melbourne, Austin Health, Heidelberg, VIC 3084, Australia
Ann Neurol 59:467-77. 2006..This may partially explain the slow progress in developing treatments. Greater rigor in the conduct, reporting, and analysis of animal data will improve the transition of scientific advances from bench to bedside...
History of animal models of strokeVictoria E O'Collins
Department of Medicine, University of Melbourne, Heidelberg, Vic, Australia
Int J Stroke 6:77-8. 2011....
Newer antiplatelet therapies in stroke preventionS M Davis
Department of Neurology, Royal Melbourne Hospital, and the University of Melbourne, Victoria
Aust Fam Physician 30:129-34. 2001..Other novel approaches, such as oral platelet Gp IIb/IIIa antagonists are also being evaluated...
Access to stroke care units in Australian public hospitals: facts and temporal progressD A Cadilhac
National Stroke Research Institute, Repatriation Hospital, Heidelberg Heights, Victoria, Australia
Intern Med J 36:700-4. 2006....
Motor impairment and recovery in the upper limb after stroke: behavioral and neuroanatomical correlatesLeeanne M Carey
National Stroke Research Institute, Austin Health, Level 2, Neurosciences Building, Banksia St, Heidelberg West, Victoria, Australia 3081
Stroke 36:625-9. 2005..We therefore aimed to characterize the relationship between motor impairment, motor recovery, and task-related changes in regional cerebral blood flow (DeltarCBF) longitudinally...
Pretreatment diffusion- and perfusion-MR lesion volumes have a crucial influence on clinical response to stroke thrombolysisMark W Parsons
Department of Neurology, John Hunter Hospital, University of Newcastle, Newcastle, New South Wales, Australia
J Cereb Blood Flow Metab 30:1214-25. 2010..Clinical responsiveness to IV-tPA, and stroke outcome, depends more on baseline DWI and PWI lesion volumes than the extent of perfusion-diffusion mismatch...
The Avoid Stroke as Soon as Possible (ASAP) general practice stroke auditJonathan W Sturm
National Stroke Research Institute and Department of Neurology, Austin and Repatriation Medical Centre, West Heidelberg, Vic
Med J Aust 176:312-6. 2002..There is considerable scope for improving management of stroke risk factors. The Avoid Stroke as Soon as Possible (ASAP) general practice stroke audit provides a baseline against which progress in risk-factor management can be measured...
Inflammation following strokeM Nilupul Perera
National Stroke Research Institute, Austin Health, University of Melbourne, Level 1, Neurosciences Building, 300 Waterdale Road, Heidelberg Heights, Victoria 3081, Australia
J Clin Neurosci 13:1-8. 2006..However, because of the potential for broader applicability across all aspects of stroke, a better understanding of anti-inflammatory mechanisms is important...
Patterns of stroke recurrence according to subtype of first stroke event: the North East Melbourne Stroke Incidence Study (NEMESIS)Mahmoud Reza Azarpazhooh
National Stroke Research Institute, Austin Health, Heidelberg, Victoria, Australia
Int J Stroke 3:158-64. 2008..We aimed to determine whether stroke recurrence rates, the pattern of subtype recurrence, and prescription of secondary prevention agents differed according to initial stroke subtype...
Expediting MRI-based proof-of-concept stroke trials using an earlier imaging end pointMartin Ebinger
Department of Neurology, The Royal Melbourne Hospital, Grattan Street, Parkville, Australia
Stroke 40:1353-8. 2009..These trials could be expedited if subacute diffusion-weighted imaging lesion volume replaced late T2-weighted lesion volume as the primary end point...
The resistance to ischemia of white and gray matter after strokeAntonio L E Falcao
National Stroke Research Institute, Heidelberg Heights, Melbourne, Australia
Ann Neurol 56:695-701. 2004..For the latter possibility, alternative therapeutic strategies may be required for its salvage...
11C-PIB binding is increased in patients with cerebral amyloid angiopathy-related hemorrhageJ V Ly
National Stroke Research Institute, Level 1, Neurosciences Building, Austin Health, University of Melbourne, 300 Waterdale Rd, Heidelberg Heights, Victoria 3081, Australia
Neurology 74:487-93. 2010..We hypothesized that patients with a clinical diagnosis of CAA-related hemorrhage (CAAH) have increased (11)C-PIB uptake and that the pattern differs from Alzheimer disease (AD)...
Statistical parametric mapping of hypoxic tissue identified by [(18)F]fluoromisonidazole and positron emission tomography following acute ischemic strokeR Markus
Department of Medicine, The University of Melbourne, Australia
Neuroimage 16:425-33. 2002....
Epidemiology of intracerebral hemorrhageA G Thrift
Department of Social and Preventive Medicine, Monash University, Prahran, Victoria, Australia
Epidemiol Rev 17:361-81. 1995
An unusual disease presenting at an unusual age: Susac's syndromeC Plummer
Austin and Repatriation Medical Centre, Studley Road, Heidelberg, Australia
J Clin Neurosci 12:99-100. 2005..We present the case of a 55-year-old female, the oldest patient yet described with the condition, and highlight the syndrome's clinical features...
Penumbral mismatch is underestimated using standard volumetric methods and this is exacerbated with timeH Ma
National Stroke Research Institute, Austin Health, University of Melbourne, 300 Waterdale Rd, Heidelberg West, VIC 3081, Australia
J Neurol Neurosurg Psychiatry 80:991-6. 2009..That there are differences in the mismatch volume analysed by each method and that these are time dependent was hypothesised...
Does the 'high risk' patient with asymptomatic carotid stenosis really exist?A L Abbott
National Stroke Research Institute, Austin Health, Melbourne, Australia Baker Heart Research Institute, Melbourne, Australia
Eur J Vasc Endovasc Surg 35:524-33. 2008....
