KeMiST (Kent Medicine Support in Stroke and TIA)
Most stroke and transient ischaemic attack (TIA) survivors are asked to take medicines, which some can find difficult. However, taking the medicines prescribed after a stroke, or TIA, and following lifestyle advice can reduce the chance of another stroke by 80%. Unfortunately, over 25% of stroke survivors do not continue these medicines, even for the first year after their stroke. Another 20% take less than is needed for the medicines to work.This research will use the views of stroke and TIA survivors to design a life-long medicines support service which could be provided by pharmacists.
Comparing early versus late use of oral anticoagulant drugs in stroke patients with an abnormal heart rhythm
This study will investigate whether early initiation of direct anticoagulant drugs will be as safe as later initiation in stroke patients with an abnormal heart rhythm (atrial fibrillation). It will also investigate whether early initiation could lead to fewer recurrent strokes.
Can we use computer tests and therapy in the homes of stroke survivors with spatial neglect?
Spatial neglect is caused when damage to the brain after stroke means that it no longer received information about one side of the body and/or world. Stroke survivors with spatial neglect might not be aware of anything happening on one side of their body. This research will investigate a computer based version of a new treatment for spatial neglect after stroke.
Can stroke and TIA survivors avoid further stroke using a new system for lowering blood pressure?
People who have survived a previous stroke or transient ischaemic attack (TIA) are at particularly high risk of subsequent, ‘recurrent’ stroke with 30% having another stroke in the following five years. High blood pressure is the most important reversible risk factor for having a recurrent stroke. The aim of this study is to develop and test a self-monitoring system of high blood pressure, tailored to the needs of stroke and TIA survivors, which will include self-adjustment of medication where possible in consultation with a GP.
Functional, cognitive and emotional outcomes after Transient Ischemic Attack: A prospective, controlled cohort study to inform future rehabilitative interventions (FACE TIA).
Failure of drainage of fluid from the brain along the walls of blood vessels in vascular dementia
This project aims to demonstrate that failure of drainage of fluid from the grey and white matter of the brain is a mechanism underlying Small Vessel Disease, a condition that affects the small blood vessels in the brain which can cause stroke and dementia.