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ischaemic stroke: An updated systematic review and meta- analysis. Lancet , 379 , 2364–2372. Wentworth, D. A., & Atkinson., R. P. (1996). Implementation of an acute stroke program decreases hospitalization costs and length of stay. Stroke , 6 , 1040–1043. Whelan, K. (2001). Inadequate fluid intakes in dysphagic acute stroke. Clinical Nutrition , 20 (5), 423–428. Yamaguchi, T., Minematsu, K., & Hasegawa, Y. (1997). General care in acute stroke. Cerebrovascular Disease , 7 , 12–17. Yasaka, M., Yamauchi, T., Oita, J., Sawada, T., Shichiri, M., & Omae, T. (1993). Clinical features of recurrent embolisation in acute cardioembolic stroke, Stroke , 24 (11), 1681–1685. Jennifer Davis is a senior speech pathologist at Logan Hospital and has a wide range of clinical experience over many years, most recently specialising in the acute management of Dysphagia. Anne Coccetti is the Director of Speech Pathology at the Logan Hospital and has many years of clinical experience working with swallowing in acute and rehabilitation settings, and in establishing and managing new services. Elizabeth Cardell is Head of Speech Pathology at Griffith University.

from the Safe Implementation of Thrombolysis in Stroke registry (2002–2008). Medical Journal of Australia , 193 (8), 439–443. Smithard, D., O’Neill, P., Park, C., Morris, J., Wyatt, R., England, R., & Martin, D. (1996). Complications and outcome after acute stroke: Does dysphagia matter? Stroke , 27 , 1200–1204. Sung, S. F., Ong, C. T., Wu, C. S., Hsu, Y. C., & Su, Y. H. (2010). Increased use of thrombolytic therapy and shortening of in-hospital delays following acute ischemic stroke: Experience on the establishment of a primary stroke center at a community hospital. Acta Neurologica Taiwania . 19 (4), 246–52. Sutherland, J. M., Hamm, J., & Hatcher, J. (2010). A general method for adjusting case mix payment amounts for inaccurately reported clinical data. Health Care Management Science , 13 (1), 65–73. Wardlaw, J. M., Koumellis, P., & Liu. (2013). Thrombolysis (different doses, routs of administration and agents) for acute ischaemic stroke. Cochrane Database of Systematic Reviews . Issue 5. Wardlaw, J. M., Murray, V., Berge, D., & del Zoppo, G. J. (2009). Thrombolysis for acute ischaemic stroke. Cochrane Database of Systematic Reviews , Issue 4. Wardlaw, J. M., Murray, V., Berge, D., & del Zoppo, G. J. (2010). Thrombolysis for acute ischaemic stroke. Stroke , 41 , 445–446. Wardlaw, J. M., Murray, V., Berge, D., del Zoppo, G. J., Sandercock, P., Lindley, R. L., & Cohen, G. (2012). Recombinant tissue plasminogen activator for acute

Correspondence to: Jennifer Davis Senior Speech Pathologist Metro South Hospital and Health Service Queensland Health email: jennifer.davis@health.qld.gov.au

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JCPSLP Volume 16, Number 2 2014

www.speechpathologyaustralia.org.au