Tony Rudd
speaker
20 appearances
1 recordings
1 series
first heard May 2015
last heard May 2015
Tony Rudd’s voice in public audio — every appearance, attributed to the second.
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Appearances
Over the last few years, we've actually quite significantly changed our practice.
So we're encouraging more people to come directly to hospital.
There's been public awareness campaigns.
And we are admitting more patients with mini-strokes to hospital than we ever used to.
So the increase in the number of people coming into hospital may conceivably be due to an increased incidence of stroke.
But I think it's probably more likely to be due to the fact that we're just admitting the greater proportion of patients than we used to.
We do have evidence that actually the problem is getting better.
So there are two proper epidemiological studies going on at the moment, population-based registers of stroke patients, one in Oxford and one in South London, and they've been going for a number of years now.
And what they show is that the overall incidence of stroke is falling quite markedly.
And that is in all age groups.
So the evidence from the Stroke Association doesn't quite fit with perhaps the more detailed scientific evidence.
No, I don't think they are justified in saying that.
They need to be more robust in their evidence.
use of data I would fully accept that I don't think you know whatever the reason you're doing it for whether it's a charity or a pharmaceutical company or whatever it's important that the data are used as carefully and as accurately as possible I do under fully understand and sympathize that the message around trying to get stroke rates down is absolutely critical and I do understand and I sort of respect them for it but on the other hand it just makes me feel uneasy
Well, I mean, we do know that sedentary lifestyle and increasing obesity and as a result, increasing rates of diabetes and possibly high blood pressure as well, that that is happening as a background phenomenon.
And that one would expect those are major risk factors for stroke.
So it's not totally...
off the wall to suggest that that sort of change in the pattern of behavior in the population might be leading to an increase in stroke incidents.
The problem is that I don't think we've really got strong enough data to be able to absolutely say that's happened yet.
But actually, if you look at the rates at which diabetes are increasing, if it hasn't happened already, then one would expect that it probably will do in due course.
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