Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au

Page created by Renee Brooks
 
CONTINUE READING
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Research to prevent,
treat and beat stroke

2021
strokefoundation.org.au

                          1
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Message from the
    Chief Executive Officer                                                              Over the past two decades high-
                                                                                          quality evidence based research
    and Chair of the Research                                                              has led to new treatments and
    Advisory Committee                                                                      improved diagnosis for stroke.
                                                                                                                                 Sharon McGowan
                                                                                                           Stroke Foundation Chief Executive Officer
    Stroke can be prevented and treated. Research will
    help us beat it.
    Research is central to Stroke Foundation’s         At each stage of our research
    mission to prevent stroke, save lives and          program, we listen, involve and
    enhance recovery. We champion initiatives          engage with members of our stroke
    and support individuals with the potential for     community, to ensure our research
    significant impact in realising our vision for a   priorities address the areas that matter
    world free from disability and suffering caused    most to them.
    by stroke. As a small organisation with an
    ambitious vision, we play a vital role at the      Over the past two decades, high-quality
    start of the research pipeline.                    evidence-based research has led to new
                                                       treatments and improved diagnosis for stroke.
    With the generous support of our donors,
    we provide seed funding to get projects            We are proud to say many of these ground-
    started by supporting early and mid-career         breaking medical advances have been Australian
    researchers to test their ideas. We partner        led, thanks to the many donors who have
    with other organisations and bring the             generously supported the Research Program.
    best minds together to tackle the toughest         Studies highlighted in this publication including
    research questions in stroke to maximise           endovascular thrombectomy (clot retrieval),
    our research impact.                               advanced imaging and the Mobile Stroke Unit,
                                                       have paved the way for improvements in stroke
    At the centre of the Stroke Foundation             treatment across the globe.
    research program are those for whom these
    questions matter most – the survivors of
    stroke, their families and carers.

2
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
As a result of these breakthroughs, more                Finding the right keys to unlock the door to brain
Australians are surviving stroke. Between 1980          recovery is the next frontier and this is why we
and 2018, overall death rates for stroke in Australia   will continue to stand with our researchers, to
fell by three-quarters.1 However, the impact of         help give our brightest minds the space, funds
stroke remains far-reaching and life changing           and support they need to take the first steps
for many.                                               towards this goal.

Globally, the incidence of stroke is increasing.        Thanks to generous families our research
Now, one in four people will experience a stroke        program has expanded in recent years with
in their lifetime2 and Australian evidence indicates    three new dedicated endowment funds. These
that stroke among younger people is on the rise.3       endowment funds create new opportunities
Our risk of stroke increases as our population          for targeted research.
ages and lifestyles become more sedentary.
                                                        We are on the cusp of some exciting
We also don’t know the long-term impact of the          advancements, with governments recognising
coronavirus (COVID-19) pandemic. Evidence is            the need and potential for breakthroughs in
emerging of the direct and indirect consequences        stroke. In 2019 the Australian Government
of the pandemic, as well as opportunities to            announced a $220 million 10-year, Medical
ensure lessons from the experience are maximised
to benefit health outcomes moving forward. This
                                                        Research Future Fund (MRFF) Cardiovascular
                                                        Health Mission to tackle heart disease and
                                                                                                             With emergency stroke
includes investigating new approaches to disease        stroke. Stroke Foundation’s Research Programs        treatments significantly
                                                        will feed into and build on the Mission’s work.
                                                                                                             improved, we must now
prevention, telehealth and tools for accelerating
the translation of research into practice. There is
also evidence from the United States and Europe
suggesting COVID-19 may be linked to an
                                                        We are ambitious and determined to continue
                                                        to improve the state of stroke. To invest in         turn our attention to stroke
increase in stroke among younger people.4               people and projects with the capability to           prevention and recovery.
                                                        reduce preventable stroke and transform
With acute stroke treatments significantly              outcomes for the many thousands of                   There is still so much we don’t
improved, we must now turn our attention to
stroke prevention and recovery. There is still
                                                        Australians who experience stroke every year.
                                                                                                             know about the brain and its
so much we don’t know about the brain and               We invite you to stand with us.                      ability to recover from stroke.
its ability to recover from stroke. Each stroke
is unique to the person impacted and every
                                                                                                                            Professor Amanda Thrift
recovery journey is different.
                                                                                                                                Chair of the Research
We need to understand so much more about                Sharon McGowan
                                                                                                                                 Advisory Committee
                                                                                  Professor Amanda Thrift
how best to support survivors to recover well,          Chief Executive Officer   Chair of the Research
to return to work, to study and to live their lives.    Stroke Foundation         Advisory Committee

                                                                                                                                                        3
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
About Stroke Foundation’s
    Research Program
    Stroke Foundation champions research in stroke.    To achieve this goal we:
    Thanks to the generosity of supporters, almost
                                                       › Advocate for more funding for stroke research.
    $5.3 million has been awarded to more than
    200 researchers since the Research Program’s       › Empower researchers and clinicians to explore
    inception in 2008.                                   their research questions, to test their concepts
                                                         and implement their innovative ideas.
                                      Number of        › Partner with like-minded organisations
    Areas of study
                                    grants awarded       to further our mission and support
                                                         breakthroughs in stroke prevention,
     Recovery                             140
                                                         treatment and recovery.
     Treatment                            25

     Prevention                            2           History                                                          Over the last 20 years,
     Secondary prevention                  6           Research has been an integral part of
                                                                                                                  research in stroke has been
                                                       Stroke Foundation since it began in 1983.            transformational. Not only do we
     Young stroke                          6
                                                       The organisation was originally known as the
                                                                                                                now have more treatments to
     Childhood stroke                      4
                                                       Stroke Research Foundation. It later became the        offer patients, but the evidence
     Carers                                3           Australian Stroke and Neurosciences Institute,          gaps are closing with so many
                                                       with its dedicated research arm, the National
     Future leaders                        5           Stroke Research Institute.                                   researchers from different
     Fellowship                           27           In 1996, stroke was identified as a priority area
                                                                                                              disciplines focused on this field
                                                       of need and the organisation became known                and passionate about making
    Stroke Foundation’s Research Program aims to       as Stroke Foundation.                                                       a difference.
    support and translate high quality research into
    changes in practice, policy and knowledge. Its                                                                            Professor Dominique Cadilhac
    outcomes will improve quality of life for people                                                            Cardiovascular Health Mission Expert Advisory
                                                                                                                  Panel Member and 2019 Stroke Foundation
    with stroke, their families and carers.
                                                                                                                     President’s Achievement Award recipient

4
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Living Guidelines
for Stroke Management

                                                                                                           Living Stroke
Stroke Foundation is partnering with global
evidence translation experts Cochrane Australia
                                                           New evidence emerged that extended the
                                                                                                           Guidelines Pilot
to deliver Australia's first pilot of living guidelines.
                                                           time-window for clot retrieval treatment for
Living guidelines accelerate the impact of
                                                                                                           Project
                                                           some stroke patients from six hours to 24
investment in health and medical research                  hours. In the past it has taken several years
by rapidly translating findings into reliable,
                                                           to update guidelines but with the living
actionable guidance that can be used by health
                                                           approach, guidelines were drafted within
care professionals to deliver better care.                                                                     First national living
                                                           weeks of new evidence being published and       ›
Development and delivery of the Guidelines                 they were finalised and approved by the             evidence-based guideline.
empowers patients to be actively involved                  NHMRC within months. This led to changes
in their own care by providing an accessible               within the health system and more Australians   ›   Over 90 content experts,
and single source of truth that can be used                accessing life-changing stroke treatment.
to inform discussions.                                                                                         28 survivors of stroke and
The project is supported by the Australian                 Professor Bruce Campbell                            carers involved.
Government’s MRFF.                                         Stroke Foundation Clinical Council Chair
                                                                                                           ›   Living mode since
                                                                                                               November 2019.

                                                                                                           ›   Around 400 abstracts
                                                             This innovative project has paved
                                                             the way for other conditions to                   screened monthly.
                                                             adopt a similar model,including
                                                             the National COVID-19 Clinical                ›   >More than 130,000 page
                                                             Evidence Taskforce providing
                                                                                                               views of the guidelines.
                                                             clinicians with up-to-date,
                                                             evidence-based guidance
                                                             in managing the coronavirus                   informme.org.au/guidelines
                                                             (COVID -19).

                                                                                                                                            5
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Endovascular thrombectomy                             It will help develop a global biotech industry   Stroke Foundation’s Research Program
                                                          and enable the implementation of changes         provided a solid foundation from which
    Stroke Foundation was at the forefront                in healthcare.                                   to build these services.
    of research into this procedure that has
    changed the way stroke is treated nationally          Expansion of telehealth services                 Stroke Foundation responded early in the
                                                                                                           pandemic, bringing together the national
    and internationally.                                  in treatment and care of stroke                  and international stroke research community,
    In 2012, Stroke Foundation provided an Early          across Australia                                 and compiling the best available evidence
    Career Fellowship Grant to now Professor Bruce                                                         and guidance for delivering telehealth
    Campbell. This grant, partnered with project          The use of telehealth to overcome current        in rehabilitation for Australian clinicians.
    funding from the Heart Foundation, the National       geographical barriers to stroke treatment        Disseminated via the Stroke Foundation’s
    Health and Medical Research Council (NHMRC)           and care is actively promoted by Stroke          health professional online community InformMe
    and The Royal Melbourne Hospital Foundation           Foundation.                                      (www.informme.org.au), it has guided the care
    supported the Endovascular Therapy for                                                                 of thousands of Australians. This will be an
    Ischaemic Stroke with Perfusion-Imaging Studies       The COVID-19 pandemic extended this              emerging area for investigation in years
    (EXTEND-IA) study. They investigated the use of       technology’s use from emergency treatment        to come.
    clot removal in stroke patients with large clots      to rehabilitation.
    coupled with clot dissolving treatment.

    The results of this study changed clinical practice
    in Australia and worldwide. It has provided a
    foundation for future advancements including
    extending stroke treatment time frames from
    six hours to 24 hours in some patients.

    Cardiovascular
    Health Mission
    Stroke Foundation was part of a major
    advocacy effort which led to the Australian
    Government’s 2019 announcement of a $220
    million 10-year targeted Cardiovascular Health                              All rights reserved.
    Mission. It is being delivered through the MRFF.                            ©2019. Used with
                                                                                the permission
                                                                                of Medtronic.
    This dedicated research pool for cardiovascular
    health is supporting Australian researchers to
    make game-changing discoveries.                                                                                             Felix Schebeci, survivor of stroke.

6
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Profile
Dr Andrew Bivard
University of Melbourne
2009 Fellowship, 2013 and 2014
Small Project Grant, 2016 Seed Grant
– Modafinil in Debilitating fatigue
After Stroke (MIDAS)
Dr Andrew Bivard has been awarded several
Stroke Foundation grants which served as solid
building blocks in his research career.

The most recent was in 2016, when Dr Bivard
received a $50,000 Seed Grant enabling a phase
2 single-site clinical trial aimed at alleviating
post-stroke fatigue (MIDAS), by using a common
drug to treat sleep disorders. The trial’s positive
results led to a substantial charitable donation
from the Greater Charitable Trust in Newcastle
and a $1 million NHMRC grant award in 2020 to
support a larger study.

This research has the potential to transform
the lives of thousands of people recovering
                                                        The funding was fantastic. This was my first clinical
from stroke, given up to 70 percent of survivors      trial which provided a lot of broad experience which
experience fatigue not improved by any amount            I have continued to leverage. This grant scheme is
of rest.
                                                              essential for building early career researchers.
                                                                                                 Dr Andrew Bivard

                                                                                                                    7
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Why we fund stroke research

    Stroke is one of Australia’s greatest health           NHMRC support for stroke research7
    challenges. It changes lives in an instant and
    its impact extends well beyond the individual
    to families, the community, the health system           $900,000,000
    and economy.

    Stroke has long been recognised as being among          $800,000,000
    Australia’s most costly disease groups.5 In 2020,
    it is estimated the economic impact of stroke in
                                                            $700,000,000
    Australia was $6.2 billion in direct financial costs
    and a further $26.0 billion in lost wellbeing.6
                                                            $600,000,000
    Despite the shocking statistics and devastating
    impact of stroke on the Australian community,
    stroke-related research continues to be                 $500,000,000
    under-represented in funding support.

    Stroke attacks the brain, the human control             $400,000,000
    centre. Research is the only way to unlock the
    mysteries of the brain and take important steps
    towards achieving breakthroughs in stroke               $300,000,000
    prevention, treatment and recovery that will
    benefit generations to come. However, this
    work takes time and a great deal of funding.            $200,000,000

    There is an opportunity to make a difference.
                                                            $100,000,000
    Applications for Stroke Foundation research
    grants are highly competitive, and many worthy
                                                                     $0
    projects cannot be funded due to the funds
    available. Increased investment will result in                         2015          2016      2017             2018         2019
    a greater number of worthwhile projects                                  Total NHMRC funding   Stroke funding      Cancer funding
    being funded.

8
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Lived experience guides
the way
Lived experience of stroke is the cornerstone      As a younger survivor of stroke, Meredith
of Stroke Foundation’s Research Program.           felt strongly about helping others who
People living with stroke are uniquely placed      may find themselves in a similar situation.
to help guide researchers in their direction       Meredith has used her lived experience to
and study design.                                  contribute to a number of research trials
                                                   and is now a Consumer Consultant on
The importance of lived experience, or             the i-Rebound project and is a Consumer
consumer involvement and engagement,               Representative on the Stroke Research
has been recognised nationally and                 Register – Hunter (University of Newcastle).
internationally, and is now required for
Australian Government funding.                     Through these roles, Meredith is thrilled to
                                                   be able to help shape the way researchers
Stroke Foundation plays an important role          communicate with survivors of stroke with
in connecting those with lived experience          compassion and by making information
directly with researchers.                         clear, accessible and timely to get the best
                                                   outcomes for all.
Meredith Burke
Meredith was 39 when stroke changed her life
in an instant.

At first Meredith tackled the physical impacts
of stroke, re-learning to walk and talk, but her
recovery journey did not end when she left                                      Change can only happen when you have evidence
rehabilitation.
                                                                                a concept works. Research is that crucial first step
Meredith suffered debilitating fatigue and                                             to making changes that can improve lives.
sensory and cognitive issues that made
returning to her roles in vocational training                                                                             Meredith Burke
and as a marriage celebrant too difficult.                                                                              Survivor of stroke
It was not how Meredith anticipated her
life would be.

                                                                                                                                             9
Research to prevent, treat and beat stroke - 2021 strokefoundation.org.au
Partners in research
     Stroke Foundation partners with like-minded           The Royal Melbourne Hospital                      Results have also contributed to international
     organisations and governments to maximise                                                               evidence supporting this innovative approach
     its impact and achieve its goals. Research            and Ambulance Victoria –                          for diagnosing and treating stroke.
     Partnerships include:                                 Stroke Ambulance
                                                                                                             The Melbourne based Stroke Ambulance is
     Australian Stroke Alliance                            Australia’s first Stroke Ambulance or Mobile      being delivered in a partnership between
                                                           Stroke Unit (MSU) has paved the way for           Stroke Foundation, the Victorian Government,
     The Australian Stroke Alliance has its eyes on        emergency stroke treatment. The Stroke            Ambulance Victoria, Royal Melbourne Hospital
     the skies and is developing brain scanners light      Ambulance brings the emergency department         (RMH), The Florey Institute of Neuroscience and
     enough to travel in aircraft and road ambulances.     to the patient. It has slashed treatment times,   Mental Health, RMH Neurosciences Foundation
     This study has the potential to radically transform   improving outcomes for stroke in Melbourne        and The University of Melbourne. It has also
     access to early pre-hospital treatments and           since it began operation in November 2017.        secured funding support from the NHMRC.
     dramatically improve stroke outcomes for people
     with stroke in regional and rural areas who are       The Stroke Ambulance is a purpose-built           The Australian Paediatric Acute
                                                                                                             Code Stroke (PACS) study
     currently at a geographical disadvantage. Initial     ambulance with onboard brain scanner and
     research was funded by a $1 million grant as part     staffed by a neurologist, nurse, radiographer
     of the MRFF Frontiers Initiative. Further funding     and two paramedics.
                                                                                                             The Australian Paediatric Acute Code Stroke
     support is being sought.                                                                                (PACS) study will transform the care of children
     The Alliance brings together more than 30                Stroke Ambulance treatment                     with stroke. Stroke Foundation has partnered
                                                                                                             with the Murdoch Children’s Research Institute,
     leaders from key academic, health, consumer              times are 74 minutes quicker                   major paediatric hospitals around Australia, and
     and commercial agencies. It includes the                 than the average hospital                      families impacted by stroke, in this world first
     University of Melbourne, The Royal Melbourne
     Hospital, Ambulance Victoria, Royal Flying
                                                              treatment time nationally.                     research project. In this partnership we have
                                                                                                             designed, developed and will evaluate diagnosis
     Doctor Service, Council of Ambulance                                                                    and treatment pathways for children with
     Authorities, RMIT University, Stroke Foundation                                                         suspected stroke. The project aims to improve
     and Neurosciences Victoria.                           Evidence from the Melbourne trial is being
                                                                                                             survival outcomes and reduce potential lifelong
                                                           used by Stroke Foundation to advocate for
                                                                                                             disability for these children.
                                                           the roll out of Stroke Ambulances nationally.
                                                           In November 2020 the New South Wales              The study received $4 million through the
                                                           Government announced $10 million for              MRFF Cardiovascular Health Mission in 2020.
                                                           its own MSU research pilot.

10
Profile
Associate Professor                       He is the Australian Paediatric Acute Code
                                          Stroke (PACS) study Chief Investigator, a
Mark Mackay                               Senior Neurologist at the Royal Children’s
                                          Hospital Melbourne and a Clinician-Scientist
2013 Small Project Grant,                 Research Fellow at the Murdoch Children’s
Characterising brain behaviour            Research Institute.
relationships in childhood stroke
using diffusion weighted magnetic         Associate Professor Mackay is aiming to
                                          transform the care of children with stroke by
resonance imaging                         dramatically decreasing time to diagnosis and
                                          increasing the number of children receiving
2012 Small Project Grant,                 emergency stroke treatment.
Communication and swallowing
problems following childhood stroke
2009 Small Project Grant, Developing
strategies to decrease lag time to
diagnosis in paediatric stroke
Associate Professor Mark Mackay has
established himself as a key voice in
childhood stroke in Australia. His work
is changing the lives of our littlest
stroke survivors.                                                     I am proud to be involved in this research, which
Associate Professor Mackay received
                                                                 has the potential to change the way stroke is treated
a number of grants through the Stroke                                         in children nationally and internationally.
Foundation Research Program, helping
to build a strong research profile.                                                               Associate Professor Mark Mackay

                                                                                                                                    11
Stroke Foundation Research Program Grants
     Stroke Foundation’s Research Program grants          Areas of need are determined annually by           Ms Brenda Booth OAM Survivor of stroke,
     provide a platform for early and mid-career          the organisation’s expert Research Advisory        Consumer Representative and Registered Nurse.
     researchers to expand their knowledge and            Committee and the Stroke Foundation Consumer
     drive improvements in stroke prevention,             Council. Decisions are informed by evidence        Dr Caleb Ferguson NHMRC Emerging
     treatment and recovery.                              obtained through the Stroke Foundation’s           Leadership Fellow & Heart Foundation
                                                          national audit program.                            Postdoctoral Fellow at the Western Sydney
     Types of grants provided:                                                                               Nursing & Midwifery Research Centre and
                                                          Seed and Endowment Grants are awarded annually.    holds a conjoint appointment at Western
     › Seed Grants: Grants of up to $70,000 for                                                              Sydney University and Western Sydney
       pilot or feasibility studies informing larger,     All applications undergo a competitive             Local Health District.
       nationally competitive grant submissions to        assessment. They are scored and ranked
       the NHMRC, MRFF and other granting bodies.         by independent and external reviewers,             Associate Professor Emma Power Speech
                                                          representing some of the leading minds             Pathologist and academic at the University of
     › Endowment: Delivered in the terms                  in stroke, with funding being awarded to           Technology Sydney.
       of the individual endowment agreement.             the highest-ranking applications.
       For example, may target specific topic                                                                Professor Ian Kneebone Optimising Mental
       areas or career stage.                             Historically, Stroke Foundation has also offered   Health and Well-being stream of NHMRC funded
                                                          Future Leader Grants and Small Project Grants.     Centre of Research Excellence in Aphasia.
     › Targeted Government: Stroke Foundation
                                                                                                             Associate Professor Nadine Andrew Senior
       implements grants on behalf of governments         2021 Research Advisory                             Research Fellow with Peninsula Clinical School,
       to address areas of need within stroke research.
                                                          Committee                                          Monash University and an NHMRC Early
     › Partnerships: Stroke Foundation regularly                                                             Career Fellow.
                                                          The Research Advisory Committee oversees
       partners with a range of organisations to fund
                                                          Stroke Foundation’s Research Program. The          Professor Mark Nelson Professor and Chair,
       larger research projects and ground-breaking
                                                          Committee includes experienced researchers         Discipline of General Practice, School of
       initiatives in stroke. The multi-disciplinary
                                                          from across Australia who volunteer their time     Medicine and Senior Member Menzies Institute
       research projects are vitally important as they
                                                          to drive improvements in stroke understanding.     for Medical Research, University of Tasmania,
       significantly impact the direction and delivery
                                                                                                             Hobart Australia.
       of health care in Australia.
                                                          Professor Amanda Thrift (Chair)
                                                                                                             Dr Eleanor Horton Carer representative and
     Stroke Foundation focuses its research grants        Epidemiologist, Head of Stroke and Ageing
                                                                                                             Senior Lecturer at the University of the Sunshine
     on the areas of greatest need, ensuring any          Research, and Senior Research Fellow,
                                                                                                             Coast and Nursing Fellow at the Sunshine Coast
     investment is maximised.                             Monash University.
                                                                                                             Hospital and Health Service.

12
Profile
Associate Professor
Judith Katzenellenbogen
University of Western Australia
2018 Stroke Foundation Seed Grant
Early process evaluation: Real-world
data to inform better implementation
of an Aboriginal stroke rehabilitation
trial.
Associate Professor Judith Katzenellenbogen
received grant funding to support an Australian
first trial, Healing Right Way. The trial aimed
to address the gap in service delivery for
Aboriginal people.

Associate Professor Katzenellenbogen’s focus
was on developing and implementing evaluation
methods for health interventions incorporating
a cultural protocol.

Stroke Foundation funding was a stepping stone          The important thing about the evaluation is that we
to help Associate Professor Katzenellenbogen
broaden her research portfolio which covers          are collecting and analysing data as we go, rather than
stroke, heart disease and Aboriginal health         only using information looking backwards once the trial
generally. This important work has the potential
to improve recovery for thousands of Australians,
                                                           is finished. Ultimately we want patients and their
given Aboriginal people are 1.6 times as likely                  families to receive optimal care and support.
to be hospitalised with stroke and 1.3 times as
likely to die from stroke, than non-indigenous                                 Associate Professor Judith Katzenellenbogen
Australians.8

                                                                                                                             13
Endowment Grants
     Stroke Foundation has welcomed the
     addition of three endowment funds to its                                   Nancy and Vic Allen
     Research Grant Program in recent years.                                    Stroke Prevention
                                                                                Memorial Fund
     These grants were established by generous
     donations from families who have been                                     Introduced for the first
     personally impacted by stroke and have                                    time in the 2021 Research
     decided to leave a legacy to advance                                      Grant round, this grant
     stroke research.                                                          aims to stop stroke
                                                        before it happens. Valued at up to $100,000 over    The first Nancy and Vic Allen
     Endowment Grants are investments                   two years for researchers of any career stage, to   Stroke Prevention Memorial
     in dedicated areas of focus determined by          further primary and secondary stroke prevention.
                                                                                                            Fund recipient was Professor
     donors in consultation with Stroke Foundation.
     They are investments into research into specific   The grant has been made possible through            Coralie English from the
     areas of stroke close to the families’ hearts.     the generosity of the late Vic Allen, who was       University of Newcastle. The
     Public donations build on the initial endowment    passionate about preventing stroke after            Fund is supporting development
     gift to enable future grants to be awarded.        witnessing the devastating impact multiple          of an online program to prevent
                                                        strokes had on his beloved wife Nancy.              recurrent stroke and support
                                                                                                            long-term health and wellbeing.
                                                        Vic envisioned a future where the tragedy
                                                        of stroke would be greatly reduced. The             The “i-REBOUND” online
                                                        Fund encourages stroke prevention research          resource will be designed in
                                                        combining best practice medical care, and           partnership with survivors
                                                        evidence-based integrative care.
                                                                                                            of stroke to make sure it is
                                                        We acknowledge with sincere appreciation            accessible for all, including
                                                        Ava-May Morgan, retired Trustee of the              people with aphasia. The
                                                        former Nancy & Vic Allen Stroke Prevention          website will include resources
                                                        Fund, for her significant stewardship in            such as exercise videos, menus
                                                        establishing this new Endowment Fund.               and cooking demonstrations,
                                                        It will create a lasting legacy for Vic Allen’s     featuring people with stroke.
                                                        vision for stroke prevention.

14
Melbourne
                                                                                                                             researcher
                      Tim Glendinning                   Goals of the Fund:                                                   Karen
                      Memorial Fund for                 › Provide support and advice to young                                Borschmann
                      Young Adult Stroke                  adults with stroke and their families.                             and her
                                                                                                                             project
                      Introduced in 2018, the           › Improve the environments in which young
                                                                                                       team were awarded the first Tim
                      Tim Glendinning Memorial            adults with stroke are provided care.
                                                                                                       Glendinning Memorial Research
                      Fund supports young adults
                      affected by stroke.               › Support research into undiagnosed            Grant to identify current service
                                                          stroke causes.                               gaps and determine what was
Tim Glendinning sadly lost his life to stroke at the                                                   important to younger survivors
age of just 36. Tim had seven strokes in 17 years       › Fight stigma that young adults may feel      of stroke and their carers
– each one impacting his physical and mental              after stroke.                                to help in their recovery.
health and quality of life.

                   Gavin Paul Bennier                  The Fund supports research focused on:
                   Memorial Research
                                                       › Early diagnosis, treatment and prevention
                   Fund
                                                         of CAA induced stroke in young people.
                  The Gavin Paul Bennier                                                               The Gavin Paul Bennier Memorial
                  Memorial Research Fund               › Identifying a young person’s predisposition   Research Grant was first awarded in
focuses on the rare brain disorder Cerebral              to cerebral amyloid angiopathy and CAA        2019 to Professor Vincent Thijs from
Amyloid Angiopathy (CAA).                                induced stroke.                               The Florey Institute of Neuroscience
                                                                                                       and Mental Health.
This disorder causes bleeds on the brain and           › Understanding factors and experiences
is more commonly associated with dementia                common in young people pre-stroke, during
and older people. CAA caused Gavin to have               treatment and post-stroke recovery.
several strokes and tragically led
                                                       › Facilitating the return to work of young
to his death in 2017.
                                                         people impacted by stroke.

                                                                                                                                              15
Profile                                                                                             Grants

     Dr Barbara Wolfenden                                                                                Targeted Government Grant –
     2010 Honours Research Grant                                                                         Return to Life, Return to Work
     Research Assistant on                                                                               Working age people impacted by stroke are set
     Co-designing a health service model                                                                 to benefit from research into innovative recovery
     for the young stroke community,                                                                     and rehabilitation clinical interventions.

     funded by the Tim Glendinning                                                                       Stroke Foundation is administering the “Return
     Memorial Grant.                                                                                     to Life, Return to Work” research initiative after
                                                                                                         receiving a $1 million dollar grant from the
     Dr Wolfenden is a professional researcher                                                           Australian Government through the MRFF.
     and a survivor of stroke. Dr Wolfenden’s own
     experience with stroke has a strong influence on   This work is critically important because        Grant recipients:
     her work and her desire to make life better for    there is currently no health service or clinic
     younger people with stroke and their families.     specifically designed to cater exclusively to    › Professor Natasha Lannin, Monash University
                                                        their needs, which include driving, working,       The grant is funding a pilot project to test
     Dr Wolfenden initially received a Stroke           studying, forming life-long partnerships,          the feasibility and potential benefit of building
     Foundation Honours Research grant to               pregnancy and parenting.                           on current clinical rehabilitation by adding
     support her research into returning to work                                                           an embedded 12 week targeted vocational
     and identity after stroke. Dr Wolfenden                                                               rehabilitation.
     achieved First Class Honours and was offered
     PhD candidacy and a government scholarship                                                          › Professor Vincent Thijs, The Florey Institute
     which helped further her research career.          I knew first-hand where some of the gaps           of Neuroscience and Mental Health
                                                        lie. In order to shine a light on them and
     Dr Wolfenden’s current work as a research          contribute to influencing change, I needed
     assistant has provided her with an opportunity     to do the research and publish it, for the
     to be a part of further research in the area of    benefit of young survivors of stroke.
     stroke in young adults.
                                                        Dr Barbara Wolfenden

16
Profile
Professor Vincent Thijs
2019 Gavin Paul Bennier
Memorial Grant
2019 Return to Life, Return
to Work Grant
Professor Vincent Thijs received two major grants
in 2019, further enhancing his well-established
career as a neurologist and clinical researcher
in Australia and in Belgium.

Professor Thijs is passionate about providing
valuable insights into stroke prevention and acute
stroke treatment, with a particular interest in how
stroke care can be improved for younger people.

He is leading the way internationally by
investigating the prevalence of the rare brain
disorder Cerebral Amyloid Angiopathy (CAA)
in young survivors of stroke.

Professor Thijs is also leading Australia’s first
multicentred clinical trial of Perispinal Etanercept         International evidence shows incidence
in chronic stroke. Etanercept is a drug used           of stroke among young people is increasing,
to relieve inflammation and pain and has the
potential to help some people with stroke                so we must do more to ensure treatments
optimise their recovery.                                        and supports are available for them.
                                                                                     Professor Vincent Thijs

                                                                                                               17
Stroke in Australia

           A stroke occurs         Around 80% of strokes      Only 16% of people can
                every                                           recall two or more

             19 minutes                                          signs of stroke10
                                     can be prevented   9
             in Australia3

                                     The economic cost
        Stroke is on the rise in                                Stroke is a leading
                                     of stroke exceeds
                                    $6.2 billion annually

           people aged 35           and $26 billion in lost
             to 54 years3                wellbeing6             cause of disability6

18
Conclusion
Every breakthrough in stroke prevention,           Stroke Foundation’s Research Program
treatment and recovery begins with an idea.        funds annual research grants to promote
That idea was sparked by a desire to improve       stroke research capacity and generate
health outcomes in an area of need.                new stroke knowledge. Since 2008, Stroke
                                                   Foundation has awarded more than $5 million
Stroke Foundation is committed to standing         in research grants to more than 200 researchers.
with our clinicians, researchers and community
to help foster these ideas.                        These researchers have gone on to do amazing
                                                   things, and change stroke treatment and care
Stroke research is a core part of our mission to   nationally and internationally. These researchers
prevent stroke, save lives and enhance recovery.   have saved and improved lives.
By supporting research, we are fostering the
current and next generation of leaders, who will
pave the way forward to the next innovation in
stroke prevention, treatment and care.

                                                                                         Research takes time and a great deal
                                                                                        of funding. With your help we will give
                                                                                  our leading minds the encouragement, time
                                                                                and support to deliver the next breakthrough.
                                                                                                                    Sharon McGowan
                                                                                                               Chief Executive Officer
                                                                                                                   Stroke Foundation

                                                                                                                                         19
process. Applications are reviewed and scored                          2
                                                                                                                      Deloitte Access Economics – The economic impact of
                                             by independent reviewers with funding being                              stroke in Australia, 2013.
                                                                                                                    3
                                                                                                                      Deloitte Access Economics – Stroke in Australia – No
                                             awarded to the highest ranking applications.                             Postcode Untouched, 2014.
                                                                                                                    4
                                                                                                                      Linxin Li, Gabriel S Yiin, Olivia C Geraghty, Ursula G

     References                                                                                                       Schulz, Wilhelm Kuker, Ziyah Mehta, Peter M Rothwell,
                                                                                                                      on behalf of the Oxford Vascular Study; Incidence,
                                             Grant application timeframes                                             outcome, risk factors, and long-term prognosis of
     1.                                                                                                               cryptogenic
           Australian Institute of Health and Welfare. 2020. Australia’s health 2020: Australia’s health snapshots. Canberra:        transient ischaemic attack and ischaemic
                                                                                                                                  AIHW.
                                             Typically,  Stroke   Foundation       research     grant                 stroke: a population-based study Lancet Neurol 2015;
     2.
           GBD 2016 Lifetime Risk of Stroke Collaborators, Feigin VL et al. 2018. Global, Regional, and Country-Specific
                                                                                                                      14: 903–13Lifetime Risks of Stroke, 1990
           and 2016. New England Journal of  timeframes     are:
                                               Medicine. 379(25):2429-2437.                                         5
                                                                                                                      www.nhmrc.gov.au/grants-funding/research-funding-
     3.
           Deloitte Access Economics. 2020. No postcode untouched, Stroke in Australia 2020.                          statistics-and-data - stroke statistics provided by NHMRC
                                             › May/June – Grant round opens.
     4.
           Fifi JT, Mocco J. 2020. COVID-19 related stroke in young individuals. Lancet Neurology. 19(9):713-715.6www.nhmrc.gov.au/grants-funding/research-funding-
     5.                                        August
           Australian Institute of Health and›Welfare,    – Grant
                                                       Disease       applications
                                                               Expenditure             close.
                                                                              in Australia (13th June 2019). Availablestatistics-and-data
                                                                                                                        at: https://www.aihw.gov.au/
                                                                                                                    7
                                                                                                                      Deloitte Access Economics – Impact of stroke across
           reports/health-welfare-expenditure/disease-expenditure-australia/contents/australian-burden-of-disease-groups.
                                             › December – Grants awarded.                                             Australia, 2014.
     6.
           Deloitte Access Economics. 2020. The economic impact of stroke in Australia, 2020.
     7.
           National Health and Medical Research Council. (2020). Research funding statistics and data.
                                             Email research@strokefoundation.org.au
     8.
           Australian Institute of Health and Welfare. 2020. Australia’s health 2020: in brief. Australia’s health series no. 17 Cat. no. AUS 232. Canberra:
           AIHW.
     9.
           O’Donnell et al, 2016 ‘Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries
           [INTERSTROKE]: a case-control study’, Lancet: 388: 761-75.
     10.
           Spicer, David, ‘Stroke Foundation. 2020 National Survey Report.’, Colmar Brunton, 17 September 2020.

                                             How to get more involved                                                                    Contact us
                                               Give time – become a volunteer.                                                              1300 194 196
                                               Raise funds – donate or hold a fundraising event.                                            strokefoundation.org.au
                                               Speak up – join our advocacy team.                                                           /strokefoundation
                                               Leave a lasting legacy – include a gift in your Will.                                        @strokefdn

                                                                                                                                                                                   NSF1459_11/16
                                               Know your numbers – check your health regularly.                                             @strokefdn
                                               Stay informed – keep up-to-date and share our message.

                                                                   Stroke Foundation | 1300 194 196 | strokefoundation.org.au

                                                                                                                                                                                                   SF612_0321
                                                                   National Office: Level 7, 461 Bourke Street, Melbourne VIC 3000
                                                                                                                      Stroke
                                                                      We also have offices in Sydney, Brisbane, Perth and     Foundation
                                                                                                                          Hobart.                                    Research     25
                                                                                         ABN 42 006 173 379

20
You can also read