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Dr. Joseph Harbison

Associate Professor (Medical Gerontology)

Associate Professor (Trinity Inst. of Neurosciences (TCIN))

I am a Consultant Physician working in St James's Hospital Dublin, the largest hospital in the country. I helped establish the Stroke Service in this hospital and still work half time as a clinician there caring for patients and training Junior Doctors. I still participate in on-call medicine and am a Member of the National Clinical Advisory Group for Stroke. In addition I am a teacher and researcher in Trinity College Dublin
  Age related diseases   Ageing, stroke, dementia   Aging/Gerontology   Anatomy   Anticonvulsants   Brain   Clinical sleep research   Elderly Health   Gerontology   Medical/Diagnostic Imaging   Nervous System   Neurobiology   Neurochemistry and neuropharmacology   Neuroimaging   Neurology   Neuroscience   Pharmacology   Pharmacotherapy   Radiology, tomography and medical imaging   Sleep Disorders   Stroke   Stroke rehabilitation   Telemedicine

Details Date
Director of Irish Heart Foundation 2019
Lead National Clinical Programme for Stroke 2011
Lead National Audit of Stroke Care 2019
UK Sentinel Stroke National Audit Programme, External Reviewer 2018
CROI National Institute for Prevention and Cardiovascular Health, Advisory Board Member 2017
Chair of the National Advisory Committee on Medication Safety 2011
Language Skill Reading Skill Writing Skill Speaking
English Fluent Fluent Fluent
French Medium Medium Medium
Details Date From Date To
Fellowship of the European Stroke Organisation 2009
Fellow of the Royal Academy of Medicine in Ireland 2014 date
British and Irish Association of Stroke Physicians 2003 date
British Geriatrics Society 1997 date
World Stroke Organisation 2013
Before and after St John's hospital: evidence for a pre-Anglo-Norman cemetery on Thomas Street found on the shelves of Trinity College Dublin. in, editor(s)Sean Duffy , Medieval Dublin XIX, Dublin, Four Courts Press, 2023, pp36 - 52, [Joseph Harbison], Book Chapter, PUBLISHED
Bahzad H, Abdifatax A, Harbison J, Cunningham C., How do Undergraduate Medical Students Use and Value Mathematics Skills., Meeting proceedings, Maths Education Ireland, 2023, DCU Dublin, 4-5, edited by Touhill A , 2023, Conference Paper, PUBLISHED
Harbison J, Collins R, McCormack J, Brych O, Fallon C, Cassidy T., Hospital size, remoteness and stroke outcome., QJM : monthly journal of the Association of Physicians, 116, (4), 2023, p288-291 , Journal Article, PUBLISHED  DOI
Doran S, Horan M, Hillery P, Glynn D, Harbison J, Walsh J, Calderon A, Bradley D, Byrne D., It's time to act FAST: A quality improvement program (QIP) to improve acute stroke imaging times., Irish medical journal, 116, (3), 2023, p744 , Journal Article, PUBLISHED  DOI
Fischer U, Koga M, Strbian D, Branca M, Abend S, Trelle S, Paciaroni M, Thomalla G, Michel P, Nedeltchev K, Bonati LH, Ntaios G, Gattringer T, Sandset EC, Kelly P, Lemmens R, Sylaja PN, Aguiar de Sousa D, Bornstein NM, Gdovinova Z, Yoshimoto T, Tiainen M, Thomas H, Krishnan M, Shim GC, Gumbinger C, Vehoff J, Zhang L, Matsuzono K, Kristoffersen E, Desfontaines P, Vanacker P, Alonso A, Yakushiji Y, Kulyk C, Hemelsoet D, Poli S, Paiva Nunes A, Caracciolo N, Slade P, Demeestere J, Salerno A, Kneihsl M, Kahles T, Giudici D, Tanaka K, Räty S, Hidalgo R, Werring DJ, Göldlin M, Arnold M, Ferrari C, Beyeler S, Fung C, Weder BJ, Tatlisumak T, Fenzl S, Rezny-Kasprzak B, Hakim A, Salanti G, Bassetti C, Gralla J, Seiffge DJ, Horvath T, Dawson J, ELAN Investigators., Early versus Later Anticoagulation for Stroke with Atrial Fibrillation., The New England journal of medicine, 388, (26), 2023, p2411-2421 , Journal Article, PUBLISHED  DOI
Aguiar de Sousa D, Wilkie A, Norrving B, Macey C, Bassetti C, Tiu C, Roth G, Lunde G, Christensen H, Fiehler J, Pezzella FR, Dichgans M, Roaldsen MB, Kelly P, Mikulik R, Sacco S, Caso V, Fischer U, Steering Committee for the Implementation of the Stroke Action Plan in Europe., Delivery of acute ischaemic stroke treatments in the European region in 2019 and 2020., Eur Stroke J, 8, (3), 2023, p618-628 , Journal Article, PUBLISHED  DOI
Gorey S, McCabe JJ, Camps-Renom P, Giannotti N, McNulty JP, Barry M, Cassidy T, Cronin S, Dolan E, Fernández-León A, Foley S, Harbison J, O'Connell M, Williams DJ, Marnane M, Martí-Fabregas J, Kelly PJ., Symptomatic Carotid Atheroma Inflammation Lumen-stenosis score compared with Oxford and Essen risk scores to predict recurrent stroke in symptomatic carotid stenosis., Eur Stroke J, 2023, p23969873231186911 , Journal Article, PUBLISHED  DOI
Chalos V, Venema E, Mulder MJHL, Roozenbeek B, Steyerberg EW, Wermer MJH, Lycklama À Nijeholt GJ, van der Worp HB, Goyal M, Campbell BCV, Muir KW, Guillemin F, Bracard S, White P, Dávalos A, Jovin TG, Hill MD, Mitchell PJ, Demchuk AM, Saver JL, van der Lugt A, Brown S, Dippel DWJ, Lingsma HF; HERMES CollaboratorsMR CLEAN Registry Investigators., Development and Validation of a Postprocedural Model to Predict Outcome After Endovascular Treatment for Ischemic Stroke., JAMA Neurology, 2023, Journal Article, PUBLISHED  DOI
Chapman L, Kennedy O, Bradley D, Harbison J., Clinical validation of in-hospital stroke diagnosis., Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 32, (9), 2023, p107278 , Journal Article, PUBLISHED  DOI
Harbison J, McCormack J, Brych O, Collins R, O'Connell N, Randles M, Kennedy C, Kelly PJ, Cassidy T., Changes in Anticoagulation Practice in Subjects Admitted with Stroke Associated with Atrial Fibrillation, following introduction of Direct Oral Anticoagulants over 2013-2021. , International journal of stroke : official journal of the International Stroke Society, 2023, p17474930231206680 , Journal Article, PUBLISHED  DOI

Page 1 of 22
Randles M, Harbison J., Direct Oral Anticoagulant Prescribing Practices and Acute Stroke presentations in Older Irish Adults, European Geriatric Medicine, European Geriatric Medicine Society Conference , Helsinki, Sept 21st 2023, 14, (Supplement), Springer, 2023, Oral Presentation, IN_PRESS
Sarah Gorey, Padraig Synnott, Avela Nkabane, Sarah Coveney, Joseph Harbison, Simon Cronin, David Williams, Eamon Dolan, Tim Cassidy, Mary Barry, Martin O'Connell, Ciaran McDonnell, Karl Mcauley, Rosanna Inzitari, Michael Marnane, John McCabe, Peter Kelly, COMBINED INFLAMMATORY BIOMARKERS PREDICT RECURRENT IPSILATERAL ISCHAEMIC STROKE, European Stroke Journal, European stroke Organisation Conference, Munich, 24th-26th May 2023, 8, (2s), Sage, 2023, pp160-, Poster, PUBLISHED
Harbison J, Indications and yield of Transthoracic and Transeosophageal Echocardiography., European Stroke Organisation Conference, Barcelona, 9th May, 2016, European Stroke Organisation, Invited Talk, PUBLISHED
Harbison J, Ward S, McAteer P., The mystery of the mummy from Marsh's library., Archaeology Ireland, 28, (Summer), 2014, p16 - 19, Journal Article, PUBLISHED
Harbison J, Sir Patrick Dun's table-an accidental war memorial, History Ireland, 22, (6), 2014, p6-, Journal Article, PUBLISHED
Joe Harbison, Sleep Disturbances Following Stroke, European Stroke Congress, Barcelona, 27th May, 2010, European Stroke Organisation, Invited Talk, PUBLISHED
Joseph Harbison, Stroke Mimics, British Association o Stroke Physicians, BGS Cardiovascular Section Joint Conference, Birmingham, July 2009, 2009, British Association o Stroke Physicians, BGS Cardiovascular Section, Invited Talk, PUBLISHED


Award Date
William Stokes Award, St James's Hospital 2015
NHS R&D Fellowship 1999
President TCD Biological Society 2016-2017
I have diverse interests both within and beyond medicine. I am interested in management of acute stroke and Cardiac Rhythm Disturbances, especially Atrial Fibrillation. I have previously collaborated in and published a number of papers in this area, most recently on the association between Atrial Fibrillation and Frailty in TILDA (in press in Age and Ageing). We are currently conducting a large national study of Anticoagulation Delivery for atrial fibrillation in Primary care and another prospective study of unsuccessful Anticoagulation in Stroke patients in coordination with The Irish National Audit of Stroke. In 2022 are about to start a study on the associations and outcomes of inpatient stroke through the National Audit of Stroke to attempt to characterise the extent and nature of the problem. I am also a member of the large and productive, international 'AF Screen' Collaboration and our most recent publication on Atrial Fibrillation and Cognitive Impairment is in press in Circulation. I am a collaborator with Irish Stroke Clinical Trails Network and am a member of the Network Executive Committee. I am collaborating in the NIHR funded, SNOBBSS Study developing a tool for identifying neurological change following stroke. I continue to act as a reviewer for the NIHR of other submitted projects. In Acute stroke we are beginning a study examining the feasibility of using Near Infrared Spectroscopy (NIRS) as a means non-invasively investigating perfusion in Stroke Patients comparing outputs to Transcranial Doppler and CT Perfusion. My service is participating in a number of international trials including CONVINCE of Colchicine and stroke, ELAN on timing of Anticoagulation Therapy and AVERT DOSE on rehabilitation following stroke. We have participated in other trails including the DIAS 4 study, which was the first thrombolysis study conducted in Ireland and the ESCAPE trial, the first stroke Thromectomy study conducted here. We are partnering in additional rehabilitation research into use of Transcranial Magnetic Stimulation to predict upper limb function in hemiplegic stroke survivors and assessing the utility of a new upper limb support developed in the unit. I have also participated in research in TILDA particularly in the area of neuroimaging and cerebrovascular disease. I have longstanding interests on white matter disease and fatigue following stroke and on Stroke Service Organisation. I have also previously been involved in health economic research on areas associated with stroke treatment and anticoagulation. We've recently completed work on how the Covid pandemic impacted delivery of acute stroke services in Ireland with a report published by the National Office of Clinical Audit and a complementary research paper revised and resubmitted for publication. I am a member of the FERES ADVISOR consortium which is examining the feasibility of federalising international stroke databases to allow immediate comparison of datasets. We have submitted a H2021 submission supporting this and development of an AI package. I have previously been a member of the successful EUROHYP consortium. Outside of Stroke and Geriatrics I am currently helping to supervise a study into head injury and white matter disease in Homeless people. In the area of Medical education I am supervising a Doctoral candidate researching how rapidly changing evidence bases in Medicine should be incorporated into undergraduate curricula. Outside of Medicine I have research interests in Medical History and have published papers on aspects of history related to the School of Medicine in Trinity. I have recently submitted on a paper on the first Hospital in Dublin. In other areas of education I have collaborated in research on mathematical knowledge in undergraduate teachers, and we are currently conducting a study enquiring how and if Medical Students use their mathematical knowledge.