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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Ischemic Stroke
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Total 2464 results found since Jan 2013.
Association of the ASCO Classification with the Executive Function Subscores of the Montreal Cognitive Assessment in Patients with Postischemic Stroke
Conclusions: These results suggest that the ASCO phenotypic classification of stroke is useful not only for assessing the etiology of ischemic stroke but also for predicting cognitive decline after ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 29, 2014 Category: Neurology Authors: Kazuo Washida, Masafumi Ihara, Hisatsugu Tachibana, Kenji Sekiguchi, Hisatomo Kowa, Fumio Kanda, Tatsushi Toda Tags: Original Articles Source Type: research
Hospital Volume and Mortality in Acute Ischemic Stroke Patients: Effect of Adjustment for Stroke Severity
Objective: Stroke severity of 1 hospital is a crucial information when assessing hospital performance. We aimed to determine the effect of stroke severity in the association between hospital patient volume and outcome after acute ischemic stroke. Methods: Data from National Acute Stroke Quality Assessment in 2013 and 2014 were analyzed. Hospital patient volume was defined as the annual number of acute ischemic stroke patients who admitted to each hospital. Comparisons among hospital patient volume quartiles before and after adjusting age, sex, onset to arrival and stroke severity were made to determine the associations bet...
Source: Journal of Stroke and Cerebrovascular Diseases - March 6, 2020 Category: Neurology Authors: Keon-Joo Lee, Jun Yup Kim, Jihoon Kang, Beom Joon Kim, Seong-Eun Kim, Hyunji Oh, Hong-Kyun Park, Yong-Jin Cho, Jong-Moo Park, Kwang-Yeol Park, Kyung Bok Lee, Soo Joo Lee, Tai Hwan Park, Ji Sung Lee, Juneyoung Lee, Ki Hwa Yang, Ah Rum Choi, Mi Yeon Kang, G Source Type: research
Socioeconomic Factors Predicting Depression Differ in the Acute Stage and at 1 year After Ischemic Stroke or TIA
The most prevalent psychiatric complication after stroke is depression. Clinically relevant depressive symptoms appear in about one third of cases after stroke.1,2 The frequency of post stroke depression (PSD) is highest in the first year after stroke.3 In a recent Spanish survey of patients with TIA and minor stroke 43.9 % had post stroke depression (PSD) at 10 days after the cerebrovascular event and 8.6 % of patients had PSD 12 months later.4 Severity of depressive symptoms often changes in the first year after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 22, 2020 Category: Neurology Authors: Ágnes Mirolovics, Magdolna Bokor, Balázs Dobi, Judit Zsuga, Dániel Bereczki Source Type: research
Clinical Outcomes and Costs of Recurrent Ischemic Stroke: A Systematic Review
Stroke is one of the leading causes of morbidity and mortality worldwide1 associated with significant healthcare costs.2 The burden of stroke is frequently reported as the incidence of first-event stroke, but the prevalence of total stroke events, including recurrent stroke, more accurately reflects the true burden.3,4 Nearly 30% of all strokes are recurrent events, and the risk is highest in the period immediately following a stroke.5 In particular, patients who have suffered an ischemic stroke are at a higher risk of experiencing one or more subsequent strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - April 6, 2022 Category: Neurology Authors: Sophia R. Ferrone, Artem T. Boltyenkov, Zachary Lodato, Joseph O'Hara, Jaclyn Vialet, Ajay Malhotra, Jeffrey M. Katz, Jason J. Wang, Chinara Feizullayeva, Pina C. Sanelli Source Type: research
Association between physical activity levels and depressive symptoms in patients with minor ischemic stroke
Post-stroke depression (PSD) in stroke patients is a serious sequela. The incidence of depression in stroke patients is approximately 22% –35%.1,2 PSD is associated with serious outcomes, leading to increased risk of mortality and reduced quality of life.3 In addition, a previous study investigating the association between depression and stroke recurrence in ischemic stroke (IS) patients reported that post-IS depression is an indepe ndent risk factor for stroke recurrence.4 Thus, prevention of PSD is important, as this could lead to further adverse functional outcomes after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 11, 2022 Category: Neurology Authors: Ryota Ashizawa, Hiroya Honda, Kohei Yoshizawa, Yuto Kameyama, Yoshinobu Yoshimoto Source Type: research
Red blood cell distribution width to platelet ratio predicts early neurological deterioration in acute ischemic stroke patients receiving intravenous thrombolysis
Stroke is a disease that seriously threatens human health, with high incidence, a high disability rate and high mortality.1 –4 The occurrence rate of stroke ranks second in China, and stroke is a major contributor to disability and the main cause of death in China.1,2,4 Stroke patients suffer from not only neurological dysfunction but also serious social and psychological obstacles, which seriously affect their quality of life and place a massive economic burden on their families and society.1,5,6 Acute ischemic stroke (AIS) is the most common type of stroke, accounting for approximately 70% of the stroke cases in China.
Source: Journal of Stroke and Cerebrovascular Diseases - May 4, 2023 Category: Neurology Authors: Min Jiang, Jun Shen, Bilal Muhammad, Deqin Geng Source Type: research
Tissue Plasminogen Activator Thrombolytic Therapy for Acute Ischemic Stroke in 4 Hospital Groups in Japan
In October 2005 in Japan, the recombinant tissue plasminogen activator (tPA) alteplase was approved for patients with acute ischemic stroke within 3 hours of onset at a dose of 0.6 mg/kg. The present study was undertaken to assess the safety and efficacy of alteplase in Japan. Between October 2005 and December 2009, a total of 114 consecutive patients admitted to 4 hospitals received intravenous tPA within 3 hours of stroke onset. Clinical backgrounds and outcomes were investigated. The patients were divided into 2 chronological groups: an early group, comprising 45 patients treated between October 2005 and December 2007,...
Source: Journal of Stroke and Cerebrovascular Diseases - October 4, 2011 Category: Neurology Authors: Syoichiro Kono, Kentaro Deguchi, Nobutoshi Morimoto, Tomoko Kurata, Shoko Deguchi, Tohru Yamashita, Yoshio Ikeda, Tohru Matsuura, Hisashi Narai, Nobuhiko Omori, Yasuhiro Manabe, Taijyun Yunoki, Yoshiki Takao, Sanami Kawata, Kenichi Kashihara, Koji Abe Tags: Original Articles Source Type: research
Demographic, Clinical, and Radiologic Predictors of Neurologic Deterioration in Patients with Acute Ischemic Stroke
One-third of patients with acute ischemic stroke develop early neurologic worsening, which is associated with increased mortality and long-term functional disability. We investigated the predictive factors for neurologic deterioration in patients with acute ischemic stroke within 1 week of onset. We retrospectively investigated 643 patients who were admitted within 2 days of acute ischemic stroke between April 2007 and March 2010. Neurologic deterioration was defined as an increase of 4 points or more in the National Institutes of Health Stroke Scale (NIHSS) score within 1 week of admission. We retrieved data on demograph...
Source: Journal of Stroke and Cerebrovascular Diseases - September 9, 2011 Category: Neurology Authors: Nobukazu Miyamoto, Yasutaka Tanaka, Yuji Ueno, Miyako Kawamura, Yoshiaki Shimada, Ryota Tanaka, Nobutaka Hattori, Takao Urabe Tags: Original Articles Source Type: research
Survival and Differentiation of Transplanted Neural Stem Cells Derived from Human Induced Pluripotent Stem Cells in A Rat Stroke Model
Conclusions: To our knowledge, this is the first report of transplantation of NSCs derived from human iPSCs in a stroke model. Human iPSC-derived NSCs survived in the postischemic rat brain and appeared to differentiate, primarily into neurons. This cell transplantation approach for stroke appears to be feasible, but further optimization is needed.
Source: Journal of Stroke and Cerebrovascular Diseases - November 14, 2011 Category: Neurology Authors: Matthew B. Jensen, Hongmei Yan, Rajeev Krishnaney-Davison, Abdullah Al Sawaf, Su-Chun Zhang Tags: Original Articles Source Type: research
Remote Assessment of Stroke Using the iPhone 4
This study demonstrates the efficacy of using the relatively inexpensive iPhone 4 in telestroke management. Twenty patients with stroke were assessed at the bedside using an iPhone 4, and each examination was directed remotely on another iPhone 4. Both the physician performing the bedside exam and the remote physician calculated a National Institutes of Health Stroke Scale (NIHSS) score for each patient. Each physician was blinded to the other’s NIHSS score. In the 20 patients assessed, NIHSS scores ranged from 0 to 22. Interrater reliability assessed using the κ statistic demonstrated excellent agreement in 10 items (l...
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2011 Category: Neurology Authors: Eric R. Anderson, Bryan Smith, Moges Ido, Michael Frankel Tags: Original Articles Source Type: research
Recent Trends in Inpatient Mortality and Resource Utilization for Patients with Stroke in the United States: 2005-2009
Background: The aim of the study is to evaluate recent trends in mortality, length of stay, costs, and charges for patients admitted to the US hospitals with the principal diagnosis of stroke.Methods: This was a retrospective temporal trends study using data from the Nationwide Inpatient Sample from 2005 to 2009.Results: During the study period, there were 2.7 million hospital admissions with the diagnosis of stroke in the United States (470,000 intracerebral hemorrhage, 130,000 subarachnoid hemorrhage, and 2.1 million ischemic strokes). In-hospital mortality decreased from 10.2% in 2005 to 9.0% in 2009 (26.0%-23.0%, 23.4...
Source: Journal of Stroke and Cerebrovascular Diseases - April 1, 2013 Category: Neurology Authors: Maria Stepanova, Chapy Venkatesan, Laith Altaweel, Alita Mishra, Zobair M. Younossi Tags: Original Articles Source Type: research
Impact of Telemedicine Implementation in Thrombolytic Use for Acute Ischemic Stroke: The University of Pittsburgh Medical Center Telestroke Network Experience
Background: Intravenous thrombolysis is the only therapy for acute ischemic stroke that is approved by the US Food and Drug Association. The use of telemedicine in stroke makes it possible to bring the expertise of academic stroke centers to underserved areas, potentially increasing the quality of stroke care.Methods: All consecutive admissions for stroke were reviewed for 1 year before telemedicine implementation and for variable periods thereafter. A retrospective review identified 2588 admissions for acute stroke between March 2005 and December 2008 at 12 hospitals participating in a telestroke network, including 919 pa...
Source: Journal of Stroke and Cerebrovascular Diseases - March 13, 2013 Category: Neurology Authors: Edilberto Amorim, Min-Mei Shih, Steven A. Koehler, Lori L. Massaro, Syed F. Zaidi, Mouhammad A. Jumaa, Vivek K. Reddy, Maxim D. Hammer, Tudor G. Jovin, Lawrence R. Wechsler Tags: Original Articles Source Type: research
Safety of a “Drip and Ship” Intravenous Thrombolysis Protocol for Patients with Acute Ischemic Stroke
Conclusions: Our “drip and ship” protocol for IVT is safe. The protocol was not associated with an excess of sICH or in-hospital mortality compared with patients who received IVT at the CPSC.
Source: Journal of Stroke and Cerebrovascular Diseases - February 10, 2012 Category: Neurology Authors: Simin Mansoor, Ramin Zand, Ameer Al-Wafai, Mervat N. Wahba, Elias A. Giraldo Tags: Original Articles Source Type: research
Optimal Timing and Duration of Continuous Electrocardiographic Monitoring for Detecting Atrial Fibrillation in Stroke Patients
Conclusions: We suggest that in order to enhance the detection rate of AF, CEM could be generalized in the stroke unit. It must be started early in patients with acute stroke and prolonged over a minimum of 4 days.
Source: Journal of Stroke and Cerebrovascular Diseases - February 20, 2012 Category: Neurology Authors: Laurent Suissa, Sylvain Lachaud, Marie Hélène Mahagne Tags: Original Articles Source Type: research
Safety and Effectiveness of Endovascular Treatment after 6 Hours of Symptom Onset in Patients with Anterior Circulation Ischemic Stroke: A Matched Case Control Study
Conclusions: We did not observe any evidence of benefit in halting neurologic worsening or improving outcomes among patients undergoing endovascular treatment for treatment of an anterior circulation ischemic stroke after 6 hours of symptom onset. Strong evidence of both the safety and efficacy of emergent endovascular treatment when administered to patients with stroke in the anterior circulation is needed.
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2012 Category: Neurology Authors: Adnan I. Qureshi, Jefferson T. Miley, Saqib A. Chaudhry, Edouard Semaan, Gustavo J. Rodriguez, M.Fareed K. Suri, Harold P. Adams Tags: Original Articles Source Type: research
