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Specialty: Geriatrics
Condition: Hemorrhagic Stroke
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Total 79 results found since Jan 2013.
Clinical characteristics of stroke occurring in the toilet: Are older adults more vulnerable?
ConclusionsThe toilet is a closed space where stroke occurs disproportionately frequently. Effort to reduce the incidence of toilet‐related strokes is warranted, as early patient detection is not always feasible. Geriatr Gerontol Int 2017; ••: ••–••.
Source: Geriatrics and Gerontology International - August 31, 2017 Category: Geriatrics Authors: Joji Inamasu, Kazuhiro Tomiyasu, Satoru Miyatake, Keita Mayanagi, Masami Yoshii, Masashi Nakatsukasa Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research
248 An Evaluation of Patient Education Post-Stroke
ConclusionThese results illustrate areas in which we can improve education post-stroke, including ensuring patients receive individualised information about the aetiology of their stroke, risk factors and the importance of new medications. It also highlights the importance of ensuring advice regarding driving is clearly explained and documented.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research
55 A Review of Stroke Demographics and Outcomes at a Regional Hospital without a Stroke Unit
ConclusionThe average length of stay was 16.1 days, considerably higher than the national stroke unit average of 9. The overall mortality rate was 5% higher than the national of 13%. Limited rehabilitation services and time awaiting national rehabilitation beds contributed to the long LOS. There is a definite need for a dedicated stroke service at our hospital, local analysis suggests that 6 beds would meet the needs of our catchment area; and this would lead to better outcomes for stroke patients. A further locally dedicated stroke audit is needed.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research
Important factors in predicting mortality outcome from stroke: findings from the Anglia Stroke Clinical Network Evaluation Study
Conclusions</div>there appears to be consistent and robust evidence of direct clinical benefit on mortality up to 1 year after acute stroke of higher numbers of trained nursing staff over and above that of other recognised mortality risk factors.</span>
Source: Age and Ageing - October 27, 2016 Category: Geriatrics Source Type: research
Risk Factors for In-Hospital Mortality among Ischemic Stroke Patients in Southern Taiwan
Conclusion Nearly 30% of in-hospital mortality is associated with preventable factors. The prognosis of acute stroke can be improved by increased focus on reducing serious complications after stroke, particularly on the prevention of infection, heart disease, and increased intracranial pressure.
Source: International Journal of Gerontology - June 7, 2016 Category: Geriatrics Source Type: research
199 Hospital Discharges for Acute Stroke in Ireland: National Data 2005-2017
ConclusionBetter understanding is needed of the risk factors underlying this worrying trend.Clinical service providers will need to adapt to better deal with the challenges specific to stroke at younger age.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research
306 The Changing Face of Stroke in the DOAC Era
ConclusionThe majority of strokes occurring in anticoagulated patients are related to warfarin use. We observed an almost significant reduction in the proportion of ischaemic strokes due to under-dosing of OAC over the study period. Warfarin continues to be recommended as the first line anticoagulant for stroke prevention in atrial fibrillation by the HSE Medicines Management Programme, a decision which we would argue warrants review.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research
How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund
Conclusions:
Our results show that age has an effect on care dependency risk that cannot be explained by burden of disease. Thus, there must be other underlying age-dependent factors that account for the remaining age effects (e.g., social conditions). Further studies are needed to explore the causes of the strong age effects observed.
Source: BMC Geriatrics - October 23, 2015 Category: Geriatrics Authors: Susanne SchnitzerOlaf KnesebeckMartin KohlerDirk PeschkeAdelheid KuhlmeyLiane Schenk Source Type: research
Total and Differential White Blood Cell Counts in Late Life Predict 8‐Year Incident Stroke: The Honolulu Heart Program
ConclusionIn elderly Japanese‐American men, higher total WBC and neutrophil counts were independent predictors of overall stroke, as well as thromboembolic stroke.
Source: Journal of the American Geriatrics Society - March 4, 2015 Category: Geriatrics Authors: Ji Young Huh, George Webster Ross, Randi Chen, Robert D. Abbott, Christina Bell, Bradley Willcox, Lenore Launer, Helen Petrovitch, Brock Kaya, Kamal Masaki Tags: Clinical Investigations Source Type: research
Stroke severity and outcomes for octogenarians receiving statins
Abstract: Pre-exposure to 3-hydroxy-3-methylgutaryl-coenzyne A reductase inhibitors (statins) appears to improve outcomes in patients with acute ischemic stroke (AIS). Whether this extends to patients over 80 is not known. Patients ≥80 years of age with AIS were retrospectively reviewed from the stroke registry of a tertiary stroke center. Pre-admission statin use, demographics, vascular risk factors, and comorbid conditions were assessed. Primary outcomes were admission National Institutes of Health Stroke Scale (NIHSS) scores and in-hospital mortality/discharge to hospice, and secondary outcomes included subsequent int...
Source: Archives of Gerontology and Geriatrics - July 1, 2013 Category: Geriatrics Authors: Michael S. Phipps, Neer Zeevi, Ilene Staff, Gil Fortunato, George A. Kuchel, Louise D. McCullough Source Type: research
High Prevalence of Social Cognition Disorders and Mild Cognitive Impairment Long Term After Stroke
Conclusions:
The study demonstrates the high frequency of social cognition impairment 3 years after the first-ever stroke in young patients. Doctors and nurses should be sensitized to cognitive handicap after stroke because of difficulties for rehabilitation and returning to work.
Source: Alzheimer Disease and Associated Disorders - January 1, 2020 Category: Geriatrics Tags: Original Articles Source Type: research
Intravenous Thrombolysis for Acute Ischemic Stroke in the Elderly: An Italian Cohort Study in a “Real World” Setting
Conclusion Thrombolysis in patients aged >80 years was not associated with significantly increased intracranial hemorrhage. The higher 3-month disability rate observed in octogenarians may be explained by the more severe stroke and higher poststroke disability. Based on the current, “real world setting” study, we advocate the need for a randomized clinical trial to better clarify the efficacy and safety of intravenous thrombolysis for acute ischemic stroke in the elderly.
Source: International Journal of Gerontology - March 10, 2015 Category: Geriatrics Source Type: research
Incidence of stroke and seizure in Alzheimer's disease dementia
Background: the objective of the study was to estimate and compare the incidence rates of ischaemic and haemorrhagic stroke and seizure among cohorts with and without Alzheimer's disease (AD) dementia.
Methods: we conducted a retrospective cohort study using electronic medical records (EMRs) from primary care practices that participated in The Health Improvement Network (THIN) in the United Kingdom from 1 January 1990 to 31 July 2009. For each AD-dementia patient, we selected one general population control patient without AD-dementia matched to one AD-dementia patient on year of birth, sex and physician practice.
Findings:...
Source: Age and Ageing - June 22, 2015 Category: Geriatrics Authors: Cook, M., Baker, N., Lanes, S., Bullock, R., Wentworth, C., Arrighi, H. M. Tags: Short Reports Source Type: research
Influence of cerebral white matter lesions on the activities of daily living of older patients with mild stroke
ConclusionSevere white matter lesions are a prognostic factor for poor ADL at discharge in older patients with stroke who have mild neurological symptoms. Geriatr Gerontol Int ●●; ●●: ●●–●●.
Source: Geriatrics and Gerontology International - September 1, 2015 Category: Geriatrics Authors: Yutaka Yamashita, Ikuo Wada, Mitsuya Horiba, Kento Sahashi Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research
