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Total 1895 results found since Jan 2013.

Dysphagia-related acute stroke complications: A retrospective observational cohort study
Dysphagia, or impaired swallowing, is reported to affect between 8.1% and 45.3% of patients following stroke.1 Dysphagia is associated with longer length of stay (LOS) in acute hospital, increased healthcare costs, and greater long-term institutionalisation.2,3 Aspiration pneumonia mediates a significant proportion of this deleterious association and, in its own right, is associated with increased length of stay in hospital,4 poorer post-stroke functioning,5,6 and increased mortality.7
Source: Journal of Stroke and Cerebrovascular Diseases - April 12, 2023 Category: Neurology Authors: Verity E. Bond, Sebastian Doeltgen, Timothy Kleinig, Joanne Murray Source Type: research

Dysphagia screening method reduces post-stroke pneumonia
Early systematic screening for dysphagia, coupled with intensified oral hygiene practice can significantly reduce the rate of radiologic pneumonia among stroke patients, research shows.
Source: MedWire News - Stroke - May 15, 2013 Category: Neurology Source Type: news

Elderly Age, Bilateral Lesions, and Severe Neurological Deficit Are Correlated with Stroke-associated Pneumonia
In conclusion, elderly age, bilateral lesions, and severe neurological deficit were significantly associated with pneumonia. Pneumonia in turn strongly predicted inability to take food orally and be discharged from hospital to home.
Source: Journal of Stroke and Cerebrovascular Diseases - May 9, 2013 Category: Neurology Authors: Shinichiro Maeshima, Aiko Osawa, Takeshi Hayashi, Norio Tanahashi Tags: Original Articles Source Type: research

Majority of 30-Day Readmissions After Intracerebral Hemorrhage Are Related to Infections Clinical Sciences
Conclusions— Infections are associated with a majority of 30-day readmissions after intracerebral hemorrhage and increased mortality. Efforts should be made to reduce infection-related complications after hospital discharge.
Source: Stroke - June 26, 2016 Category: Neurology Authors: Lord, A. S., Lewis, A., Czeisler, B., Ishida, K., Torres, J., Kamel, H., Woo, D., Elkind, M. S. V., Boden-Albala, B. Tags: Epidemiology, Health Services, Quality and Outcomes, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage Clinical Sciences Source Type: research

Delayed Swallowing Reflex is Overlooked in Swallowing Screening Among Acute Stroke Patients
Dysphagia in the acute phase of stroke contributes significantly to poor outcomes and is associated with the development of aspiration pneumonia and malnutrition. Therefore, an accurate evaluation of swallowing is necessary before initiating oral food intake. The modified water swallow test (MWST) and the repetitive saliva swallow test (RSST) are commonly used as bedside screening methods for swallowing dysfunction, but it is unclear whether other factors contribute to dysphagia and consequent aspiration.
Source: Journal of Stroke and Cerebrovascular Diseases - October 8, 2020 Category: Neurology Authors: Chiho Takeda, Mitsuyoshi Yoshida, Masahiro Nakamori, Naohisa Hosomi, Toshikazu Nagasaki, Mineka Yoshikawa, Jun Kayashita, Shin Masuda, Hirofumi Maruyama, Kazuhiro Tsuga Source Type: research

Clinical Improvement Following Stroke Promptly Reverses Post-stroke Cellular Immune Alterations
Conclusions: SIIA are detectable on admission of acute stroke patients. While it was assumed that post-stroke immunosuppression is rapidly reversed with improvement this is the first data set that shows that improvement actually is associated with a rapid reversal of SIIA demonstrating that SIIA require a constant signal to persist. The observation that HMGB-1 serum concentrations were similar in improved and non-improved cohorts argues against a role for this pro-inflammatory mediator in the maintenance of SIIA. Serum miRNA observed to be regulated in stroke in other publications was counter regulated with improvement in ...
Source: Frontiers in Neurology - April 30, 2019 Category: Neurology Source Type: research

5-year survival and rehospitalization due to stroke recurrence among patients with hemorrhagic or ischemic strokes in Singapore
Conclusions: Five year post-stroke survival and rehospitalization due to stroke recurrence as well as their associations with patient demographics were studied for different stroke types in Singapore. Specific preventive strategies are needed to target the high risk groups to improve their long-term outcomes after acute stroke.
Source: BMC Neurology - October 3, 2013 Category: Neurology Authors: Yan SunSze LeeBee HengVivien Chin Source Type: research

Flu jab "may cut" stroke risk by a quarter
ConclusionThis research finds that, overall, having the flu vaccine reduced the risk of a person experiencing a stroke by about 25%. The reduction in risk seemed to be greatest within the first three months of vaccination, but remained for up to 12 months.  However, the effect lasted only if the vaccine was given early in the flu season (September to mid-November); giving the vaccine late in the flu season (mid-November to February) was not associated with significantly reduced risk.The research benefits from using data coded within the General Practice Research Database for England and Wales for almost 50,000 people with...
Source: NHS News Feed - February 21, 2014 Category: Consumer Health News Tags: Heart/lungs Neurology Older people Source Type: news

Pregnancy-Associated Stroke and Outcomes Related to Timing and Hypertensive Disorders
CONCLUSION: A nationally representative sample of hospitalizations in the United States indicates an increasing trend in the rate of postpartum stroke. Almost half of hospitalizations with pregnancy-associated stroke have concomitant hypertensive disorders. Risk of adverse outcomes, but not mortality, is elevated in patients with stroke occurring in the postpartum period and stroke associated with hypertensive disorders.PMID:37411017 | DOI:10.1097/AOG.0000000000005249
Source: Obstetrics and Gynecology - July 6, 2023 Category: OBGYN Authors: Ghamar Bitar Baha M Sibai Han-Yang Chen Natalie Neff Sean Blackwell Suneet P Chauhan Michal Fishel Bartal Source Type: research

Prophylactic antibiotics after acute stroke for reducing pneumonia in patients with dysphagia (STROKE-INF): a prospective, cluster-randomised, open-label, masked endpoint, controlled clinical trial
This study assessed the effectiveness of antibiotic prophylaxis for reducing pneumonia in patients with dysphagia after acute stroke. Methods We did a prospective, multicentre, cluster-randomised, open-label controlled trial with masked endpoint assessment of patients older than 18 years with dysphagia after new stroke recruited from 48 stroke units in the UK, accredited and included in the UK National Stroke Audit. We excluded patients with contraindications to antibiotics, pre-existing dysphagia, or known infections, or who were not expected to survive beyond 14 days. We randomly assigned the units (1:1) by computer to ...
Source: The Lancet - September 5, 2015 Category: Journals (General) Source Type: research

Timing of Postoperative Stroke and Risk of Mortality After Noncardiac Surgery: A Cohort Study
CONCLUSIONS: Postoperative stroke tends to occur within 7 days following noncardiac surgery. Such timing of postoperative stroke carries a higher mortality risk, suggesting that targeted efforts to prevent stroke should focus on the first week following surgery to reduce the incidence and mortality associated with this complication. Our findings contribute to the growing understanding of stroke after noncardiac surgery and may help clinicians develop tailored perioperative neuroprotective strategies to prevent or improve treatment and outcomes of postoperative stroke.PMID:37303467 | PMC:PMC10251695 | DOI:10.14740/jocmr4877
Source: Clin Med Res - June 12, 2023 Category: Research Authors: Christian Mpody Onaopepo Kola-Kehinde Hamdy Awad Sujatha Bhandary Michael Essandoh Demicha Rankin Antolin Flores Ronald Harter Olubukola O Nafiu Source Type: research

A qualitative study on palliative needs of stroke patients in an Indian tertiary care setting - Doctors & #39; perspective
Conclusions: From the interviews of the clinicians, we can conclude that care of a stroke patient is more than medical management and rehabilitation, as several other aspects of the patient's life are affected by the condition. The quality of life aspect has to be looked upon as an area that requires active intervention in a setting of stroke. Physical disabilities were viewed as the most significant factor in reducing the quality of life. Spiritual needs have a low priority in comparison to other physical needs. Due to high patient load and time constraints, many of the needs are unaddressed. Two important area...
Source: Indian Journal of Palliative Care - January 31, 2019 Category: Palliative Care Authors: Jacob Lloyd Ashna Maria Pinto Shoba Nair Subhash Tarey Source Type: research