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An Analysis of EMS and ED Detection of Stroke.
CONCLUSIONS: EMS stroke alerts have better diagnostic test performance than stroke alerts by ED staff, likely due to higher NIH Stroke Scale scores (more obvious presentations) and are associated with better process measures. The fairly low PPV suggests room for improvement in prehospital stroke protocols. PMID: 28339314 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 26, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Identifying Key Words in 9-1-1 Calls for Stroke: A Mixed Methods Approach.
CONCLUSIONS: Most 9-1-1 callers used vague, non-specific, or distractor words and phrases and infrequently provide classic stroke descriptions during 9-1-1 calls for stroke. Both qualitative and quantitative methodologies identified similar key words and phrases associated with accurate EMD stroke recognition. This study suggests that tools incorporating commonly used words and phrases could potentially improve EMD stroke recognition. PMID: 28661784 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - June 30, 2017 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Accuracy of Prehospital Identification of Stroke in a Large Stroke Belt Municipality.
CONCLUSIONS: EMD and EMS personnel in a large city in the Southeastern United States, with high stroke prevalence, had a relatively high sensitivity in identifying acute stroke patients. Paramedic accuracy was augmented by positive CPSS screening and by EMD recognition of stroke. PMID: 29596006 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - March 31, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

HbA1c measurement and relationship to incident stroke
ConclusionsThe frequency of diabetes testing was higher in patients who had experienced a stroke before and after their incident stroke compared with control patients but did not increase after their stroke. Glucose control improved significantly in the year after a stroke.This article is protected by copyright. All rights reserved.
Source: Diabetic Medicine - December 19, 2015 Category: Endocrinology Authors: R. Robson, A. Lacey, S. Luzio, H Van Woerden, M. Heaven, M. Wani, J. Halcox, L. Castilla‐Guerra, J. Dawson, J. Hewitt Tags: Short Report Source Type: research

Stroke Risk among Patients with Type 2 Diabetes Mellitus in Zhejiang: A Population-Based Prospective Study in China.
Conclusions. The relationship between stroke and T2DM was strong, especially in female. The incidence of stroke and stroke subtypes among patients with T2DM was up to 3-fold higher than in general population in Zhejiang province, especially the subtype of cerebral infarctions. PMID: 27403161 [PubMed]
Source: International Journal of Endocrinology - July 13, 2016 Category: Endocrinology Tags: Int J Endocrinol Source Type: research

Simplified Prehospital Prediction Rule to Estimate the Likelihood of 4 Types of Stroke: The 7-Item Japan Urgent Stroke Triage (JUST-7) Score.
Conclusions: The simplified 7-item JUST (JUST-7) score had good predictive ability and can help healthcare providers to estimate the likelihood of different types of stroke and decide the referral hospital. PMID: 32701385 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - July 25, 2020 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Emergency Medical Services Utilization for Acute Stroke Care: Analysis of the Paul Coverdell National Acute Stroke Program, 2014-2019.
CONCLUSIONS: Strategies to help increase stroke awareness and utilization of EMS among those with symptoms of stroke should be considered in order to help improve stroke outcomes. PMID: 33464940 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - January 21, 2021 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Impact of glucose-lowering therapies on risk of stroke in type 2 diabetes.
Abstract Patients with type 2 diabetes (T2D) have an increased risk of stroke compared with people without diabetes. However, the effects of glucose-lowering drugs on risk of ischaemic stroke in T2D have been less extensively investigated than in coronary heart disease. Some evidence, including the UKPDS, has suggested a reduced risk of stroke with metformin, although the number of studies is limited. Inhibition of the KATP channels increases ischaemic brain lesions in animals. This is in agreement with a recent meta-analysis showing an increased risk of stroke with sulphonylureas vs. various comparators as both m...
Source: Diabetes and Metabolism - May 15, 2017 Category: Endocrinology Authors: Bonnet F, Scheen AJ Tags: Diabetes Metab Source Type: research

Prognostic Value of BEFAST vs. FAST to Identify Stroke in a Prehospital Setting.
CONCLUSION: Adding coordination and diplopia assessments to face, arm, and speech assessment does not improve stroke detection in the prehospital setting. PMID: 30118372 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - August 18, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Prevalence of diabetes and its effects on stroke  outcomes: A meta‐analysis and literature review
ConclusionsApproximately one ‐third of all stroke patients have diabetes. Uniform methods to screen for diabetes after stroke are required to identify individuals with diabetes to design interventions aimed at reducing poor outcomes in this high‐risk population.
Source: Journal of Diabetes Investigation - October 13, 2018 Category: Endocrinology Authors: Lik ‐Hui Lau, Jeremy Lew, Karen Borschmann, Vincent Thijs, Elif I Ekinci Tags: Original Article Source Type: research

Effect of Acute Stroke Care Regionalization on Intravenous Alteplase Use in Two Urban Counties.
Conclusions: Our findings suggest that greater post-regionalization improvements in San Mateo County contributed to significantly better county-level thrombolysis use than Santa Clara County. PMID: 31599705 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - October 11, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Elevated visceral adiposity index is associated with increased stroke prevalence and earlier age at first stroke onset: Based on a national cross-sectional study
ConclusionAlthough a causal relationship cannot be proven, higher VAI was positively associated with stroke prevalence and can lead to earlier stroke onset.
Source: Frontiers in Endocrinology - January 16, 2023 Category: Endocrinology Source Type: research

Thyroid hormones and functional outcomes after ischemic stroke
Conclusions This study found that lower levels of free T3 were associated with poorer outcomes at hospital discharge, and at 3 and 12 months post stroke, however, these associations diminished after correction for other known predictors of stroke outcome. Thyroid hormones have a complex relationship with ischemic stroke and stroke recovery, which merits further larger investigations.
Source: Thyroid Research - July 4, 2015 Category: Endocrinology Source Type: research

The impact of parental risk factors on the risk of stroke in type 1 diabetes
ConclusionA history of maternal stroke increases the risk of hemorrhagic stroke in individuals with type 1 diabetes. Other parental risk factors seem to have limited impact on the risk of stroke.
Source: Acta Diabetologica - March 15, 2021 Category: Endocrinology Source Type: research

Relationship of the metabolic score for insulin resistance and the risk of stroke in patients with hypertension: A cohort study
ConclusionsThis cohort study suggests a relationship between METS-IR and the risk of stroke and ischemic stroke. Further studies are required to elucidate the underlying mechanisms.
Source: Frontiers in Endocrinology - December 5, 2022 Category: Endocrinology Source Type: research

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