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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Stroke
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Total 6741 results found since Jan 2013.
The Finnish Prehospital Stroke Scale Detects Thrombectomy and Thrombolysis Candidates —A Propensity Score-Matched Study
Prehospital stroke triage is challenged by endovascular treatment for large vessel occlusion (LVO) being available only in major stroke centers. Conjugate eye deviation (CED) is closely related to LVO, whereas common stroke signs (face-arm-leg-speech-visual) screen stroke. We hypothesized that combining CED with common stroke signs would yield a prehospital stroke scale for identifying both LVO and stroke in general.
Source: Journal of Stroke and Cerebrovascular Diseases - November 20, 2017 Category: Neurology Authors: Jyrki P. Ollikainen, Heikki V. Janhunen, Juho A. Tynkkynen, Kalle M. Mattila, Minna M. H älinen, Niku K. Oksala, Satu-Liisa K. Pauniaho Source Type: research
Determinants Influencing the Prestroke Health Behaviors and Cardiovascular Disease Risk of Stroke Patients: A Cross-Sectional Study
Background: Knowledge about stroke and stroke prevention may provide motivation to lead a healthy lifestyle to prevent stroke. The goal of this study is to quantify the knowledge of stroke and stroke prevention of patients with a recent stroke and its association with health behaviors and cardiovascular disease risk. Methods: We conducted a prospective cross-sectional study utilizing consecutive stroke admissions at 2 hospitals in Vancouver, Canada. We included patients within 48-72hours of admission.
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2019 Category: Neurology Authors: Beena P. Parappilly, Thalia S. Field, William B. Mortenson, Brodie M. Sakakibara, Janice J. Eng Source Type: research
Stroke Mimics: Experience of a Moroccan Stroke Unit
The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic.
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2020 Category: Neurology Authors: Naima Chtaou, Siham Bouchal, Aouatef E.l. Midaoui, Zouhayr Souirti, Nabil Tachfouti, Mohammed Faouzi Belahsen 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
Knowledge of Stroke Warning Signs, Risk Factors, and Response to Stroke among Lebanese Older Adults in Beirut
Background and objectives: Stroke is a global burden. In Lebanon, recent studies have shown that stroke prevalence may be higher than other developing countries. While older people are particularly vulnerable to stroke, research suggests that they have poor stroke awareness. Since awareness is crucial for early hospital admission, thereby outcome, the main objectives of this study were to assess knowledge of stroke ie, symptoms, risk factors, and intended behavior in case of stroke suspicion. Methods: A community-based survey targeting adults aged 50 and above was conducted at 20 random pharmacies in Beirut from May to Oct...
Source: Journal of Stroke and Cerebrovascular Diseases - March 16, 2020 Category: Neurology Authors: Hussein Mohammad Khalil, Nathalie Lahoud Source Type: research
A Stroke Care Model at an Academic, Comprehensive Stroke Center During the 2020 COVID-19 Pandemic
The COVID-19 pandemic has required the adaptation of hyperacute stroke care (including stroke code pathways) and hospital stroke management. There remains a need to provide rapid and comprehensive assessment to acute stroke patients while reducing the risk of COVID-19 exposure, protecting healthcare providers, and preserving personal protective equipment (PPE) supplies. While the COVID infection is typically not a primary cerebrovascular condition, the downstream effects of this pandemic force adjustments to stroke care pathways to maintain optimal stroke patient outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - May 6, 2020 Category: Neurology Authors: Dawn Meyer, Brett C. Meyer, Karen S. Rapp, Royya Modir, Kunal Agrawal, Lovella Hailey, Melissa Mortin, Richard Lane, Tamra Ranasinghe, Brian Sorace, Tara D. von Kleist, Emily Perrinez, Mohammed Nabulsi, Thomas Hemmen 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
Prevalence of Worsening Problems Using Post-Stroke Checklist and Associations with Quality of Life in Patients with Stroke
Stroke is the most common cause of adult disability worldwide.1,2 Stroke survivors suffer from various kinds of motor and non-motor problems, which hinders participation in daily activities.3,4 Without proper resolution of these problems, they can result in worsening of health-related quality of life (HRQoL).5 However, long-term post-stroke care has not been standardized yet,6 and stroke survivors have reported that health systems are not responsive to their changing needs.7 Therefore, long-term stroke follow-up should address a broad range of post-stroke medical and HRQoL –related problems with scheduled reassessments.
Source: Journal of Stroke and Cerebrovascular Diseases - October 29, 2020 Category: Neurology Authors: Hyo Won Im, Won-Seok Kim, SeungYeun Kim, Nam-Jong Paik Source Type: research
Impact of the COVID-19 pandemic on stroke epidemiology and clinical stroke practice in the US
: To examine the impact of the COVID-19 pandemic on stroke, the number of stroke patients, time since last known well (LKW), morbidity, and mortality of stroke patients in Southwest Healthcare System (SHS), California (CA) and the United States (US) were analyzed during 2019 and compared to 2020. Our hypothesis is that there are regional differences in stroke outcome depending on location during the COVID-19 study period which influences stroke epidemiology and clinical stroke practice.
Source: Journal of Stroke and Cerebrovascular Diseases - January 26, 2021 Category: Neurology Authors: Daniel Friedlich, Tali Newman, Stephanie Bricker 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
Cincinnati Prehospital Stroke Scale Implementation of an Urban County Severity-Based Stroke Triage Protocol: Impact and Outcomes on a Comprehensive Stroke Center
This study addresses the impact of county-based CPSS implementation to triage suspected LVO patients to a comprehensive stroke center (CSC).
Source: Journal of Stroke and Cerebrovascular Diseases - June 2, 2022 Category: Neurology Authors: Ghada A. Mohamed, Fahad Marmarchi, Yombe Fonkeu, Qasem Alshaer, Srikant Rangaraju, Michael Carr, Andrew Jones, Matthew Peczka, Israel Contreras, Lori Bahdsalvi, Cynthia Brasher, Fadi Nahab 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
Less is more - The Finnish Prehospital Stroke Scale prospective validation
The current bifurcation of the acute stroke care pathway requires prehospital separation of strokes caused by large vessel occlusion. The first four binary items of the Finnish Prehospital Stroke Scale (FPSS) identify stroke in general, while the fifth binary item alone identifies stroke due to large vessel occlusion. The straightforward design is both easy for paramedics and statistically beneficial. We implemented FPSS based Western Finland Stroke Triage Plan, including medical districts of a comprehensive stroke center and four primary stroke centers.
Source: Journal of Stroke and Cerebrovascular Diseases - February 16, 2023 Category: Neurology Authors: Jyrki Ollikainen, Pasi Jolma, Juha-Pekka Pienim äki, Pauli Vuorinen, Niku Oksala, Marko Kimpimäki, Markku Grönroos, Tuuli-Maria Haula, Heikki Janhunen, Satu-Liisa Pauniaho Source Type: research
Development of the stroke patient concerns inventory: A modified Delphi study
Globally, there are estimated to be almost 25.7 million stroke survivors, and stroke is the third most common cause of disability worldwide.1 The impact of stroke is sudden, and can be devastating and life-changing.2 A stroke can result in a range of short and long-term physical, psychological and social problems for survivors.3 –6 Stroke survivors’ needs can present at different times post-stroke and differ between individuals. Evidence suggests that, long-term, stroke survivors’ needs are often inadequately met.
Source: Journal of Stroke and Cerebrovascular Diseases - March 21, 2023 Category: Neurology Authors: Brigit M. Chesworth, Kulsum Patel, Judith Redfern, Caroline L. Watkins, Simon N. Rogers, Maree L. Hackett, Marion F. Walker, Catherine E. Lightbody 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
