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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 effects of combined early oral health care and early mobilisation on the incidence of stroke-associated pneumonia
Pneumonia after stroke, which influences mortality1 and duration of hospitalisation,2 has been a common critical issue in stroke patients. In 2015, the Pneumonia in Stroke Consensus Group proposed the diagnostic criteria of stroke-associated pneumonia (SAP), which is defined as a spectrum of lower respiratory tract infections in the first 7 days after stroke.3 A systematic review and meta-analysis reported that the incidence of SAP was 14%.4 There are several mechanisms of SAP onset, such as aspiration related to consciousness disturbance and dysphagia, stroke-induced immunodepression due to pathogenic bacteria, and immunological changes.
Source: Journal of Stroke and Cerebrovascular Diseases - November 14, 2022 Category: Neurology Authors: Ayaka Fujita, Manabu Iwata, Joji Hagii, Norifumi Metoki, Hiroshi Shiroto, Eiichi Tsuda Source Type: research
Stroke survivors ’ preferences for post-stroke self-management programs: A discrete choice experiment
Stroke is a leading cause of serious, long-term disability with physical, emotional, social, and financial consequences that affect both stroke survivors as well as their families. Stroke has an incidence rate of 1.8 per 1000 person-years and a prevalence of 3.7% in Singapore1, and a 2015 report showed that stroke and other cerebrovascular diseases were the 10th most common cause of hospitalization and the 4th leading cause of deaths in the country.2 Further, stroke survivors are at a higher risk of having a transient ischemic attack (TIA),3 or another cerebrovascular attack.
Source: Journal of Stroke and Cerebrovascular Diseases - January 19, 2023 Category: Neurology Authors: Kinjal Doshi, Stacey Lee Henderson, Denise Ju Ling Seah, Deidre Anne De Silva, Jia Jia Lee, Vinh Anh Huynh, Semra Ozdemir Source Type: research
ASOC Osuntokun Award Lecture 2022: Partnership for stroke prevention and treatment in Africa: Qualitative research processes and findings
Africa has one of the highest rates of stroke and stroke deaths in the world. The burden of stroke is increasing with a 3-year mortality rate of up to 84%. Stroke disproportionately affects the young and middle-aged population contributing to morbidity and mortality affecting families, communities, health systems, and economic progress. My objectives of the 2022 Osuntokun Award Lecture at the African Stroke Organization Conference were to explore our qualitative research findings from our communities and to propose future qualitative methods for improving stroke outcomes in Africa.
Source: Journal of Stroke and Cerebrovascular Diseases - March 2, 2023 Category: Neurology Authors: Carolyn Jenkins Source Type: research
Do kinematic measures, added to clinical measures, better predict upper extremity motor impairments at three months post-stroke?
Stroke is a prevalent worldwide cause of serious physical impairment. Due to the intricacy of movements needed for everyday life and the fact that motor recovery is typically delayed and less complete, stroke-related motor deficits in the upper extremity (UE) are particularly challenging to rehabilitate.1 At the time of stroke, the majority of survivors reported some degree of stroke-related paresis,2 and 25% of them reported difficulties using the affected UE even 5 years after a stroke.3 These arm and hand impairments contribute toward activity limitations and participation restrictions4, which eventually lead to a signi...
Source: Journal of Stroke and Cerebrovascular Diseases - July 13, 2023 Category: Neurology Authors: Sanjukta Sardesai, John M Solomon, A Sulfikar Ali, Ashokan Arumugam, Elton Dylan Nazareth, Aparna S Pai, Vasudeva Guddattu, Senthil Kumaran D Source Type: research
Gastroesophageal Reflux during Enteral Feeding in Stroke Patients: A 24-hour Esophageal pH-monitoring Study
Conclusions: GER is associated with aspiration pneumonia and occurs more often in patients with stroke lesions in the left hemisphere.
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2011 Category: Neurology Authors: Yukie Satou, Hiroaki Oguro, Yo Murakami, Keiichi Onoda, Shingo Mitaki, Chizuko Hamada, Ryo Mizuhara, Shuhei Yamaguchi Tags: Original Articles Source Type: research
Association between Inflammatory Biomarkers and Progression of Intracranial Large Artery Stenosis after Ischemic Stroke
Conclusions: In addition to traditional risk factors and baseline radiologic findings, circulating levels of IL-6 measured soon after stroke onset are associated with future ILA progression.
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2011 Category: Neurology Authors: Kanako Shimizu, Kana Shimomura, Yoshiaki Tokuyama, Kenzo Sakurai, Kenji Isahaya, Satoshi Takaishi, Bunta Kato, Noriko Usuki, Takahiro Shimizu, Koji Yamada, Yasuhiro Hasegawa Tags: Original Articles Source Type: research
Long-Term Follow-up of Incidental Intracranial Aneurysms in Patients with Acute Ischemic Stroke
Conclusions: In our study, the prevalence of incidental aneurysm among acute ischemic stroke patients was 6.1%. After 2 years of follow-up, there was no aneurysm rupture or subarachnoid hemorrhage, and the diameter and shape of aneurysms did not change except for 1 patient in whom the aneurysm disappeared.
Source: Journal of Stroke and Cerebrovascular Diseases - October 21, 2011 Category: Neurology Authors: Yoon-Sang Oh, Young-Min Shon, Beum Saeng Kim, A-Hyun Cho Tags: Original Articles Source Type: research
The Frequency of Poststroke Infections and Their Impact on Early Stroke Outcome
Introduction: Poststroke infections are the most common medical complications of stroke and can occur in up to 65% of patients. The aim of this study was to assess the rate of infectious complications during hospitalization of stroke patients and to evaluate the impact of infection in general, including each of the urinary tract infection (UTI), pneumonia, and sepsis, on fatal and poor functional outcome at discharge.Methods: This retrospective study enrolled patients who have been diagnosed with acute ischemic stroke treated in a 1-year period. Poor functional outcome at discharge was defined as severe invalidity and incl...
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2013 Category: Neurology Authors: Natasa Popović, Maja Stefanović-Budimkić, Nikola Mitrović, Aleksandar Urošević, Branko Milošević, Mijomir Pelemiš, Djordje Jevtović, Ljiljana Beslać-Bumbaširević, Dejana Jovanović Tags: Original Articles Source Type: research
Prediction of Thrombolytic Therapy after Stroke-Bypass Transportation: The Maria Prehospital Stroke Scale Score
There is no prehospital stratification tool specifically for predicting thrombolytic therapy after transportation. We developed a new prehospital scale named the Maria Prehospital Stroke Scale (MPSS) by modifying the Cincinnati Prehospital Stroke Scale. Our objective is to evaluate its utility in a citywide bypass transportation protocol for intravenous (IV) tissue plasminogen activator (tPA). In the MPSS, facial droop, arm drift, and speech disturbance are tested by emergency medical technicians (EMTs). Facial droop is graded as normal (0) or abnormal (1), and the other 2 items are graded in 3 levels as normal (0), not se...
Source: Journal of Stroke and Cerebrovascular Diseases - March 13, 2013 Category: Neurology Authors: Yasuhiro Hasegawa, Naoshi Sasaki, Koji Yamada, Hajime Ono, Junichiro Kumai, Kotaro Tsumura, Kazunari Suzuki, Hiroyuki Nozaki, Hitoshi Nakayama, Ichiro Takumi, Hirofumi Nikaido, Tuyoshi Katabami, Toshihiro Ueda, Shinichi Suzuki, Ryosei Iwai, Hiroshi Takaha Tags: Original Articles Source Type: research
Screening for NOTCH3 Gene Mutations Among 151 Consecutive Korean Patients with Acute Ischemic Stroke
Conclusions: In this region, NOTCH3 gene mutations are frequently found in acute stroke patients who present with neuroimaging features consistent with advanced small-vessel disease.
Source: Journal of Stroke and Cerebrovascular Diseases - December 1, 2011 Category: Neurology Authors: Jay Chol Choi, Keun-Hwa Lee, Sook-Keun Song, Jung Seok Lee, Sa-Yoon Kang, Ji-Hoon Kang Tags: Original Articles Source Type: research
Low-Normal Systolic Blood Pressure and Secondary Stroke Risk
A recent observational study of>20,000 patients with recent ischemic stroke suggested that systolic blood pressure (SBP) maintained in a low-normal range may be associated with increased risk of recurrent stroke, especially within the first 6 months after the first stroke. Using a distinct cohort, the current study aimed to independently evaluate the relationship between low-normal SBP levels and risk of recurrent stroke through analysis of a trial dataset involving 3680 patients with recent noncardioembolic ischemic stroke aged ≥35 years recruited from 56 centers between September 1996 and May 2003 and followed for 2 ye...
Source: Journal of Stroke and Cerebrovascular Diseases - January 16, 2012 Category: Neurology Authors: Bruce Ovbiagele Tags: Original Articles Source Type: research
Safety of Intravenous Thrombolysis in Acute Ischemic Stroke Patients with Saccular Intracranial Aneurysms
Conclusions: Intravenous thrombolysis was safe among our patients with acute ischemic stroke and incidental intracranial saccular aneurysm.
Source: Journal of Stroke and Cerebrovascular Diseases - February 17, 2012 Category: Neurology Authors: Manoj K. Mittal, Raymond C.S. Seet, Yi Zhang, Robert D. Brown, Alejandro A. Rabinstein Tags: Original Articles Source Type: research
What Change in the National Institutes of Health Stroke Scale Should Define Neurologic Deterioration in Acute Ischemic Stroke?
Background: Neurologic deterioration (ND) occurs in one-third of patients with stroke. However, the true incidence of ND and risk for adverse outcomes remains unknown because no standardized definition of ND exists. Our study compared the prognostic value of a range of definitions for ND in patients with acute ischemic stroke (AIS).Methods: All patients who presented to our center with AIS within 48 hours of symptom onset between July 2008 and June 2010 were retrospectively identified. Patient demographics, National Institutes of Health Stroke Scale (NIHSS) scores, etiologies of ND, and outcome measures were compared betw...
Source: Journal of Stroke and Cerebrovascular Diseases - June 25, 2012 Category: Neurology Authors: James E. Siegler, Amelia K. Boehme, Andre D. Kumar, Michael A. Gillette, Karen C. Albright, Sheryl Martin-Schild Tags: Original Articles Source Type: research
Antithrombotic Management of Stroke Patients Before Colonoscopy
Conclusions: In this retrospective analysis, there was no significant difference in the occurrence of stroke, myocardial infarction, venous thromboembolism, and major bleeding between patients who had medications continued around the time of colonoscopy versus those who had temporary discontinuation. A prospective, randomized controlled study is warranted to further elucidate this issue.
Source: Journal of Stroke and Cerebrovascular Diseases - January 13, 2012 Category: Neurology Authors: Basel Assaad, Veronica Kemerko Sesi, Renzo Figari, Lonni Schultz, Nithin Thummala, Mohammed Rehman, Arun Chandok, Ann Silverman, Brian Silver Tags: Original Articles Source Type: research
Epidemiology, Pathophysiology, and Treatment of Hypertension in Ischaemic Stroke Patients
Stroke continues to be one of the leading causes of mortality and morbidity worldwide. There are 2 main types of stroke: ischaemic strokes, which are caused by obstruction of the blood vessels leading to or within the brain, and haemorrhagic strokes, which are induced by the disruption of blood vessels. Stroke is a disease of multifactorial aetiology that may develop as an end state in patients with serious vascular conditions—most notably, uncontrolled arterial hypertension—thereby necessitating the effective control of this risk factor to prevent stroke or its recurrence. This paper focuses specifically on the epidem...
Source: Journal of Stroke and Cerebrovascular Diseases - June 11, 2012 Category: Neurology Authors: Nur Fatirul Hisham, Ulvi Bayraktutan Tags: Review Articles Source Type: research
