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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Stroke
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Total 6741 results found since Jan 2013.
Prevalence of Triggering Factors in Acute Stroke: Hospital-Based Observational Cross-sectional Study
Although chronic risk factors for stroke are reasonably well understood, the acute precipitants, or triggers, of stroke relatively remain understudied. Identification of particular time periods during which stroke risk is elevated could prove a valuable strategy to reduce stroke incidence through the introduction of appropriate prevention strategies during a period of vulnerability. The aim of this study was to determine the prevalence of trigger factors in acute stroke patients and to investigate the association of the presence of trigger factors with initial stroke severity at presentation (National Institutes of Health ...
Source: Journal of Stroke and Cerebrovascular Diseases - November 22, 2014 Category: Neurology Authors: Ashish Sharma, Kameshwar Prasad, M.V. Padma, Manjari Tripathi, Rohit Bhatia, Mamta Bhusan Singh, Anupriya Sharma Source Type: research
Barriers and Facilitators of Stroke Recovery: Perspectives From African Americans With Stroke, Caregivers and Healthcare Professionals
Introduction and Goal: Stroke is a serious health condition that disproportionally affects African-Americans relative to non-Hispanic whites. In the absence of clearly defined reasons for racial disparities in stroke recovery and subsequent stroke outcomes, a critical first step in mitigating poor stroke outcomes is to explore potential barriers and facilitators of poststroke recovery in African-American adults with stroke. The purpose of this study was to qualitatively explore poststroke recovery across the care continuum from the perspective of African-American adults with stroke, caregivers of African-American adults wi...
Source: Journal of Stroke and Cerebrovascular Diseases - June 26, 2019 Category: Neurology Authors: Gayenell S. Magwood, Charles Ellis, Michelle Nichols, Suzanne Perea Burns, Carolyn Jenkins, Michelle Woodbury, Robert Adams Source Type: research
Clinical Characteristics of Driving-related Stroke Occurring as a Recurrent Stroke
Background: Although the number of seemingly healthy subjects who suffer a minor stroke increases, there are no data on how frequently they sustain another stroke while driving. Methods: A single-center, retrospective study was conducted to clarify the clinical characteristics of driving-related stroke occurring as a recurrent stroke by analyzing data prospectively acquired between January 2009 and June 2019 on 3452 acute stroke patients. Results: One hundred-thirty five patients (85 ischemic stroke [IS] and 50 hemorrhagic stroke [HS]) had suffered a driving-related stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - January 17, 2020 Category: Neurology Authors: Joji Inamasu, Kazuhiro Tomiyasu, Takeo Oshima, Masami Yoshii, Masashi Nakatsukasa Source Type: research
Stroke Awareness in Patients with Incident Stroke Compared to Patients without Stroke or Ischemic Heart Disease
Background: Stroke awareness is known to influence treatment seeking and risk reduction behavior, but there is limited data from Sri Lanka and South Asia. Aim: To describe stroke awareness in incident stroke patients and to compare with patients without stroke and/or ischemic heart disease (IHD) in a Sri Lankan tertiary-care center. Methods: We studied awareness of stroke in all incident stroke patients admitted to a tertiary-care center in Sri Lanka and compared with a group of age- and sex-matched patients without stroke and/or IHD, over 2 years.
Source: Journal of Stroke and Cerebrovascular Diseases - April 9, 2020 Category: Neurology Authors: Udaya Ranawaka, Chamila Mettananda, Chamila Thilakarathna, Anushka Peiris, Anuradhini Kasturiratna, Yasoma Tilakaratna Source Type: research
Validity of stroke severity assessment using medical records in a population-based cohort
Initial stroke severity is an important prognostic factor for outcome after acute stroke, in terms of functional dependency, post-stroke dementia, and mortality.1,2 Whilst the majority of stroke patients who are admitted to the hospital with stroke have substantial neurological deficits, over half of all strokes that occur in the population qualify as minor stroke,3 and are managed often in outpatient care.4 Given the important differences between minor and major stroke in prognosis and management, it is important to distinguish patients on the basis of stroke severity, but assessment outside of specialised stroke centres ...
Source: Journal of Stroke and Cerebrovascular Diseases - February 18, 2023 Category: Neurology Authors: Jacqueline J. Claus, Brian B.P. Berghout, M. Kamran Ikram, Frank J. Wolters Source Type: research
Predictors of quality of life at 6 months in patients with mild stroke: A prospective observational cohort study
Stroke can result in several functional impairments.1 Functional impairments could reduce the quality of life (QoL) to some extent in patients with stroke.2,3 Therefore, predicting factors affecting the QoL of patients with stroke is important for stroke rehabilitation. Notably, several studies have been conducted to predict factors affecting the QoL of patients with stroke.4 –10 These studies have reported that the QoL of patients with stroke was determined by age and sex,4 stroke type,5 stroke side,6 hospitalization period,7 and stroke severity.
Source: Journal of Stroke and Cerebrovascular Diseases - September 12, 2023 Category: Neurology Authors: Mu Su Kim, Ji Hong Min, Yong-Il Shin, Min Kyun Sohn, Jongmin Lee, Deog Young Kim, Gyung-Jae Oh, Yang Soo Lee, Min Cheol Joo, So Young Lee, Min-Keun Song, Junhee Han, Jeonghoon Ahn, Yun-Hee Kim, Sung-Hwa Ko, Won Hyuk Chang Source Type: research
Hospital Prenotification of Stroke Patients by Emergency Medical Services Improves Stroke Time Targets
Background: Prenotification to hospitals by emergency medical services of patients with suspected stroke is recommended to reduce delays in time-dependent therapies. We hypothesized that hospital prenotification would reduce recommended stroke time targets.Methods: We used the Robert Wood Johnson University Hospital (RWJUH) Brain Attack Database, which includes demographic and clinical data on all emergency department (ED) patients alerted as a Brain Attack between January 1, 2009 and June 30, 2010. Outcome variables included the time from door to stroke team arrival, computed tomographic (CT) scan completion, CT scan inte...
Source: Journal of Stroke and Cerebrovascular Diseases - August 8, 2011 Category: Neurology Authors: James S. McKinney, Krishna Mylavarapu, Judith Lane, Virginia Roberts, Pamela Ohman-Strickland, Mark A. Merlin Tags: Original Articles Source Type: research
Clinical Features and Functional Outcome of Stroke After Transient Ischemic Attack
Conclusions: Atherothrombotic stroke with concomitant vascular risk factors were more frequent in the stroke patients with than without previous TIA. Antithrombotic therapy was conducted only in one-third of the patients even after TIA. The stroke patients with history of TIA were at great risk of disabling stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 17, 2011 Category: Neurology Authors: Takao Hoshino, Satoko Mizuno, Satoru Shimizu, Shinichiro Uchiyama Tags: Original Articles Source Type: research
Variability in the Use of Intravenous Thrombolysis for Mild Stroke: Experience Across the SPOTRIAS Network
In this study, we describe the variability of treatment of mild stroke patients across a network of academic stroke centers.Methods: Stroke centers within the Specialized Program of Translational Research in Acute Stroke (SPOTRIAS) prospectively collect data on patients treated with intravenous recombinant tissue plasminogen activator (IV rt-PA), including demographics, pretreatment National Institutes of Health Stroke Scale (NIHSS) scores, and in-hospital mortality. We examined the variability in proportion of total tissue plasminogen activator–treated patients in the NIHSS categories (0-3, 4-5, or ≥6) and associated ...
Source: Journal of Stroke and Cerebrovascular Diseases - December 16, 2011 Category: Neurology Authors: Joshua Z. Willey, Pooja Khatri, Jane C. Khoury, José G. Merino, Andria L. Ford, Natalia S. Rost, Nicole R. Gonzales, Latisha K. Ali, Brett C. Meyer, Joseph P. Broderick Tags: Original Articles Source Type: research
Preclusion of Ischemic Stroke Patients from Intravenous Tissue Plasminogen Activator Treatment for Mild Symptoms Should Not be Based on Low National Institutes of Health Stroke Scale Scores
Conclusions: Language impairment, distal (hand) paresis, and gait disorder are common disabling deficits in patients with low NIHSS scores. Judgment of whether a stroke is disabling should not be based on the NIHSS score but on the assessment of the individual neurologic deficits and their impact on functional impairment.
Source: Journal of Stroke and Cerebrovascular Diseases - February 25, 2013 Category: Neurology Authors: Matthias Wendt, Serdar Tütüncü, Jochen B. Fiebach, Jan F. Scheitz, Heinrich J. Audebert, Christian H. Nolte Tags: Original Articles Source Type: research
Interleukin-6 Gene -174 G/C Promoter Polymorphism Predicts Severity and Outcome in Acute Ischemic Stroke Patients from North India
Conclusions: Patients with the GC genotype had more severe strokes with poorer short and long-term outcomes and increased mortality. The GG genotype was associated with less severe strokes, better short and long-term prognosis, and survival. The GG genotype appears to be protective against stroke severity, outcome, and mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2012 Category: Neurology Authors: Baidarbhi Chakraborty, Debashish Chowdhury, Gaurav Vishnoi, Binita Goswami, Jugal Kishore, Sarita Agarwal Tags: Original Articles Source Type: research
Time to Stroke Magnetic Resonance Imaging
Conclusions: Stroke guidelines favor the use of MRI over CT only during the first 12 hours from symptom onset, yet less than one-third of stroke MRIs are actually performed within this timeframe.
Source: Journal of Stroke and Cerebrovascular Diseases - April 30, 2012 Category: Neurology Authors: James F. Burke, Jeremy B. Sussman, Lewis B. Morgenstern, Kevin A. Kerber Tags: Original Articles Source Type: research
Alkaline Phosphatase and Risk of Stroke Among Japanese: The Circulatory Risk in Communities Study (CIRCS)
Although serum alkaline phosphatase (ALP) levels have been associated with mortality from all-cause and from either ischemic or hemorrhagic stroke, no study has been published of the associations between ALP and the incidence of stroke. We therefore examined the associations of ALP with risk of stroke among Japanese, stratified by drinking status because ALP is known as an enzyme affected by alcohol consumption. We conducted a prospective cohort study of 10,754 Japanese subjects (4098 men and 6656 women) aged 40-69 years and living in 4 communities under systematic surveillance for stroke incidence. During the 16-year foll...
Source: Journal of Stroke and Cerebrovascular Diseases - July 30, 2012 Category: Neurology Authors: Yuji Shimizu, Hironori Imano, Tetsuya Ohira, Akihiko Kitamura, Masahiko Kiyama, Takeo Okada, Yoshinori Ishikawa, Takashi Shimamoto, Kazumasa Yamagishi, Takeshi Tanigawa, Hiroyasu Iso, CIRCS Investigators Tags: Original Articles Source Type: research
The Spectrum of Aphasia Subtypes and Etiology in Subacute Stroke
Background: Aphasia is one of the most common stroke syndrome presentations, yet little is known about the spectrum of different subtypes or their stroke mechanisms. Yet, subtypes and etiology are known to influence the prognosis and recovery.Aim: Our aim is to analyze aphasia subtypes and etiology in a large subacute stroke population.Methods: Consecutive patients from a dedicated cognitive stroke registry were accrued. A validated cognitive screening examination was administered during the first month of stroke presentation, which enabled a diagnosis of 14 different aphasic subtypes. The evolution from one subtype to ano...
Source: Journal of Stroke and Cerebrovascular Diseases - May 15, 2013 Category: Neurology Authors: Michael Hoffmann, Ren Chen Tags: Original Articles Source Type: research
Dysphagia Screening and Hospital-acquired Pneumonia in Patients with Acute Ischemic Stroke: Findings from Get with the Guidelines–Stroke
Conclusions: HAP occurs in 1 of 17 hospitalized stroke patients and is associated with a greater than 5-fold increase in mortality. DS did not occur in 31.1% of eligible patients, with increased screening among those with more severe strokes and those who developed HAP. The attenuation of the relationship between DS and HAP risk when controlling for NIHSS score suggests the association between screening and pneumonia is confounded by severity. Controlled trials are needed to determine DS effectiveness.
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2013 Category: Neurology Authors: Shihab Masrur, Eric E. Smith, Jeffrey L. Saver, Mathew J. Reeves, Deepak L. Bhatt, Xin Zhao, DaiWai Olson, Wenqin Pan, Adrian F. Hernandez, Gregg C. Fonarow, Lee H. Schwamm Tags: Original Articles Source Type: research
