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Improvement of Door-to-Imaging Time in Acute Stroke Patients by Implementation of an All-Points Alarm
In patients with acute ischemic stroke, thrombolysis offers an opportunity to effectively reduce disability and dependency. The success of this treatment is time-dependent. The crucial diagnostic step before initiation of treatment is cerebral imaging. With the aim of reducing in-hospital delays, our hospital’s interdisciplinary stroke management group implemented an all-points alarm to improve in-hospital time delay (the period between arrival to the emergency department and performance of cerebral imaging). The alarm simultaneously alerted all involved staff (from the neurologist to in-hospital transport) to the arriva...
Source: Journal of Stroke and Cerebrovascular Diseases - September 9, 2011 Category: Neurology Authors: Christian H. Nolte, Uwe Malzahn, York Kühnle, Christoph J. Ploner, Jacqueline Müller-Nordhorn, Martin Möckel Tags: Original Articles Source Type: research

Risk factors and pathogenic microorganism characteristics for pneumonia in convalescent patients with stroke: A retrospective study of 380 patients from a rehabilitation hospital
Stroke significantly impacts public health and ranks among the leading causes of death and disabilities, resulting in enormous costs measured in both health care resources and lost productivity. It results primarily from embolus or thrombosis for ischemic stroke and hypertension for hemorrhagic stroke, respectively [1]. In 2016, there were 5.5 million deaths and 116.4 million disability-adjusted life-years (DALYs) owed to stroke [2]. As reported, the impact of stroke on the Chinese population is more severe compared to average global levels, and the prevalence of stroke continues to surpass that of ischemic heart disease [3 –4].
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2020 Category: Neurology Authors: Jia Xu, Zhiling Yang Source Type: research

Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
Worldwide, stroke is a leading cause of death and disability.1 Although incidence rates are expected to increase over the next few decades, survival rates are expected to improve. Consequently, more stroke survivors will have to learn to live with the consequences. After acute stroke care or rehabilitation, returning home is one of the primary goals for stroke survivors.2 In the Netherlands, 65 % of stroke survivors return home immediately after acute hospital care.3 The remaining 35% continue inpatient rehabilitation in a rehabilitation center (RC) or geriatric rehabilitation center (GRC) before returning home.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Marieke Geerars, Roderick Wondergem, Martijn F. Pisters Source Type: research

Development of a Scoring System to Predict Prolonged Post-Stroke Dysphagia Remaining at Discharge from a Subacute Care Hospital to the Home
Stroke is the second-leading cause of death worldwide.1 One of the major post-stroke disabilities is dysphagia, which occurs in up to 80% of stroke patients.2,3 Post-stroke dysphagia is associated with not only physical problems (malnutrition, dehydration, and mortality)2 but also social and psychological well-being.4,5 Therefore, it is important to anticipate and intervene post-stroke dysphagia in the early stages and to share the predicted risk of long-term dysphagia among multidisciplinary professionals (e.g., physicians, nurses, physical therapists) and patient's families.
Source: Journal of Stroke and Cerebrovascular Diseases - April 24, 2021 Category: Neurology Authors: Yukiko Ito, Tadahiro Goto, Ji Young Huh, Osamu Yamamura, Tadanori Hamano, Ken-Ichiro Kikuta, Hiroyuki Hayashi Source Type: research

Association between volume of patients undergoing stroke rehabilitation at acute care hospitals and improvement in activities of daily living
Stroke is one of the most common causes of functional disability, and rehabilitation plays a vital role in treating acute stroke.1,2 In recent years, it has been reported that early rehabilitation and the amount of rehabilitation intervention, including treatment at a stroke care unit (SCU), contribute to the improvement in activities of daily living (ADL) in acute stroke rehabilitation.3,4 Stroke rehabilitation requires multi-disciplinary intervention, including physiotherapy, occupational and speech therapy, and it is believed that the quality of rehabilitation depends on the level of rehabilitation expertise of healthca...
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2022 Category: Neurology Authors: Takuaki Tani, Shinobu Imai, Norihiko Inoue, Natsuko Kanazawa, Kiyohide Fushimi Source Type: research

Timing of Direct Enteral Tube Placement and Outcomes after Acute Stroke
Background: Direct enteral feeding tube (DET) placement for dysphagia after stroke is associated with poor outcomes. However, the relationship between timing of DET placement and poststroke mortality and disability is unknown. We sought to determine the risk of mortality and severe disability in patients who receive DET at different times after stroke. Methods: We used the Ontario Stroke Registry and linked administrative databases to identify patients with acute ischemic stroke or intracerebral hemorrhage between 2003 and 2013 who received DET (gastrostomy or jejunostomy) during their hospital admission.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2019 Category: Neurology Authors: Raed A. Joundi, Gustavo Saposnik, Rosemary Martino, Jiming Fang, Moira K. Kapral Source Type: research

Effectiveness of an Interdisciplinary, Nurse Driven In-Hospital Code Stroke Protocol on In-Patient Ischemic Stroke Recognition and Management
Background: In-hospital strokes account for up to nearly 1 in 5 strokes. Clinical outcomes, such as length of stay, disability, and mortality are worse for in-hospital strokes than for those that occur in the community. For a variety of reasons, stroke can be more difficult to recognize and treat in hospitalized patients. Earlier recognition of stroke results in better clinical outcomes, presumably due to faster diagnosis and subsequently, prompt treatment. Methods: This investigation was a retrospective, interrupted time series, observational study of all in-hospital stroke patients between 2008 and 2017.
Source: Journal of Stroke and Cerebrovascular Diseases - October 1, 2019 Category: Neurology Authors: Sarah Jane Yang, Th érèse Franco, Nicolai Wallace, Barbara Williams, Craig Blackmore Source Type: research

Understanding Coordinator Roles in Acute Stroke Care: A National Survey
Globally, stroke is a major contributor to death and disability.1 Evidence-based care in hospital after an acute stroke ensures improved survival and reduced disability, but care quality can vary.2,3 Clinical coordinators have an essential role in improving best-practice in trauma, cancer, diabetes, and heart failure conditions.4-7 Within stroke, coordinator roles are not new; in 1970, a study outlining the ‘Stroke Team’ model was published, which included a physician, nurse-coordinator and physical therapist.
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2021 Category: Neurology Authors: Tara Purvis, Sandy Middleton, Anne W. Alexandrov, Monique F. Kilkenny, Skye Coote, Sarah Kuhle, Dominique A. Cadilhac Source Type: research

Hospital Discharge and Readmissions Before and During the COVID-19 Pandemic for California Acute Stroke Inpatients
Stroke is a leading cause of death and disability in the United States, with approximately 795,000 new strokes occurring annually, including acute ischemic stroke (AIS), intracerebral hemorrhage (ICH), and subarachnoid hemorrhage (SAH).1 The Coronavirus Disease 2019 (COVID-19) pandemic has impacted all levels of care for stroke patients, such as delays in initial presentation, reduction in acute therapies, limitations of in-patient resources, delays or lack of initiation of secondary stroke prevention therapy, and limitations in rehabilitation services after hospital discharge.
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2023 Category: Neurology Authors: George P. Albert, Daryl C. McHugh, Debra E. Roberts, Adam G. Kelly, Remi Okwechime, Robert G. Holloway, Benjamin P. George Source Type: research

Deleterious Effect of Smoking on Ischemic Stroke Outcomes: Implications for the Role of Chronic Inflammation on Atherosclerotic Plaque Pathogenesis
I have read, with great interest, a recently published article in the Journal of Stroke and Cerebrovascular Diseases by Edjoc et al titled “The prognostic effect of cigarette smoking on stroke severity, disability, length of stay in hospital, and mortality in a cohort with cerebrovascular disease.” The authors performed a retrospective analysis of the Registry of the Canadian Stroke Network to identify the effect of smoking on cerebrovascular disease outcomes. More than 20,000 patients from the registry, spanning an approximately 5-year time interval, were included in the study. Multivariate logistic regression analys...
Source: Journal of Stroke and Cerebrovascular Diseases - March 1, 2014 Category: Neurology Authors: Dale Ding Tags: Letters to the Editor Source Type: research

Hospital-Based Study of the Frequency and Risk Factors of Stroke Recurrence in Two Years in China
Stroke causes death and disability throughout the world and recurrent stroke events are more likely to be disabling or fatal. We conducted a hospital-based study to investigate the frequency and influence factors of stroke recurrence in China.
Source: Journal of Stroke and Cerebrovascular Diseases - September 19, 2017 Category: Neurology Authors: Qian He, Cheng Wu, Wei Guo, Zhi-Yong Wang, Yan-Fang Zhao, Jian Lu, Ying-Yi Qin, Yi-Bin Guo, Yu-Chen Qin, Chuan-Di Pan, Jia He Source Type: research

Defining Mild Stroke: Outcomes Analysis of Treated and Untreated Mild Stroke Patients
Mild deficit is a relative contraindication to administration of intravenous recombinant tissue plasminogen activator (IV rtPA) for acute ischemic stroke. However, what constitutes “mild” deficit is vague. Prior studies showed patients with mild strokes have substantial disability rates at hospital discharge and at 90 days. We investigated whether the application of a new definition altered the rates of disability overall and assessed the effects of thrombolysis.
Source: Journal of Stroke and Cerebrovascular Diseases - April 20, 2015 Category: Neurology Authors: Ilana Spokoyny, Rema Raman, Karin Ernstrom, Pooja Khatri, Dawn M. Meyer, Thomas M. Hemmen, Brett C. Meyer Source Type: research

The Cost-Effectiveness of a Stroke Unit in Providing Enhanced Patient Outcomes in an Australian Teaching Hospital
The objective of this study was to assess the performance and analyze the cost-effectiveness of an SU.
Source: Journal of Stroke and Cerebrovascular Diseases - June 13, 2017 Category: Neurology Authors: Shaun Zhai, Fergus Gardiner, Teresa Neeman, Brett Jones, Yash Gawarikar Source Type: research

Contribution of Onset-to-Alarm Time to Prehospital Delay in Patients with Ischemic Stroke
Background: Stroke is a leading cause of death and disability. Tissue plasminogen activator (tPA) improves the clinical outcome when administered properly; however, the most important factor to receive tPA is time. The main reason for late hospital arrival is a considerable delay in onset-to-alarm time (OAT), comprising more than 50% of the onset-to-door time. Aims: To identify the factors associated with a delay in OAT and evaluate its contribution to onset-to-door time in ischemic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - September 9, 2019 Category: Neurology Authors: Alejandro Gonzalez-Aquines, Adolfo C. Cordero-P érez, Mario Cristobal-Niño, Gil Pérez-Vázquez, Fernando Góngora-Rivera, GECEN Investigators Source Type: research

Stroke Patients' Status Post-Acute Phase of Illness. How Is It and How Ought It to Be: Ain Shams University Experience
Stroke is a leading cause of disability worldwide with a great impact on quality of life. Ain Shams University Hospital is a tertiary center for neurology and a pioneer in offering comprehensive stroke service in the region.
Source: Journal of Stroke and Cerebrovascular Diseases - October 14, 2019 Category: Neurology Authors: Tamer Roushdy, Alia H. Mansour, Heba M. Khafaga, Abdulrahman Sayed, Mohamed Fathy, Salwa Eltawil, Tamer Emara Source Type: research

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