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Specialty: Geriatrics
Condition: Disability

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Total 127 results found since Jan 2013.

Quality indicators in acute stroke care: a prospective observational survey in 13 Italian regions.
CONCLUSIONS: Our data confirm the need of quality monitoring in stroke care. Although SU patients showed a better adherence to quality indicators, overall compliance was unsatisfactory. PMID: 24293350 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - November 29, 2013 Category: Geriatrics Authors: Di Carlo A, Accetta G, Bellan M, Terni G, Lamassa M, Facchini R, Biggeri A, Inzitari D, Ferro S, For the National Stroke Care Group Tags: Aging Clin Exp Res Source Type: research

Stroke‐Associated Differences in Rates of Activity of Daily Living Loss Emerge Years Before Stroke Onset
ConclusionIn adults at risk of stroke, disproportionate ADL limitations emerge well before stroke onset. Excess disability in stroke survivors should not be entirely attributed to effects of acute stroke or quality of acute stroke care. Although there are many possible causal pathways between ADL and stroke, the association may be noncausal. For example, ADL limitations may be a consequence of stroke risk factors (e.g., diabetes mellitus) or early cerebrovascular ischemia.
Source: Journal of the American Geriatrics Society - May 13, 2013 Category: Geriatrics Authors: Benjamin D. Capistrant, Qianyi Wang, Sze Y. Liu, M. Maria Glymour Tags: Clinical Investigations Source Type: research

Association between estimated glomerular filtration rate and clinical outcomes in patients with acute ischaemic stroke: results from China National Stroke Registry
Conclusions: a low eGFR was associated with increased risks of all-cause mortality and recurrent stroke independent of the traditional vascular risk factors in Chinese stroke patients.
Source: Age and Ageing - October 21, 2014 Category: Geriatrics Authors: Wang, X., Wang, Y., Wang, C., Zhao, X., Xian, Y., Wang, D., Liu, L., Luo, Y., Liu, G., Wang, Y. Tags: Research Papers Source Type: research

Suicide in Stroke Survivors: Epidemiology and Prevention
Abstract Stroke is a dramatic event and is associated with potentially severe consequences, including disability, mortality, and social costs. Stroke may occur at any age; however, most strokes occur in individuals aged 65 years and older. Previous research has found that stroke increases suicide risk, especially among women and younger patients. The aim of the current review is to investigate the relationship between suicide and stroke in order to determine which stroke patients are at elevated risk for suicide. Moreover, we review the literature in order to provide pharmacological treatment strategies for strok...
Source: Drugs and Aging - December 10, 2014 Category: Geriatrics Source Type: research

Characterizing Beliefs about Stroke and Walking for Exercise among Seniors from Four Racial/Ethnic Minority Communities
We described and compared seniors ’ stroke-related health beliefs among four racial/ethnic communities to inform a culturally-tailored stroke prevention walking intervention. Specific attention was paid to how seniors combined pathophysiology-based biomedical beliefs with non-biomedical beliefs. We conducted twelve language-concor dant, structured focus groups with African American, Chinese American, Korean American, and Latino seniors aged 60 years and older with a history of hypertension (n = 132) to assess stroke-related health beliefs. Participants were asked their beliefs about stroke mechanism and prevention st...
Source: Journal of Cross-Cultural Gerontology - August 23, 2018 Category: Geriatrics Source Type: research

Depression after minor stroke: the association with disability and quality of life – a 1‐year follow‐up study
ConclusionsPost‐stroke depression was independently associated with disability and poor QoL at 1 year after first‐ever minor ischemic stroke. Recovery from PSD decreased but did not eliminate the adverse impacts of PSD on outcomes of minor stroke.
Source: International Journal of Geriatric Psychiatry - September 7, 2015 Category: Geriatrics Authors: Yu Zhi Shi, Yu Tao Xiang, Yang Yang, Ning Zhang, Shuo Wang, Gabor S. Ungvari, Helen F.K. Chiu, Wai Kwong Tang, Yi Long Wang, Xing Quan Zhao, Yong Jun Wang, Chun Xue Wang Tags: Research Article Source Type: research

Post-stroke Dementia: Epidemiology, Mechanisms and Management
Publication date: Available online 10 August 2017 Source:International Journal of Gerontology Author(s): Gwo-Chi Hu, Yi-Min Chen Post-stroke dementia (PSD) is a clinical entity that encompasses all types of dementia following an index stroke, which may affect up to one third of stroke survivors. Unlike physical disability after stroke, cognitive function usually worsens over time and are often overlooked with detrimental impacts on the quality of life of survivors. The risk factors for post-stroke dementia are multifactorial and includes genetic predisposition, demographic factors (like older age and lower education statu...
Source: International Journal of Gerontology - August 10, 2017 Category: Geriatrics Source Type: research

Natural history, predictors and associated outcomes of anxiety up to 10 years after stroke: the South London Stroke Register
Conclusions: anxiety is a frequent problem affecting stroke survivors in the long term. Clinicians should pay attention to patients at risk of anxiety since it is associated with lower QoL and depression.
Source: Age and Ageing - June 23, 2014 Category: Geriatrics Authors: Ayerbe, L., Ayis, S. A., Crichton, S., Wolfe, C. D. A., Rudd, A. G. Tags: Research Papers Source Type: research

The factors related to early ‐onset depression after first stroke
ConclusionOur findings suggest that early‐onset PSD is likely to be correlated with the severity of stroke and functional disability.
Source: Psychogeriatrics - April 7, 2017 Category: Geriatrics Authors: Kadir Karakus, Refik Kunt, Cagdas O. Memis, Duygu A. Kunt, Bilge Dogan, Filiz Ozdemiroglu, Levent Sevincok Tags: Original Article Source Type: research

Predicting Discharge to Institutional Long ‐Term Care After Stroke: A Systematic Review and Metaanalysis
ConclusionAge and stroke severity are important predictors of institutional long‐term care admission directly from the hospital after an acute stroke. Potentially modifiable factors should be the target of future research. Stroke outcome studies should report discharge destination, defining the model of care provided in the long‐term care setting.
Source: Journal of the American Geriatrics Society - September 1, 2017 Category: Geriatrics Authors: Jennifer K. Burton, Eilidh E.C. Ferguson, Amanda J. Barugh, Katherine E. Walesby, Alasdair M.J. MacLullich, Susan D. Shenkin, Terry J. Quinn Tags: Clinical Management of the Older Adult Source Type: research

199 Hospital Discharges for Acute Stroke in Ireland: National Data 2005-2017
ConclusionBetter understanding is needed of the risk factors underlying this worrying trend.Clinical service providers will need to adapt to better deal with the challenges specific to stroke at younger age.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Survival and outcomes for stroke survivors living in care homes: a prospective cohort study
ConclusionsRates of secondary stroke prevention prescribing increased over 20 years but remained lower in care home residents. The lower levels of rehabilitation received by stroke survivors in care homes, despite their higher levels of disability, suggest a gap in care and urgent need for restorative and/or preventative rehabilitation.
Source: Age and Ageing - July 6, 2021 Category: Geriatrics Source Type: research

Preclinical models of stroke in aged animals with or without comorbidities: role of neuroinflammation.
Abstract Age is the principal nonmodifiable risk factor for stroke. Over the past 10 years, suitable models for stroke in aged rats have been established. At genetic and cellular level there are significant differences in behavioral, cytological and genomics responses to injury in old animals as compared with the young ones. Behaviorally, the aged rats have the capacity to recover after cortical infarcts albeit to a lower extent than the younger counterparts. Similarly, the increased vulnerability of the aged brain to stroke, together with a decreased interhemisphere synchrony after stroke, assessed by different ...
Source: Biogerontology - September 22, 2013 Category: Geriatrics Authors: Buga AM, Di Napoli M, Popa-Wagner A Tags: Biogerontology Source Type: research

Ageism in stroke rehabilitation studies
Conclusion: we have identified a clear difference in the mean age of those included in stroke rehabilitation studies compared with the international mean age of stroke. In addition, a quarter of trials excluded dysphasic patients which may indicate omission of more severe strokes. This means that the evidence base for stroke rehabilitation is deficient in terms of matching the characteristics of patients encountered in clinical practice, and a more representative sample of older people and those with significant disability must be included in future trials.
Source: Age and Ageing - April 28, 2014 Category: Geriatrics Authors: Gaynor, E. J., Geoghegan, S. E., O'Neill, D. Tags: Short Reports Source Type: research