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Poststroke Depression and Apathy: Why Should We Care?
Depression occurs in about 25% of stroke survivors and contributes to persistent disability and increased mortality.1 Poststroke depression is a heterogeneous syndrome; mood symptoms span the range of minor to major depression, and patients may also experience emotionally liability or blunting, restlessness, decreased insight, and cognitive impairment. These symptoms may in turn impair recovery and contribute to greater subsequent disability. In this issue of the Journal, Kanellopoulos et al. characterize dimensions of poststroke depression in 135 older adults with comorbid major depression by conducting a factor analysis ...
Source: The American Journal of Geriatric Psychiatry - March 17, 2020 Category: Geriatrics Authors: Kevin J. Manning, Warren D. Taylor Tags: Editorial Source Type: research

Post-stroke depression and Apathy: Why Should we Care?
Depression occurs in about 25% of stroke survivors and contributes to persistent disability and increased mortality.1 Post-stroke depression is a heterogeneous syndrome; mood symptoms span the range of minor to major depression, and patients may also experience emotionally lability or blunting, restlessness, decreased insight, and cognitive impairment. These symptoms may in turn impair recovery and contribute to greater subsequent disability. In this issue of the Journal, Kanellopoulos et al. characterize dimensions of post-stroke depression in 135 older adults with comorbid major depression by conducting a factor analysis...
Source: The American Journal of Geriatric Psychiatry - March 17, 2020 Category: Geriatrics Authors: Kevin J. Manning, Warren D. Taylor Tags: Editorial Source Type: research

Dimensions of post-stroke depression and neuropsychological deficits in older adults
Stroke is the leading cause of both serious and long-term disability and the fifth leading cause of death in the United States.1,2 Post-stroke depression (PSD) afflicts approximately one-fourth of stroke survivors and increases the likelihood of persistent disability.3-6 Prompt identification and treatment of PSD can improve affective symptoms and stroke related disability.7,8
Source: The American Journal of Geriatric Psychiatry - January 24, 2020 Category: Geriatrics Authors: Dora Kanellopoulos, Victoria Wilkins, Jimmy Avari, Lauren Oberlin, Lindsay Arader, Merete Chaplin, Samprit Banerjee, George S. Alexopoulos Tags: Regular Research Article Source Type: research

Dimensions of Poststroke Depression and Neuropsychological Deficits in Older Adults
Stroke is the leading cause of both serious and long-term disability and the fifth leading cause of death in the United States.1,2 Poststroke depression (PSD) afflicts approximately one-fourth of stroke survivors and increases the likelihood of persistent disability.3 –6 Prompt identification and treatment of PSD can improve affective symptoms and stroke related disability.7,8
Source: The American Journal of Geriatric Psychiatry - January 24, 2020 Category: Geriatrics Authors: Dora Kanellopoulos, Victoria Wilkins, Jimmy Avari, Lauren Oberlin, Lindsay Arader, Merete Chaplin, Samprit Banerjee, George S. Alexopoulos Tags: Regular Research Article Source Type: research

Retracted: Effect of immobilization on vitamin D status and bone mass in chronically hospitalized disabled stroke patients
Following the appraisal of new information, the editorial board of Age and Ageing have retracted this paper from the scientific record. In February 2019, Age and Ageing published an expression of concern online regarding this paper, noting multiple issues with the data presented in the manuscript. Further information has now come to light in that, at the time of data collection for the reported work, neither the hospital nor the academic institution to which the lead author was affiliated, and where the study participants were recruited, had an institutional review board to provide ethical approval for the work reported. N...
Source: Age and Ageing - November 20, 2019 Category: Geriatrics Source Type: research

Transitions to family caregiving: enrolling incident caregivers and matched non-caregiving controls from a population-based study.
CONCLUSION: Comparable, population-based samples of incident caregivers and matched non-caregivers have been enrolled. Future analyses will examine within-person changes in health and circulating biomarkers as a function of the transition to caregiving. PMID: 31630377 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - October 18, 2019 Category: Geriatrics Authors: Roth DL, Haley WE, David Rhodes J, Sheehan OC, Huang J, Blinka MD, Yuan Y, Irvin MR, Jenny N, Durda P, Cushman M, Walston JD, Howard VJ Tags: Aging Clin Exp Res Source Type: research

219 The Effect of Introducing In-house Radiographers Out of Hours on Door to CT Times for FAST Positive Patients
ConclusionThe introduction of in-house radiographers out of hours has led to a quicker transition of patients from the Emergency Department to the CT department thus reducing door to CT times.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

53 Improving Door to Needle Times in Acute Stroke
ConclusionDelays in the stroke pathway were rectifiable by change of practice. Most changes were simple without need of any additional resource.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

33 “Striking Back Against Stroke”
ConclusionThis is an ongoing process which continues to ultimately improve patient outcomes.“Time is Brain”
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

170 Admissions to a Stroke Unit in an Irish Rehabilitation Hospital: A Review from Speech and Language Therapy
ConclusionCCDs are highly prevalent and represented the largest subtype of communication disorders in this cohort. FIMFAM scores appear useful in assessing CCDs however they display insufficient sensitivity in capturing change within this population. This audit highlights the need for further interdisciplinary research, education and training into cognitive-communication difficulties with post-stroke populations.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

134 Does a Purely Occipital Lobe Stroke Lead to Significant Long Term Disability and Handicap?
ConclusionA persistent VFD results in long term problems including an increased risk of further vascular events, a reduction in overall independence and quality of life following an occipital lobe stroke. This study has led to a business plan for a dedicated hemianopia clinic.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

317 Incidence of Cognitive Impairment after Stroke: a Retrospective Cohort of Rehabilitation Patients.
ConclusionThis study replicates Pendlebury and Rothwell ’s findings that over a third of people suffering from severe strokes will develop cognitive impairment. This is of critical importance to stroke clinicians as it should prompt frank discussions with stroke patients and their families about prognosis, recovery and future planning.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics 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

86 Haemorrhagic Stroke: What's in a Bleed?
ConclusionThere were a greater proportion of patients with lobar versus deep bleeds in our cohort which may be due to the older population in our area.Mortality and disability was far greater in the lobar cohort.None of the lobar bleeds with AF who were on OAC died in contrast to the deep ICH patients. This may suggest that more aggressive hypertensive treatment is required in this subpopulation.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Ischemic Stroke In Neonatal And Adult Astrocytes
The objective of this paper is to review current information regarding astrocytes function after a stroke in neonatal and adult brain. Based on the current literature, there are some molecular differences related to blood brain barrier (BBB) homeostasis disruption, inflammation and reactive oxygen species (ROS) mediated injury between the immature and mature brain after an ischemic event. In particular, astrocytes, the main glial cells in brain, play a different role in neonatal and adult brain after stroke, as time course of glial activation is strongly age dependent. Moreover, the present review provides further insight ...
Source: Mechanisms of Ageing and Development - September 5, 2019 Category: Geriatrics Source Type: research

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