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Specialty: General Medicine
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Total 264 results found since Jan 2013.

Stroke Literacy in Singapore: Data From a Survey of Public Housing Estate Residents.
Conclusion: In a sample of Singaporean adults residing in a public housing estate, we found evidence of poor stroke literacy, highlighting the need for comprehensive population-based education efforts. There is a role for opportunistic education among those at higher risk of stroke. PMID: 25341630 [PubMed - as supplied by publisher]
Source: Annals of the Academy of Medicine, Singapore - September 1, 2014 Category: Journals (General) Authors: Lim W, Chuang DF, Chue KM, Lee DZ, Leong NJ, Ng ZG, Peng K, Shen X, Tham YN, Wang K, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

Lessons from Severe Acute Respiratory Syndrome Coronavirus 2003 Pandemic as Evidence to Advocate for Stroke Public Education During the Current Coronavirus Disease 2019 Pandemic.
CONCLUSIONS: During the SARS pandemic, there was a reduction in the number of stroke admissions, and this was apparent during both the local SARS and worldwide SARS outbreak periods. We should take appropriate steps through public education to minimise the expected reduced stroke admissions during the COVID-19 pandemic, inferred from the findings during the SARS pandemic. PMID: 33164023 [PubMed - in process]
Source: Ann Acad Med Singapo... - August 1, 2020 Category: General Medicine Authors: Riandini T, Tan KB, De Silva DA Tags: Ann Acad Med Singap Source Type: research

Influence of chronic kidney disease and haemodialysis on stroke outcome
CONCLUSION: Despite significant functional and neurological improvements following rehabilitation, stroke patients with underlying CKD had higher average duration of hospital stay, more recurrent hospitalisations and poorer survival outcomes than those without underlying CKD. This could be attributed to the complications associated with CKD rather than stroke. Multidisciplinary community rehabilitation may be an alternative to reduce recurrent hospitalisations and morbidity in this group of patients. PMID: 32241068 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - April 2, 2020 Category: General Medicine Authors: Pande SD, Morris J Tags: Singapore Med J Source Type: research

Wake-up Stroke and Onset-to-door Duration Delays: Potential Future Indications for Reperfusion Therapy.
Conclusion: The one- third proportion of wake-up stroke in this cohort and low prevalence of relative contraindications suggest this is a promising group for emerging thrombolysis indications. With the majority of patients presenting after 8 hours, widening of the therapeutic window with new potential reperfusion treatments would not appreciably increase treatment utilisation. This study reaffirms the urgent need for public education to improve stroke awareness in Singapore. PMID: 24557460 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - January 1, 2014 Category: Journals (General) Authors: Tan MSh, Ang ES, Ho SS, Ng SC, Talabucon L, Woon FP, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

Discriminant Analysis for predictor of falls in stroke patients by using the Berg Balance Scale.
Conclusion: The results of this study suggest that BBS score is a strong predictor of falls in stroke patients. As balance is closely related to the risk of falls in hospitalised stroke patients, BBS might be useful in the prediction of falls. PMID: 25678051 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - February 13, 2015 Category: Journals (General) Authors: Maeda N, Urabe Y, Murakami M, Itotani K, Kato J Tags: Singapore Med J Source Type: research

Surveys of Stroke Patients and Their Next of Kin on Their Opinions towards Decision-Making and Consent for Stroke Thrombolysis.
CONCLUSION: The survey found that in the decision-making process for stroke thrombolysis, there was no clear consensus on the preference for the decision maker of the mentally incapacitated patient. In Singapore, there is a strong influence of the NOK in decision-making for thrombolysis. PMID: 28263342 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - January 31, 2017 Category: Journals (General) Authors: Angamuthu N, Queck KK, Menon S, Ho SS, Ang E, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

ACT-FAST: a quality improvement project to increase the percentage of acute stroke patients receiving intravenous thrombolysis within 60 minutes of arrival at the emergency department.
CONCLUSION: The interventions resulted in an increasing but non-significant trend of acute stroke patients receiving thrombolysis within 60 minutes. Outcomes will be monitored for a longer duration to demonstrate trends and sustainability. PMID: 32227791 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - March 30, 2020 Category: General Medicine Authors: Chiu LQ, Quek DYJ, Salihan RB, Ng WM, Othman RB, Lee CH, Oh DCT Tags: Singapore Med J Source Type: research

Public awareness of sepsis and stroke in singapore: a population-based survey.
Conclusion: Our findings reflect the differences in the public profile of sepsis versus stroke in Singapore. More concerted efforts involving healthcare professionals, medical societies, statutory boards, and the mass media are required to improve public awareness of these 2 conditions -especially sepsis. PMID: 23842767 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - June 1, 2013 Category: Journals (General) Authors: Phua J, Lim HF, Tay CK, Aung NW Tags: Ann Acad Med Singapore Source Type: research

Attitudes and Practices on the Consent Process and Decision-making for Intravenous Stroke Thrombolysis: Physicians' Perspective.
Conclusion: The next-of-kin is usually the decision-maker for stroke thrombolysis in practice for a mentally incapacitated patient despite most doctors considering thrombolysis an emergency treatment. This, together with the lack of consensus and variance in decision-making and consent practice amongst neurologists for stroke thrombolysis, demonstrates the need to develop best practice guidelines to standardise healthcare practices for greater consistency in health service delivery. PMID: 24356652 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - November 1, 2013 Category: Journals (General) Authors: Talabucon LP, Menon S, Toh AJ, Oh DC, De Silva DA Tags: Ann Acad Med Singapore Source Type: research

Serum S100 β as a predictor of severity and outcomes for mixed subtype acute ischaemic stroke.
CONCLUSION: High serum S100β is associated with unfavourable outcome for mixed subtype AIS. Cut-off values of S100β72hrs and ∆S100β were optimal for predicting unfavourable stroke outcome. PMID: 31317198 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - July 10, 2019 Category: General Medicine Authors: Sakdejayont S, Pruphetkaew N, Chongphattararot P, Nanphan P, Sathirapanya P Tags: Singapore Med J Source Type: research

Truncal impairment after stroke: clinical correlates, outcome and impact on ambulatory and functional outcomes after rehabilitation.
CONCLUSION: Truncal impairment was common and improvements in trunk performance were seen after rehabilitation. Trunk performance was significantly correlated to stroke severity, upper and lower limb motor power, cognition and neglect. As admission trunk performance predicted discharge functional and ambulatory status, it is recommended that trunk performance be evaluated for all patients with stroke. PMID: 31788705 [PubMed - as supplied by publisher]
Source: Singapore Medical Journal - December 1, 2019 Category: General Medicine Authors: Kong KH, Ratha Krishnan R Tags: Singapore Med J Source Type: research

Temporal Trends and Patient Characteristics Associated With Drug Utilisation After First-Ever Stroke: Insights From Chronic Disease Registry Data in Singapore.
CONCLUSION: This study reveals changes in prescription behaviour over time in a multiethnic Asian population with first-ever stroke. Patient characteristics including younger age, Malay ethnicity and certain comorbidities (i.e. hyperlipidaemia, atrial fibrillation) were associated with the combined use of all 3 guideline medications among ischaemic stroke patients. PMID: 32301477 [PubMed - in process]
Source: Ann Acad Med Singapo... - February 29, 2020 Category: General Medicine Authors: Yeo SH, Toh MPH, Lee SH, Seet RC, Wong LY, Yau WP Tags: Ann Acad Med Singapore Source Type: research

Predicting Pneumonia in Acute Ischaemic Stroke: Comparison of Five Prediction Scoring Models.
CONCLUSION: A(2)DS(2) , AIS-APS and Kwon's scores performed comparably in discriminating SAP in AIS patients. PMID: 28733688 [PubMed - in process]
Source: Annals of the Academy of Medicine, Singapore - June 1, 2017 Category: General Medicine Authors: Tu TM, Phua SS, Acharyya S, Ng WM, Oh DC Tags: Ann Acad Med Singapore Source Type: research

Long-term outcomes of ischaemic stroke patients with diabetes in a multi-ethnic cohort in Singapore
CONCLUSION: Our study provides quantitative data on the event rates of ischaemic stroke patients with diabetes. These findings provide insights on stroke predictors in a multi-ethnic Asian population, which may have implications in the design of future interventional studies.PMID:33623954 | DOI:10.47102/annals-acadmedsg.2020105
Source: Ann Acad Med Singapo... - February 24, 2021 Category: General Medicine Authors: Ei Zune The Mei Yen Ng Geelyn JL Ng Bernadette GC Er Amy ML Quek Prakash Paliwal Leonard L Yeo Bernard Chan Vijay K Sharma Hock Luen Teoh Eric YH Khoo Raymond CS Seet Source Type: research