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Source: Journal of Stroke and Cerebrovascular Diseases
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Effects of Stroke Education Using an Animated Cartoon and a Manga on Elementary School Children
Background: Stroke education for the youth is expected to reduce prehospital delay by informing the bystander of appropriate action to take and providing knowledge to prevent onset of stroke in future. Previously, we developed effective teaching materials consisting of an animated cartoon and a Manga for junior high school students. The aim of this study was to evaluate the feasibility and effectiveness of our educational materials for stroke education taught by schoolteachers to elementary school children.Methods: Using our teaching materials, a 30-minute lesson was given by trained general schoolteachers. Questionnaires ...
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: Yuki Sakamoto, Chiaki Yokota, Fumio Miyashita, Tatsuo Amano, Yuya Shigehatake, Satoshi Oyama, Naruhiko Itagaki, Kosuke Okumura, Kazunori Toyoda, Kazuo Minematsu Tags: Original Articles Source Type: research
Outcome and Risk Factors Presented in Old Patients Above 80 Years of Age Versus Younger Patients After Ischemic Stroke
Background: Older patients are associated with increased stroke prevalence, worse outcome, and risk of undertreatment in comparison with younger patients. The aim of the present study was to compare risk factor distribution and functional outcome in stroke survivors older and younger than 80 years.Methods: The analysis was based on consecutive patients admitted within 6 hours after stroke onset and discharged with ischemic stroke, surviving at least 3 months after ictus. To prevent bias, the analysis was based on a registry from before implementation of tissue plasminogen activator treatment; all patients received strok...
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: Line Bentsen, Louisa Christensen, Anders Christensen, Hanne Christensen Tags: Original Articles Source Type: research
Stroke-induced Immune Depression–A Randomized Case Control Study in Kashmiri Population of North India
Conclusions: The higher levels of urinary cortisol and norepinephrine were observed in patients with stroke who developed infections, which indirectly reflected increased amount of stroke related stress. Furthermore, the levels of plasma IL-6 and IL-10 were also elevated in the same group of patients, which means transformation of immunecompetence to immunedepression, which is responsible for higher mortality. Subsequently on recovery from infection the plasma levels of interleukins and urinary cortisol and norepinephrine did not show any difference, which indirectly means recovery of the immune system on recovery from ac...
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Devinder Kumar, Roohi Rasool, Khalid Z. Masoodi, Imtiyaz A. Bhat, Sawan Verma, Sheikh Saleem Tags: Original Articles Source Type: research
Secondary Prevention and Health Promotion after Stroke: Can It Be Enhanced?
The aim was to study if health outcome and secondary prevention were satisfactory 1 year after stroke and if nurse-led interventions 3 months after stroke could have impact. Design was a randomized controlled open trial in a 1-year population. Primary outcome was health status 1 year after stroke. One month after stroke, survivors were randomized into intervention group (IG) with follow-up by a specialist nurse (SN) after 3 months (n = 232), and control group (CG) with standard care (n = 227), all to be followed up 1 year after stroke. At the first follow-up, patients graded their health, replied to the EuroQol-5 ...
Source: Journal of Stroke and Cerebrovascular Diseases - July 21, 2014 Category: Neurology Authors: Ann-Cathrin Jönsson, Peter Höglund, Marco Brizzi, Hélène Pessah-Rasmussen Tags: Original Articles Source Type: research
The Finnish Prehospital Stroke Scale Detects Thrombectomy and Thrombolysis Candidates —A Propensity Score-Matched Study
Prehospital stroke triage is challenged by endovascular treatment for large vessel occlusion (LVO) being available only in major stroke centers. Conjugate eye deviation (CED) is closely related to LVO, whereas common stroke signs (face-arm-leg-speech-visual) screen stroke. We hypothesized that combining CED with common stroke signs would yield a prehospital stroke scale for identifying both LVO and stroke in general.
Source: Journal of Stroke and Cerebrovascular Diseases - November 20, 2017 Category: Neurology Authors: Jyrki P. Ollikainen, Heikki V. Janhunen, Juho A. Tynkkynen, Kalle M. Mattila, Minna M. H älinen, Niku K. Oksala, Satu-Liisa K. Pauniaho Source Type: research
Determinants Influencing the Prestroke Health Behaviors and Cardiovascular Disease Risk of Stroke Patients: A Cross-Sectional Study
Background: Knowledge about stroke and stroke prevention may provide motivation to lead a healthy lifestyle to prevent stroke. The goal of this study is to quantify the knowledge of stroke and stroke prevention of patients with a recent stroke and its association with health behaviors and cardiovascular disease risk. Methods: We conducted a prospective cross-sectional study utilizing consecutive stroke admissions at 2 hospitals in Vancouver, Canada. We included patients within 48-72hours of admission.
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2019 Category: Neurology Authors: Beena P. Parappilly, Thalia S. Field, William B. Mortenson, Brodie M. Sakakibara, Janice J. Eng Source Type: research
Stroke Mimics: Experience of a Moroccan Stroke Unit
The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic.
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2020 Category: Neurology Authors: Naima Chtaou, Siham Bouchal, Aouatef E.l. Midaoui, Zouhayr Souirti, Nabil Tachfouti, Mohammed Faouzi Belahsen Source Type: research
Knowledge of Stroke Warning Signs, Risk Factors, and Response to Stroke among Lebanese Older Adults in Beirut
Background and objectives: Stroke is a global burden. In Lebanon, recent studies have shown that stroke prevalence may be higher than other developing countries. While older people are particularly vulnerable to stroke, research suggests that they have poor stroke awareness. Since awareness is crucial for early hospital admission, thereby outcome, the main objectives of this study were to assess knowledge of stroke ie, symptoms, risk factors, and intended behavior in case of stroke suspicion. Methods: A community-based survey targeting adults aged 50 and above was conducted at 20 random pharmacies in Beirut from May to Oct...
Source: Journal of Stroke and Cerebrovascular Diseases - March 16, 2020 Category: Neurology Authors: Hussein Mohammad Khalil, Nathalie Lahoud Source Type: research
Impact of the COVID-19 pandemic on stroke epidemiology and clinical stroke practice in the US
: To examine the impact of the COVID-19 pandemic on stroke, the number of stroke patients, time since last known well (LKW), morbidity, and mortality of stroke patients in Southwest Healthcare System (SHS), California (CA) and the United States (US) were analyzed during 2019 and compared to 2020. Our hypothesis is that there are regional differences in stroke outcome depending on location during the COVID-19 study period which influences stroke epidemiology and clinical stroke practice.
Source: Journal of Stroke and Cerebrovascular Diseases - January 26, 2021 Category: Neurology Authors: Daniel Friedlich, Tali Newman, Stephanie Bricker Source Type: research
Cincinnati Prehospital Stroke Scale Implementation of an Urban County Severity-Based Stroke Triage Protocol: Impact and Outcomes on a Comprehensive Stroke Center
This study addresses the impact of county-based CPSS implementation to triage suspected LVO patients to a comprehensive stroke center (CSC).
Source: Journal of Stroke and Cerebrovascular Diseases - June 2, 2022 Category: Neurology Authors: Ghada A. Mohamed, Fahad Marmarchi, Yombe Fonkeu, Qasem Alshaer, Srikant Rangaraju, Michael Carr, Andrew Jones, Matthew Peczka, Israel Contreras, Lori Bahdsalvi, Cynthia Brasher, Fadi Nahab Source Type: research
Association between physical activity levels and depressive symptoms in patients with minor ischemic stroke
Post-stroke depression (PSD) in stroke patients is a serious sequela. The incidence of depression in stroke patients is approximately 22% –35%.1,2 PSD is associated with serious outcomes, leading to increased risk of mortality and reduced quality of life.3 In addition, a previous study investigating the association between depression and stroke recurrence in ischemic stroke (IS) patients reported that post-IS depression is an indepe ndent risk factor for stroke recurrence.4 Thus, prevention of PSD is important, as this could lead to further adverse functional outcomes after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 11, 2022 Category: Neurology Authors: Ryota Ashizawa, Hiroya Honda, Kohei Yoshizawa, Yuto Kameyama, Yoshinobu Yoshimoto Source Type: research
Development of the stroke patient concerns inventory: A modified Delphi study
Globally, there are estimated to be almost 25.7 million stroke survivors, and stroke is the third most common cause of disability worldwide.1 The impact of stroke is sudden, and can be devastating and life-changing.2 A stroke can result in a range of short and long-term physical, psychological and social problems for survivors.3 –6 Stroke survivors’ needs can present at different times post-stroke and differ between individuals. Evidence suggests that, long-term, stroke survivors’ needs are often inadequately met.
Source: Journal of Stroke and Cerebrovascular Diseases - March 21, 2023 Category: Neurology Authors: Brigit M. Chesworth, Kulsum Patel, Judith Redfern, Caroline L. Watkins, Simon N. Rogers, Maree L. Hackett, Marion F. Walker, Catherine E. Lightbody Source Type: research
Tissue Plasminogen Activator Thrombolytic Therapy for Acute Ischemic Stroke in 4 Hospital Groups in Japan
In October 2005 in Japan, the recombinant tissue plasminogen activator (tPA) alteplase was approved for patients with acute ischemic stroke within 3 hours of onset at a dose of 0.6 mg/kg. The present study was undertaken to assess the safety and efficacy of alteplase in Japan. Between October 2005 and December 2009, a total of 114 consecutive patients admitted to 4 hospitals received intravenous tPA within 3 hours of stroke onset. Clinical backgrounds and outcomes were investigated. The patients were divided into 2 chronological groups: an early group, comprising 45 patients treated between October 2005 and December 2007,...
Source: Journal of Stroke and Cerebrovascular Diseases - October 4, 2011 Category: Neurology Authors: Syoichiro Kono, Kentaro Deguchi, Nobutoshi Morimoto, Tomoko Kurata, Shoko Deguchi, Tohru Yamashita, Yoshio Ikeda, Tohru Matsuura, Hisashi Narai, Nobuhiko Omori, Yasuhiro Manabe, Taijyun Yunoki, Yoshiki Takao, Sanami Kawata, Kenichi Kashihara, Koji Abe Tags: Original Articles Source Type: research
Remote Assessment of Stroke Using the iPhone 4
This study demonstrates the efficacy of using the relatively inexpensive iPhone 4 in telestroke management. Twenty patients with stroke were assessed at the bedside using an iPhone 4, and each examination was directed remotely on another iPhone 4. Both the physician performing the bedside exam and the remote physician calculated a National Institutes of Health Stroke Scale (NIHSS) score for each patient. Each physician was blinded to the other’s NIHSS score. In the 20 patients assessed, NIHSS scores ranged from 0 to 22. Interrater reliability assessed using the κ statistic demonstrated excellent agreement in 10 items (l...
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2011 Category: Neurology Authors: Eric R. Anderson, Bryan Smith, Moges Ido, Michael Frankel Tags: Original Articles Source Type: research
Comparison of the Effects of High- and Low-frequency Repetitive Transcranial Magnetic Stimulation on Upper Limb Hemiparesis in the Early Phase of Stroke
Background: Recently, high-frequency repetitive transcranial magnetic stimulation (HF-rTMS) and low-frequency rTMS (LF-rTMS) are reported to improve motor function significantly in chronic hemiparetic stroke patients. However, few studies have investigated the safety and efficacy of these rTMS modalities introduced during the early phase of stroke. The purpose of this study was to clarify the rTMS modality that is more beneficial for upper limb hemiparesis in the early phase of stroke using a randomized controlled trial.Methods: Twenty-nine patients with a hemispheric stroke lesion in the early phase of stroke were examine...
Source: Journal of Stroke and Cerebrovascular Diseases - December 16, 2011 Category: Neurology Authors: Nobuyuki Sasaki, Saneyuki Mizutani, Wataru Kakuda, Masahiro Abo Tags: Original Articles Source Type: research
