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Management: Expenditures

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Total 269 results found since Jan 2013.

Compensatory relationship of mechanical energy in paretic limb during sit-to-stand motion of stroke survivors
Hum Mov Sci. 2023 Jan 11;88:103052. doi: 10.1016/j.humov.2022.103052. Online ahead of print.ABSTRACTTo enable patients with stroke to live comfortable and efficient daily lives, it is crucial to understand the energetic characteristics of their sit-to-stand motion. Although the patients have reduced muscle strength in their paretic limbs, their entire body mechanical energy expenditure during the sit-to-stand motion is not different from that of healthy adults. Nevertheless, it is unclear whether this mismatch in energy expenditure is due to co-contraction of the paretic limb or compensation by the sound limb. Thus, this s...
Source: Human Movement Science - January 13, 2023 Category: Neurology Authors: Hiroki Hanawa Keisuke Hirata Taku Miyazawa Keisuke Kubota Moeka Yokoyama Tsutomu Fujino Naohiko Kanemura Source Type: research

Burden of Catastrophic Health Expenditures for Acute Myocardial Infarction and Stroke Among Uninsured in the United States.
Abstract Acute myocardial infarction (AMI) and stroke are unanticipated major healthcare events that require emergent and expensive care. Given the potential financial implications of AMI and stroke among uninsured patients, we sought to evaluate rates of catastrophic healthcare expenditures (CHEs), defined as expenses beyond financial means, in a period before the implementation of insurance expansion and protections in the Affordable Care Act.(1). PMID: 29133601 [PubMed - as supplied by publisher]
Source: Circulation - November 13, 2017 Category: Cardiology Authors: Khera R, Hong JC, Saxena A, Arrieta A, Virani SS, Blankstein R, de Lemos JA, Krumholz HM, Nasir K Tags: Circulation Source Type: research

Rhythmic arm swing integrated into treadmill training in patients with chronic stroke: A single-subject experimental study.
This study aimed to compare the effects of rhythmic arm swing and arm fixation during treadmill walking in patients with poststroke hemiparesis. We used an alternating study design with multiple baselines across subjects. Three patients with chronic stroke participated in this study. During treadmill walking, rhythmic arm swing and arm fixation conditions were alternately applied. Outcome measures included the 10-meter walk test (10MWT) and energy expenditure index (EEI). In the intervention phase, all subjects showed significantly greater improvements in the 10MWT and EEI scores for rhythmic arm swing condition compared t...
Source: Physiotherapy Theory and Practice - January 16, 2018 Category: Physiotherapy Authors: Kang TW, Oh DW, Lee JH, Cynn HS Tags: Physiother Theory Pract Source Type: research

Atrial Cardiopathy: Redefining Stroke Risk Beyond Atrial Fibrillation
Atrial fibrillation (AF) and ischemic stroke are dual epidemics in society, both associated with poor clinical outcomes, patient disability, and significant healthcare expenditure. The conditions are interrelated and share complex causal pathways. Risk stratification algorithms such as the CHADS2 and CHA2DS2-VASc score offer predictive value in stroke and systemic embolism risk in the AF population, however, have limitations. Recent evidence suggests that an intrinsically prothrombotic atrial substrate may precede and promote AF and lead to thromboembolic events independent of the arrhythmia, allowing for a window of inter...
Source: The American Journal of Cardiology - June 28, 2023 Category: Cardiology Authors: Jessica Chu Zhang, Aditya Bhat Source Type: research

Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: a preliminary investigation
Assist Technol. 2023 Jul 26. doi: 10.1080/10400435.2023.2239555. Online ahead of print.ABSTRACTStroke is the leading cause of long-term disability in the United States, leaving survivors with profound mobility challenges that impact independent community ambulation. Evidence shows assistance at the hip during walking may be beneficial for stroke survivors. In this cross-over design study, we examine the impact of a novel hip exoskeleton on both functional and patient reported outcomes measuring speed, fall risk, gait symmetry, energy expenditure and perceived walking ability during both indoors and outdoors in single and s...
Source: Assistive Technology - July 26, 2023 Category: Rehabilitation Authors: Kinsey Herrin Emily Upton Aaron Young Source Type: research

Energy expenditure and cost during walking after stroke: A systematic review
To systematically review the evidence to determine energy expenditure (EE) in VO2 ml/kg/min and energy cost (EC) in VO2 ml/kg/m during walking post-stroke and how it compares to healthy controls. We aim to determine how applicable current exercise prescription guidelines are to stroke survivors.
Source: Archives of Physical Medicine and Rehabilitation - December 10, 2015 Category: Rehabilitation Authors: Sharon Flora Kramer, Liam Johnson, Julie Bernhardt, Toby Cumming Source Type: research

EP 3. Impact of energy expenditure and cognitive function on long- term outcome after stroke
Stroke leads to lesion-induced deficits like hemiparesis and aphasia. Furthermore patients suffer from low aerobic endurance and high energy expenditure of walking as well as from cognitive decline. Motor and Activity of daily living (ADL) rehabilitation might be negatively impacted by these factors. Here, our aim was to evaluate how (a) energy expenditure of walking and (b) cognitive function in the subacute phase after stroke correlate to long-term outcomes (gait speed, activities of daily life).
Source: Clinical Neurophysiology - August 5, 2016 Category: Neuroscience Authors: T. Rackoll, C. Werner, A. Fl öel Source Type: research

Randomized controlled trial examining the effect of creatine and maltodextrin on functional level in stroke rehabilitation
Rationale: Stroke patients may suffer from palsy, which leads to an increased energy expenditure when moving the paretic limb. Stroke patients experience fatigue at a low level of physical activity. Fatigue is associated with reduced glycogen storage and thereby a decreased production of adenosine triphosphate (ATP). Muscle glycogen and creatine phosphate are the major substrates.
Source: Clinical Nutrition - August 22, 2018 Category: Nutrition Authors: M.C. Meulengracht, T.E. Ingvoldstad, S.M. Versterre, H.K. Iversen, J.R. Andersen Source Type: research

Prevalence and predictors of post-stroke epilepsy among Ghanaian stroke survivors
Post-stroke epilepsy (PSE) is associated with poorer quality of life, higher mortality, and greater health expenditures. We are unaware of any published reports on the frequency of and factors associated with PSE in Africa.
Source: Journal of the Neurological Sciences - September 10, 2020 Category: Neurology Authors: Fred Stephen Sarfo, John Akassi, Vida Obese, Sheila Adamu, Manolo Agbenorku, Bruce Ovbiagele Source Type: research

Post-Acute Expenditures among Patients Discharged Home after Stroke or Transient Ischemic Attack: The COMprehensive Post-Acute Stroke Services (COMPASS) Trial
The COMprehensive Post-Acute Stroke Services (COMPASS) pragmatic trial cluster-randomized 40 hospitals in North Carolina to the COMPASS transitional care (TC) post-acute care intervention or usual care. We estimated the difference in health care expenditures post-discharge for patients enrolled in the COMPASS-TC model of care compared to usual care.
Source: Value in Health - July 6, 2023 Category: International Medicine & Public Health Authors: Yucheng Hou, Karishma D ’Souza, Anna M. Kucharska-Newton, Janet K. Freburger, Cheryl D. Bushnell, Jacqueline R. Halladay, Pamela W. Duncan, Justin G. Trogdon Source Type: research

Postacute Expenditures among Patients Discharged Home After Stroke or Transient Ischemic Attack: The COMprehensive Post-Acute Stroke Services (COMPASS) Trial
The COMPASS (COMprehensive Post-Acute Stroke Services) pragmatic trial cluster-randomized 40 hospitals in North Carolina to the COMPASS transitional care (TC) postacute care intervention or usual care. We estimated the difference in healthcare expenditures postdischarge for patients enrolled in the COMPASS-TC model of care compared with usual care.
Source: Value in Health - July 6, 2023 Category: International Medicine & Public Health Authors: Yucheng Hou, Karishma D ’Souza, Anna M. Kucharska-Newton, Janet K. Freburger, Cheryl D. Bushnell, Jacqueline R. Halladay, Pamela W. Duncan, Justin G. Trogdon Tags: Economic Evaluation Source Type: research

Characterizing energy expenditure during sedentary behavior after stroke
To objectively measure and calculate the energy expended by people with stroke during near sedentary behaviors (lying, supported and unsupported sitting, standing, wheelchair propulsion and walking), under controlled laboratory conditions, and compare these values to the energy expenditure of 1.5 Metabolic Equivalent of Task (METs) within the definition of sedentary behavior.
Source: Archives of Physical Medicine and Rehabilitation - September 29, 2015 Category: Rehabilitation Authors: Olaf Verschuren, Femke de Haan, Gillian Mead, Ben Fengler, Anne Visser-Meily Source Type: research

Co-Occurring Chronic Conditions and the Economic Burden Among Community-Dwelling Stroke Survivors in the United States: A Propensity Score Matched Analysis
This study examined the impact of co-occurring chronic conditions on healthcare expenditures among community-dwelling stroke survivors.
Source: Value in Health - April 30, 2016 Category: Global & Universal Authors: C Chinthammit, M Nimworapan, S Bhattacharjee Source Type: research