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Specialty: Internal Medicine
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Total 3777 results found since Jan 2013.
Red cell distribution width: a novel predictive biomarker for stroke risk after transient ischaemic attack
CONCLUSIONS: The early determination of RDW is a promising, rapid, easy and inexpensive biomarker to predict the subsequent stroke in TIA patients, especially for IS. KEY MESSAGESThe most important result of our study is to show that (1) the higher RDW, the earlier the stroke onset and (2) RDW ≥13.95% has a 2.52-fold risk of ischaemic stroke in TIA patients, and RDW ≥12.85% has a 1.51-fold risk of haemorrhagic stroke.As an economic and accessible hematological marker, baseline RDW may serve as a useful biomarker for risk stratification in TIA patients.PMID:35471128 | PMC:PMC9045760 | DOI:10.1080/07853890.2022.2059558
Source: Annals of Medicine - April 26, 2022 Category: Internal Medicine Authors: Ke-Hang Xie Ling-Ling Liu Yun-Ru Liang Chu-Yin Su Hua Li Run-Ni Liu Qing-Qing Chen Jia-Sheng He Yong-Kun Ruan Wang-Kai He Source Type: research
Correlation between dietary selenium intake and stroke in the National Health and Nutrition Examination Survey 2003-2018
CONCLUSIONS: Dietary selenium had a negative and non-linear correlation with the risk of stroke in adults. The correlation varied across different population subgroups.KEY MESSAGESDietary selenium had a negative and non-linear correlation with the risk of stroke in adults.Non-linear negative correlation trends were observed in subpopulations of females, age <60 years, poverty-income ratio <2.14, overweight and obesity, hypertension, non-diabetes, and non-anaemia.Dietary selenium intake of approximately 105 μg per day has an optimum effect on stroke.PMID:35594240 | DOI:10.1080/07853890.2022.2058079
Source: Annals of Medicine - May 20, 2022 Category: Internal Medicine Authors: Wenrui Shi Liang Su Jian Wang Fangze Wang Xu Liu Jianxin Dou Source Type: research
Association of post-stroke-initiated antidepressants with long-term outcomes in young adults with ischaemic stroke
CONCLUSIONS: In young adults, PSAD initiation within the first year after IS was associated with a heightened hazard of recurrent ischaemic or haemorrhagic stroke in the long term. Future studies are needed to verify the results and to further study the nature of this finding.KEY MESSAGESInitiation of post-stroke antidepressants (PSADs) within the first year after ischaemic stroke (IS) was associated with a heightened hazard of recurrent ischaemic or haemorrhagic stroke in the long term.Patients starting antidepressants after IS should be followed up more closely in case of recurrent events.Future studies are needed to ver...
Source: Annals of Medicine - July 5, 2022 Category: Internal Medicine Authors: Jenna Broman Karoliina Aarnio Anna But Ivan Marinkovic Jorge Rodr íguez-Pardo Markku Kaste Turgut Tatlisumak Jukka Putaala Source Type: research
Person-centred care in individuals with stroke: a qualitative study using in-depth interviews
CONCLUSIONS AND SIGNIFICANCE: This paper describes relevant aspects that health professionals should consider when providing PCC in the context of the rehabilitation of individuals with stroke. Key messagesThe individuals' perspective regarding person-centred care (PCC) has considerable effects on the clinical practice of health professionals.Individuals with stroke describe how there is a person behind the "patient" label, with identity, needs and desire to participate in decision making.Training in the PCC model helps healthcare professionals identify the needs of individuals with stroke during rehabilitation.PMID:359303...
Source: Annals of Medicine - August 5, 2022 Category: Internal Medicine Authors: Mar ía Belén Martín-Sanz Rosa Mar ía Salazar-de-la-Guerra Juan Nicolas Cuenca-Zaldivar Mar ía Salcedo-Perez-Juana Cristina Garcia-Bravo Domingo Palacios-Ce ña Source Type: research
Risk factors for stroke in a population of central China: A cross-sectional study
This study sought to investigate and analyze the distribution of stroke population and the main risk factors for stroke occurrence in a Chinese population, and to predict the probability of stroke occurrence in high-risk groups with risk factors, so as to provide a scientific basis for the comprehensive prevention and treatment of stroke. A whole-group sampling method was used to investigate 1009 participants in Jingzhou city in central China, and a uniform questionnaire survey and related medical examinations were conducted. The risk factors for stroke in the area were analyzed by univariate analysis, and a multifactorial...
Source: Medicine - November 18, 2022 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Risk-Benefit Profile of Long-Term Dual- Versus Single-Antiplatelet Therapy Among Patients With Ischemic Stroke: A Systematic Review and Meta-analysis.
CONCLUSION: Compared with monotherapy, dual-antiplatelet therapy lasting more than 1 year after an index ischemic stroke or transient ischemic attack is not associated with a greater reduction in overall recurrent stroke risk. However, long-term dual-antiplatelet therapy is linked to higher risk for ICH than clopidogrel monotherapy in this patient population.
PRIMARY FUNDING SOURCE: Chang Gung Memorial Hospital.
PMID: 24081287 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - October 1, 2013 Category: Internal Medicine Authors: Lee M, Saver JL, Hong KS, Rao NM, Wu YL, Ovbiagele B Tags: Ann Intern Med Source Type: research
Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study
Conclusion: Advance discussion of the potential risks and benefits of thrombolysis in at-risk patients may improve decision making if thrombolysis is being considered and the patient can no longer make a decision.
Source: QJM - December 28, 2014 Category: Internal Medicine Authors: O Flatharta, T., Khan, A., Walsh, T., O'Donnell, M., O'Keefe, S. T. Tags: Original papers Source Type: research
Stroke physician versus stroke neurologist: can anyone thrombolyse?
ConclusionDue to the single‐centre, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist versus those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - March 3, 2015 Category: Internal Medicine Authors: A. Lee, A. Gaekwad, M. Bronca, L. Cheruvu, O. Davies, C. Whitehead, M. Agzarian, C. Chen Tags: Original Article Source Type: research
Statin Withdrawal Beyond Acute Phase Affected Outcome of Thrombolytic Stroke Patients: An Observational Retrospective Study
Abstract: Statin withdrawal is associated with deleterious outcome on stroke patients. Whether risk changes over time, depends on concomitant treatment of intravenous thrombolysis, or both remains to be clarified. We assessed the influence of statin withdrawal within 3 weeks while initiated in acute phase (72 hours) among patients receiving intravenous thrombolysis.
This was a monocentered retrospective observational study enrolling intravenous thrombolytic stroke patients from June 2009 to May 2014. Consecutive patients were distinguished into 3 groups according to the initiation and withdrawal of statin: the reference gr...
Source: Medicine - May 1, 2015 Category: Internal Medicine Tags: Article: Observational Study Source Type: research
Sitagliptin After Ischemic Stroke in Type 2 Diabetic Patients: A Nationwide Cohort Study
Abstract: The cerebrovascular safety and efficacy of sitagliptin, a dipeptidyl peptidase-4 inhibitor, in patients with type 2 diabetes mellitus (T2DM) with ischemic stroke remains uncertain. The aim of this study was to assess the efficacy and safety of sitagliptin in patients with T2DM with recent ischemic stroke.
We analyzed data from the Taiwan National Health Insurance Research Database between March 1, 2009, and December 31, 2011. Ischemic stroke patients were identified from individuals with T2DM. Patients who received sitagliptin were compared with those who did not to evaluate the cardiovascular safety and efficacy...
Source: Medicine - July 1, 2015 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
