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Condition: Aphasia
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Total 22 results found since Jan 2013.

Predictors of Thrombolysis Administration in Mild Stroke Clinical Sciences
Conclusions—Mild acutely presenting stroke patients are more likely to receive thrombolysis if they are young, white, or Hispanic and arrive early to the hospital with more severe neurological presentation. Identification of predictors of thrombolysis is important in design of future studies to assess the use of thrombolysis for mild stroke.
Source: Stroke - February 26, 2018 Category: Neurology Authors: Negar Asdaghi, Kefeng Wang, Maria A. Ciliberti-Vargas, Carolina Marinovic Gutierrez, Sebastian Koch, Hannah Gardener, Chuanhui Dong, David Z. Rose, Enid J. Garcia, W. Scott Burgin, Juan Carlos Zevallos, Tatjana Rundek, Ralph L. Sacco, Jose G. Romano Tags: Cerebrovascular Disease/Stroke, Ischemic Stroke, Transient Ischemic Attack (TIA) Original Contributions Source Type: research

Posterior circulation stroke is associated with prolonged door‐to‐needle time
ConclusionsPosterior circulation stroke patients had a delay in neurology evaluation after initial emergency department evaluation and a delay in intravenous tissue plasminogen activator administration compared with anterior circulation stroke patients. There may be difficulties in rapidly recognizing the symptoms of posterior circulation stroke, in contrast to anterior circulation stroke, in the emergency department.
Source: International Journal of Stroke - April 1, 2013 Category: Neurology Authors: Amrou Sarraj, Sarah Medrek, Karen Albright, Sheryl Martin‐Schild, Wafi Bibars, Farhaan Vahidy, James C. Grotta, Sean I. Savitz Tags: Research Source Type: research

Characteristics and Outcomes Among Patients Transferred to a Regional Comprehensive Stroke Center for Tertiary Care Clinical Sciences
Conclusions— Despite having more severe strokes on arrival at our hospital, transfer-in patients had similar in-hospital mortality versus front door patients and were more likely to be discharged to rehabilitation. These outcomes lend support to the concept of regionalized stroke care and concentrating patients who are more disabled at more advanced stroke care centers.
Source: Stroke - October 21, 2013 Category: Neurology Authors: Ali, S. F., Singhal, A. B., Viswanathan, A., Rost, N. S., Schwamm, L. H. Tags: Acute Cerebral Infarction Clinical Sciences Source Type: research

Incidence of post-stroke depression symptoms and potential risk factors in adults with aphasia in a comprehensive stroke center
CONCLUSIONS: These findings align with earlier evidence identifying aphasia as a risk factor for experiencing PSD symptoms and also suggest aphasia severity is proportionate to the risk. This highlights the need for early identification of PSD symptoms in persons with aphasia in order to provide timely interventions.PMID:35543182 | DOI:10.1080/10749357.2022.2070363
Source: Topics in Stroke Rehabilitation - May 11, 2022 Category: Neurology Authors: Christina Zanella Jacqueline Laures-Gore Vonetta M Dotson Samir R Belagaje Source Type: research

Anxiety in Patients With Acute Ischemic Stroke: Risk Factors and Effects on Functional Status
Conclusion: Depressive symptoms are the major correlates of PSA while more severe PSA is associated with poorer ADL and health-related QOL. Acute lesions involving CHWM may correlate with PSA in ischemic stroke patients with mild-to-moderate neurologic deficits, supporting a lesion-location hypothesis in PSA.IntroductionAnxiety is prevalent after stroke and occurs in about one-quarter of stroke survivors (1, 2). Poststroke anxiety (PSA) may have a negative impact on quality of life (QOL) of stroke survivors, affecting their rehabilitation (3). Furthermore, one prospective study found that severe anxiety symptoms were assoc...
Source: Frontiers in Psychiatry - April 16, 2019 Category: Psychiatry Source Type: research

Conveniently-Grasped Field Assessment Stroke Triage (CG-FAST): A Modified Scale to Detect Large Vessel Occlusion Stroke
Conclusions: CG-FAST scale could be an effective and simple scale for accurate identification of LVOS among AIS patients. Introduction Large vessel occlusion stroke (LVOS) often leads to severe disability and mortality. Although endovascular therapy (EVT) has been proved to be effective for LVOS patients (1–9), especially in anterior circulation, its benefit is highly time-dependent (10, 11). As hospitals with around-the-clock endovascular capability are scarce in many parts of the world and patients admitted directly to a CSC would have better outcomes than those receiving drip and ship treatment (12, 13), t...
Source: Frontiers in Neurology - April 16, 2019 Category: Neurology Source Type: research

Speech and language therapy for aphasia following stroke.
CONCLUSIONS: Our review provides evidence of the effectiveness of SLT for people with aphasia following stroke in terms of improved functional communication, reading, writing, and expressive language compared with no therapy. There is some indication that therapy at high intensity, high dose or over a longer period may be beneficial. HIgh-intensity and high dose interventions may not be acceptable to all. PMID: 27245310 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - May 31, 2016 Category: Journals (General) Authors: Brady MC, Kelly H, Godwin J, Enderby P, Campbell P Tags: Cochrane Database Syst Rev Source Type: research

A systematic review of the impact of stroke on social support and social networks: Associated factors and patterns of change.
CONCLUSION: Following a stroke non-kin contact is vulnerable, strain is observed within the family unit, and poor social support is associated with depressive symptoms. PMID: 26330297 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - September 1, 2015 Category: Rehabilitation Authors: Northcott S, Moss B, Harrison K, Hilari K Tags: Clin Rehabil Source Type: research

Strokes Occurring in the Hospital; Quality of Care and Outcome in a Tertiary Academic Medical Center (P6.045)
Conclusions: Increased symptom recognition was found within the ICU/ER cohorts staffed by specialized nurses. Only small number of patients with in-hospital strokes received brain imaging according to ASA/AHA guidelines which is an important opportunity for QI efforts for this group of patients.Disclosure: Dr. Kamal has nothing to disclose. Dr. Mowla has nothing to disclose. Dr. Shirani has nothing to disclose. Dr. Lail has nothing to disclose. Dr. Cheema has nothing to disclose. Dr. Memon has nothing to disclose. Dr. Deline has nothing to disclose. Dr. Crumlish has nothing to disclose. Dr. Singh has nothing to disclose. D...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kamal, H., Mowla, A., Shirani, P., Lail, N., Cheema, B., Memon, A., Deline, C., Crumlish, A., Singh, K., Ching, M., Sawyer, R. Tags: In-Hospital Stroke and Stroke Complications Source Type: research

National Institutes of Health Stroke Scale (NIHSS) scoring inconsistencies between neurologists and emergency room nurses
ConclusionsOne-in-three initial NIHSS assessed by both a neurologist and RN had a clinically meaningful score difference between providers. More severe stroke, as indicated by a higher NIHSS was associated with scoring inconsistency between neurologist-RN pairs. Subjective scoring measures, especially those involving a patient having aphasia, was associated with greater score incongruency. Score differences may be attributed to differences in NIHSS training requirements between neurologists and RNs.
Source: Frontiers in Neurology - January 11, 2023 Category: Neurology Source Type: research

Developing complex interventions: lessons learned from a pilot study examining strategy training in acute stroke rehabilitation.
Conclusions:It is feasible and acceptable to administer both intervention protocols as an adjunct to acute inpatient rehabilitation, and strategy training shows promise for reducing disability. PMID: 24113727 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - October 10, 2013 Category: Rehabilitation Authors: Skidmore ER, Dawson DR, Whyte EM, Butters MA, Dew MA, Grattan ES, Becker JT, Holm MB Tags: Clin Rehabil Source Type: research

Otitis Media Leads to Brain Abscess Presenting as Stroke
By Mikhail Elfond, DO; Esi Quayson, MD; & Joseph V.M. Kelly, MD, MBA A 65-year-old man presented to the ED via EMS with symptoms of stroke. The paramedics stated his right-sided weakness and speech difficulty started 40 minutes prior to presentation in the ED. En route to the hospital, paramedics observed four episodes of facial twitching.       Vitals signs were significant for a rectal temperature of 100.2°F and a fingerstick blood sugar of 220 mg/dL. History of present illness was significant for a diagnosis of left otitis media treated with Augmentin and Vicodin at an urgent care center ...
Source: The Case Files - January 20, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Robot-Assisted Therapy in Upper Extremity Hemiparesis: Overview of an Evidence-Based Approach
Conclusion Robotic therapy has matured and represents an embodiment of a paradigm shift in neurorehabilitation following a stroke: instead of focusing on compensation, it affords focus in ameliorating the impaired limb in line with concepts of neuroplasticity. This technology-based treatment provides intensity, interactivity, flexibility, and adaptiveness to patient's performance and needs. Furthermore, it increases the productivity of rehabilitation care. Of course, efficiency must be discussed within a local perspective. For example, following the cost containment shown in the VA ROBOTICS study (46), the UK Nati...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research