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Documented incontinence after stroke: a secondary analysis of a cohort study. Reducing Ethnic and Geographic Inequities to Optimise New Zealand Stroke Care (REGIONS Care)
CONCLUSION: This study likely underestimated incontinence prevalence after stroke, although incontinence was associated with increased mortality and probability of living in residential care.PMID:36521085
Source: New Zealand Medical Journal - December 15, 2022 Category: General Medicine Authors: E Jean C Hay-Smith Stephanie G Thompson Mark Weatherall Annamarei Ranta Source Type: research

Interventions for treating urinary incontinence after stroke in adults.
CONCLUSIONS: There is insufficient evidence to guide continence care of adults in the rehabilitative phase after stroke. As few trials tested the same intervention, conclusions are drawn from few, usually small, trials. CIs were wide, making it difficult to ascertain if there were clinically important differences. Only four trials had adequate allocation concealment and many were limited by poor reporting, making it impossible to judge the extent to which they were prone to bias. More appropriately powered, multicentre trials of interventions are required to provide robust evidence for interventions to improve urinary inco...
Source: Cochrane Database of Systematic Reviews - February 1, 2019 Category: General Medicine Authors: Thomas LH, Coupe J, Cross LD, Tan AL, Watkins CL Tags: Cochrane Database Syst Rev Source Type: research

Pharmaceutical interventions for emotionalism after stroke.
CONCLUSIONS: Antidepressants may reduce the frequency and severity of crying or laughing episodes based on very low quality evidence. Our conclusions must be qualified by several methodological deficiencies in the studies and interpreted with caution despite the effect being very large. The effect does not seem specific to one drug or class of drugs. More reliable data are required before appropriate conclusions can be made about the treatment of post-stroke emotionalism. Future trialists investigating the effect of antidepressants in people with emotionalism after stroke should consider developing and using a standardised...
Source: Cochrane Database of Systematic Reviews - March 18, 2019 Category: General Medicine Authors: Allida S, Patel K, House A, Hackett ML Tags: Cochrane Database Syst Rev Source Type: research

Pharmaceutical interventions for emotionalism after stroke
CONCLUSIONS: Antidepressants may reduce the frequency and severity of crying or laughing episodes when compared to placebo, based on very low-certainty evidence. Our conclusions must be qualified by several methodological deficiencies in the trials and interpreted with caution despite the effect being very large. The effect does not seem specific to one drug or class of drugs. More reliable data are required before appropriate conclusions can be made about the treatment of post-stroke emotionalism. Future trialists investigating the effect of antidepressants in people with emotionalism after stroke should consider developi...
Source: Cochrane Database of Systematic Reviews - November 17, 2022 Category: General Medicine Authors: Sabine Allida Allan House Maree L Hackett Source Type: research

Efficacy and safety of ginger-salt-indirect moxibustion for urge urinary incontinence after stroke: protocol for a pilot multicentre randomised controlled trial
Introduction Ginger-salt-indirect moxibustion is widely applied to treat urge urinary incontinence after stroke, which is a common complication in stroke survivors. Moxa cone moxibustion and moxa box moxibustion are the main techniques of ginger-salt-indirect moxibustion. Our previous study had shown that ginger-salt-indirect moxibustion using moxa cones was feasible and effective for urination disorders post-stroke. This pilot study aims to assess the feasibility of conducting research to evaluate the efficacy and safety of ginger-salt-indirect moxibustion for patients with post-stroke urge urinary incontinence. Methods ...
Source: BMJ Open - October 21, 2014 Category: Journals (General) Authors: Wang, L., Wang, L., Shi, G., Zeng, L., Yang, Y., Zhang, T., Liu, H. Tags: Open access, Complementary medicine, Neurology, Rehabilitation medicine, Urology Protocol Source Type: research

Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial
Conclusions: The trial has met feasibility outcomes of participant recruitment and retention. It was not powered to demonstrate effectiveness, but there is some evidence of a potential reduction in the odds of specific types of incontinence. A full trial should now be considered.Trial registration: ISRCTN Registry, ISRCTN08609907, date of registration: 7 July 2010.
Source: Trials - December 23, 2014 Category: Journals (General) Authors: Lois ThomasCaroline WatkinsChristopher SuttonDenise ForshawMichael LeathleyBeverley FrenchChristopher BurtonFrancine CheaterBrenda RoeDavid BrittJoanne BoothElaine McColl Source Type: research

Acupuncture for urinary incontinence after stroke: a protocol for systematic review
Introduction The aim of this study, which will include randomised controlled trials (RCTs), is to assess the efficacy and safety of acupuncture for patients with stroke and urinary incontinence. Methods and analysis RCTs will be searched electronically in the MEDLINE, EMBASE, Cochrane CENTRAL, CINAHL and four Chinese medical databases from their inception to present. Manual retrieval will also be conducted. RCTs will be included if acupuncture was evaluated as the sole or adjunct treatment for patients with stroke and urinary incontinence. The primary outcome will be measured by using the pad-weighing test. The secondary ...
Source: BMJ Open - February 23, 2016 Category: Journals (General) Authors: Sun, Z., Yu, N., Yue, J., Zhang, Q. Tags: Open access, Complementary medicine, Evidence based practice Protocol Source Type: research

Prognostic factors of functional outcome in post-acute stroke in the rehabilitation unit
CONCLUSION: Baseline ADL function was the most important prognostic factor of functional independence in post-acute stroke. Moreover, the activity limitation of dependency on sitting up and motor function impairment of hemiplegic lower limb prognosticated functional independence.PMID:34303583 | DOI:10.1016/j.jfma.2021.07.009
Source: J Formos Med Assoc - July 25, 2021 Category: General Medicine Authors: Wei-Chieh Chen Ming-Yen Hsiao Tyng-Guey Wang Source Type: research

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