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Stroke-Specific Quality of Life one-year post-stroke in two Scandinavian country-regions with different organisation of rehabilitation services: a prospective study.
Conclusions: Successful improvements in one-year functioning in both country-regions may result from optimising long-term rehabilitation services to address cognitive, emotional, and social functioning. Stroke-Specific Quality of Life one-year post-stroke could be explained by individual factors, such as pre-stroke dependency and mental health, rather than differences in the organisation of subacute rehabilitation services.IMPLICATIONS FOR REHABILITATIONThe stroke-specific health related quality of life (SS-QOL) assessment tool captures multidimensional effects of a stroke from the perspective of the patient, which is clin...
Source: Disability and Rehabilitation - April 30, 2020 Category: Rehabilitation Authors: Pedersen SG, Friborg O, Heiberg GA, Arntzen C, Stabel HH, Thrane G, Nielsen JF, Anke A Tags: Disabil Rehabil Source Type: research

Longitudinal Brain Changes After Stroke and the Association With Cognitive Decline
ConclusionAtrophy in the ipsilesional hemisphere was greater than in the contralesional hemisphere over time. This effect was found to be more prominent in the right hemisphere, pointing to a possible higher resilience to stroke of the left hemisphere. Lastly, greater atrophy of the cortex and subcortex, as well as larger stroke volume, were associated with worse cognition over time and should be included in risk assessments of cognitive decline after stroke.
Source: Frontiers in Neurology - June 3, 2022 Category: Neurology Source Type: research

Age dependency of ischaemic stroke subtypes and vascular risk factors in western Norway: the Bergen Norwegian Stroke Cooperation Study
ConclusionThe proportion of stroke subtypes and vascular risk factors are age dependent. Age 50–74 years constitutes the period in life where cardiovascular risk factors become manifest and stroke subtypes change.
Source: Acta Neurologica Scandinavica - June 2, 2015 Category: Neurology Authors: A. Nacu, A. Fromm, K. M. Sand, U. Waje‐Andreassen, L. Thomassen, H. Naess Tags: Original Article Source Type: research

Stroke identification by criteria based dispatch – a register based study
ConclusionThe sensitivity for identification of stroke patients by the dispatch guidelines is modest, while the specificity is high. The 113 telephone line was initial EMCC access point for less than half of the stroke patients.
Source: Acta Anaesthesiologica Scandinavica - November 1, 2017 Category: Anesthesiology Authors: E. N. Ellensen, H. Naess, T. Wisborg, S. Hunskaar, E. Zakariassen Tags: Original Article Source Type: research

Contrast ‐enhanced sonothrombolysis in acute ischemic stroke patients without intracranial large‐vessel occlusion
ConclusionCEST is safe in ischemic stroke patients without intracranial LVO. There were no differences in clinical outcomes between the treatment groups.
Source: Acta Neurologica Scandinavica - October 25, 2017 Category: Neurology Authors: C. E. Kvistad, A. Nacu, V. Novotny, N. Logallo, U. Waje ‐Andreassen, H. Naess, L. Thomassen Tags: ORIGINAL ARTICLE Source Type: research

Clinical Importance of Temporal Bone Features for the Efficacy of Contrast-Enhanced Sonothrombolysis: a Retrospective Analysis of the NOR-SASS Trial
AbstractContrast-enhanced sonothrombolysis (CEST) seems to be a safe and promising treatment in acute ischemic stroke. It remains unknown if temporal bone features may influence the efficacy of CEST. We investigated the association between different temporal bone features on admission computed tomography (CT) scan and the outcome in acute ischemic stroke patients included in the randomized Norwegian Sonothrombolysis in Acute Stroke Study (NOR-SASS). Patients diagnosed as stroke mimics and those with infratentorial stroke or with incorrect insonation were excluded. We retrospectively assessed temporal bone heterogeneity (pr...
Source: Translational Stroke Research - November 8, 2017 Category: Neurology Source Type: research

Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team
CONCLUSIONS: The telemedicine-based, remote controlled, stroke evaluation and treatment was experienced, by the participants, to be well organised and of high quality. Communication and image reading appear to be the salient challenges. Regular training sessions and follow-up, as well as an evaluation of incidents by the project manager, proved to be of great importance in retaining and securing the continued running of the service and ensuring high-quality treatment. Further research is indicated in the comparison of this telemedicine service with stroke treatment given in a mainstream hospital.PMID:34090447 | DOI:10.1186/s12913-021-06591-1
Source: Rural Remote Health - June 6, 2021 Category: Rural Health Authors: Elin Kjelle Aud Mette Myklebust Source Type: research

Oral health and cardiovascular disease risk factors and mortality of cerebral haemorrhage, cerebral infarction and unspecified stroke in elderly men: A prospective cohort study.
Conclusions: Oral health measured by number of tooth extractions >10 was an independent predictor for cerebral infarction in addition to age, HDL-C, hs-C-reactive protein and diabetes. The pattern of risk factors varied between the specific stroke diagnoses. PMID: 31814529 [PubMed - as supplied by publisher]
Source: Scandinavian Journal of Public Health - December 7, 2019 Category: International Medicine & Public Health Authors: Håheim LL, Nafstad P, Schwarze PE, Olsen I, Rønningen KS, Thelle DS Tags: Scand J Public Health Source Type: research

Data from national health registers as endpoints for the Troms ø Study: Correctness and completeness of stroke diagnoses
CONCLUSIONS: Data from the Norwegian Patient Register and from the linked data set between the Norwegian Patient Register and the Norwegian Stroke Register had acceptable levels of correctness and completeness to be considered as endpoint sources for the Tromsø Study Cardiovascular Disease Register. The benefits of using data from national registers as endpoints in epidemiological studies must be weighed against the impact of potentially decreased data quality.PMID:34120523 | DOI:10.1177/14034948211021191
Source: Scandinavian Journal of Public Health - June 14, 2021 Category: International Medicine & Public Health Authors: Torunn Varmdal Maja-Lisa L øchen Tom Wilsgaard Inger Nj ølstad Audhild Nyrnes Sameline Grimsgaard Ellisiv B Mathiesen Source Type: research

Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit
CONCLUSIONThis pilot study shows that anesthesiologists trained in prehospital critical care may effectively assess cerebral CT scans in an MSU, and determine if there are radiological contraindications for thrombolysis.
Source: Journal of Neuroimaging - July 1, 2017 Category: Radiology Authors: Maren Ranhoff Hov, Erik Zakariassen, Thomas Lindner, Terje Nome, Kristi G. Bache, Jo R øislien, Jostein Gleditsch, Volker Solyga, David Russell, Christian G. Lund, Tags: Clinical Investigative Study Source Type: research

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