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Total 43 results found since Jan 2013.

Multicentre collection of uniform data on patients hospitalised for transient ischaemic attack or stroke in the Philippines: the Philippine Neurological Association One Database-Stroke (PNA1DB-Stroke) protocol
Introduction For scientific advances to translate into improved patient outcomes, systems of care must be in place to facilitate delivery of care. There is scarce information on quality of care and clinical outcome in our stroke patients. We aim to collect uniform data from patients with first or recurrent transient ischaemic attack (TIA) or ischaemic or haemorrhagic stroke to determine in-patient caseload, patient profile, types of diagnostic and therapeutic procedures, outcomes and overall quality of care among patients hospitalised for acute stroke in the Philippines. Methods and analysis This multicentre observational...
Source: BMJ Open - May 24, 2022 Category: General Medicine Authors: Philippine Neurological Association One Database - Stroke, Disease Study Management Group, Gan, Alvarez, Canete, Co, Collantes, Escabillas, Hiyadan, Juangco, Lokin, Macrohon-Valdez, Punsalan, Sarapuddin, Picar, Pascual V Tags: Open access, Neurology Source Type: research

Clinical profile, risk factors, etiology and outcome of stroke in young Filipino adults. (P7.147)
Conclusion - Stroke occurs at a younger age in Filipinos compared to other Asian and European countries. The incidence of stroke in young Filipinos were similar to Asian figures but higher compared to European studies. Hypertension is the most common risk factor in the world followed by diabetes mellitus and dyslipidemia. In Filipinos however, cultural vices such as smoking and alcoholism were the second and third leading risk factors. This paper to the best of our knowledge is the first to report the unique profile of stroke in young Filipino patients.Disclosure: Dr. Talamera has nothing to disclose. Dr. San Jose has noth...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Talamera, T. A., San Jose, M. C., Sanchez, J. A., Pascual IV, J. L. Tags: Cerebrovascular Disease and Interventional Neurology: Race, Ethnicity, and Stroke Source Type: research

Pre-existing Small Vessel Disease in Patients with Acute Stroke from the Middle East, Southeast Asia, and Philippines
AbstractAsymptomatic small vessel disease (SVD), including white matter hyperintensities (WMHIs), periventricular hyperintensities (PVHIs), silent stroke (SS), and cerebral microbleeds (CMBs), increases the risk of stroke. There are limited studies of SVD in subjects from the Middle East and Southeast Asia (SA). All patients admitted to stroke service between 2014 and 2015 were reviewed for presence of “pre-existing” SVD. Stroke mimics with no previous history of stroke were used as controls. There were 1727 patients admitted with stroke. Analysis was done on 988 subjects (914 strokes and 74 controls) who had MRI scan ...
Source: Translational Stroke Research - November 3, 2017 Category: Neurology Source Type: research

Stroke education in the Philippines
Education is paramount in effectively reducing the significant burden of stroke in the Philippines. Dedicated academic institutions and dynamic professional organizations in the Philippines have collaborated to involve themselves in the plight against stroke through systematic curriculum development for undergraduates, continuous regulation of quality residency and fellowship training program, hosting up‐to‐date Continuing Medical Education (CME) activities for local and international audience, and active participation in clinical stroke trials. Most recently, the University of Santo Tomas Faculty of Medicine & Sur...
Source: International Journal of Stroke - March 19, 2013 Category: Neurology Authors: Jose C. Navarro, Alejandro C. Baroque, Johnny K. Lokin Tags: Panorama Source Type: research

Depression and Anxiety after Stroke in Young Adult Filipinos
Anxiety and depression are important psychiatric conditions to recognize after stroke.1 Poststroke depression (PSD) has been reported in around one third of stroke patients while poststroke anxiety affects a quarter of stroke patients.2 Depression and anxiety may also co-exist and persist in individuals long after a stroke.3 These complications adversely impact stroke outcome.4,5 Apart from restrictions in social function, they are associated with poorer quality of life, diminished functionality and increased risks of mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - December 4, 2021 Category: Neurology Authors: Katrina Hannah D. Ignacio, Jose Danilo B. Diestro, Jose Miguel M. Medrano, Sitti Khadija U. Salabi, Alvin J. Logronio, Sedric John V. Factor, Sharon D. Ignacio, Jose Leonard R. Pascual V, Maria Carissa C. Pineda-Franks Source Type: research

The real stroke burden in the Philippines
Stroke is the Philippines' second leading cause of death. It has a prevalence of 0·9%; ischemic stroke comprises 70% while hemorrhagic stroke comprises 30%. Age‐adjusted hypertension prevalence is 20·6%, diabetes 6·0%, dyslipidemia 72·0%, smoking 31%, and obesity 4·9%. The neurologist‐to‐patient ratio is 1:330·000, with 67% of neurologists practicing in urban centers. Health care is largely private and the cost is borne out‐of‐pocket by patients and their families. Challenges include delivering adequate support to the rural communities and to the underprivileged sectors.
Source: International Journal of Stroke - May 20, 2014 Category: Neurology Authors: Jose C. Navarro, Alejandro C. Baroque, Johnny K. Lokin, Narayanaswamy Venketasubramanian Tags: Panorama Source Type: research

Racial and Ethnic Disparities in Hospital Mortality among Ischemic Stroke Patients in Hawaii
We evaluated disparities in in-hospital mortality rates among whites, Native Hawaiians and other Pacific Islanders (NHOPI), Filipinos, and other Asian groups in Hawaii who were hospitalized for acute ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 9, 2018 Category: Neurology Authors: Trevor R. Ideta, Eunjung Lim, Kazuma Nakagawa, Matthew A. Koenig Source Type: research

Incidence and risk factors for stroke in patients with COVID-19 in the Philippines: an analysis of 10,881 cases
While most large studies on the possible association of COVID-19 and stroke were done in high-income countries, only a few studies consisting of small sample populations have been done in low- to middle-income countries like the Philippines.
Source: Journal of Stroke and Cerebrovascular Diseases - September 7, 2022 Category: Neurology Authors: Roland Dominic G. Jamora, Mario B. Prado, Veeda Michelle M. Anlacan, Marie Charmaine C. Sy, Adrian I. Espiritu Source Type: research

Stroke systems of care in the Philippines: Addressing gaps and developing strategies
In the Philippines, the mortality from stroke during the last 10 years remains high. This paper aims to describe the gaps in stroke care and the development of stroke systems of care in the Philippines. Gaps in stroke systems of care include low number of neurologist, inadequate CT scan machines, lack of stroke training among health workers, lack of stroke protocols and pathways, poor community stroke awareness, low government insurance coverage with high out of pocket medical expenses, lack of infrastructure for EMS, inadequate acute stroke ready hospitals, stroke units and rehabilitation facilities. Although there are go...
Source: Frontiers in Neurology - November 24, 2022 Category: Neurology Source Type: research

Impact of the COVID-19 Pandemic in the Acute Stroke Admissions and Outcomes in a Philippine Tertiary Hospital
CONCLUSIONS: There was reduction in total stroke admissions, mild and transient stroke during the pandemic. There was significantly higher proportion of stroke patients having moderate and severe stroke. The discharge outcome of stroke patients is functionally poorer during the pandemic and more stroke patients have died compared to before COVID-19 pandemic. keywords: Stroke, Philippines, COVID-19, acute stroke
Source: Cerebrovascular Diseases Extra - May 19, 2022 Category: Neurology Source Type: research

Current State of Stroke Care in the Philippines
Stroke remains the leading cause of disability and death in the Philippines. Evaluating the current state of stroke care, the needed resources, and the gaps in health policies and programs is crucial to decrease stroke-related mortality and morbidity effectively. This paper aims to characterize the Philippines' stroke system of care and network using the World Health Organization health system building blocks framework. To integrate existing national laws and policies governing stroke and its risk factors dispersed across many general policies, the Philippine Department of Health (DOH) institutionalized a national policy f...
Source: Frontiers in Neurology - August 17, 2021 Category: Neurology Source Type: research

A Call for a Stroke Referral Network Between Primary Care and Stroke-Ready Hospitals in the Philippines: A Narrative Review
Conclusions: In the era of Universal Health Care in the Philippines, the roles of PCP and specialists must be delineated. Increased access to stroke care through the establishment of networks among PCPs and stroke-ready hospitals (ie, via effective transition of care/teleneurology) must be prioritized especially in resource-constrained settings.
Source: The Neurologist - November 1, 2021 Category: Neurology Tags: Review Articles Source Type: research

Strengthening stroke prevention and awareness in the Philippines: a conceptual framework
This article focuses on stroke prevention and awareness in the Philippines, a country grappling with high stroke incidence and limited healthcare resources. The two-pronged approach presented by the authors aims to address the challenges of stroke care by combining community-based prevention and targeted public awareness campaigns. The community-based stroke prevention component involves personalized risk factor assessments and tailored interventions conducted at local health centers. By identifying modifiable risk factors such as hypertension, diabetes, smoking, and elevated cholesterol levels, healthcare professionals ca...
Source: Frontiers in Neurology - August 31, 2023 Category: Neurology Source Type: research

Baseline characteristics and treatment response of patients from the Philippines in the CHIMES study
ConclusionsThe treatment effects in the Philippine cohort were in favor of MLC601. This may be due to inclusion of more patients with predictors of poorer outcome.
Source: International Journal of Stroke - July 7, 2014 Category: Neurology Authors: Jose C. Navarro, Herminigildo H. Gan, Annabelle Y. Lao, Alejandro C. Baroque, John H. B. Hiyadan, Carlos L. Chua, Ma. Cristina San Jose, Joel M. Advincula, Chun Fan Lee, Marie‐Germaine Bousser, Christopher L. H. Chen, Tags: Short Report Source Type: research