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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

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

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

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

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

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

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

Stroke Burden and Services in the Philippines
Cerebrovasc Dis Extra 2021;11:52 –54
Source: Cerebrovascular Diseases Extra - May 11, 2021 Category: Neurology Source Type: research

Non-Traumatic Intracerebral Hematoma in the Young: Findings from a Tertiary Hospital in the Philippines
There is geographic variability in the clinical profile and outcomes of non-traumatic intracerebral hematoma (ICH) in the young, and data for the Philippines is lacking. We aimed to describe this in a cohort from the Philippines, and identify predictors of mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2020 Category: Neurology Authors: Clare Angeli G. Enriquez, Abdelsimar T. Omar, Jose Miguel M. Medrano, Jose Danilo B. Diestro, Gerard Eastdon Truadio D. Ochoco, Julian Spears, Kathleen Joy O. Khu, Maria Carissa Pineda-Franks Source Type: research

Safety and Clinical Outcome of Good-Grade Aneurysmal Subarachnoid Hemorrhage in Non-Intensive Care Units
In this study, we report the outcomes of good-grade SAH (Hunt and Hess grades I& II) patients admitted in ICU and non-ICU settings at a center in the Philippines and determine if site of care is predictive of outcome.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2020 Category: Neurology Authors: Clare Angeli G. Enriquez, Jose Danilo B. Diestro, Abdelsimar T. Omar, Romergryko G. Geocadin, Gerardo D. Legaspi Source Type: research

Acute Stroke Care Algorithm in a Private Tertiary Hospital in the Philippines During the COVID-19 Pandemic: A Third World Country Experience
Since March 2020, we have experienced an influx of COVID-19 positive patients. As of April 27, 2020 the COVID-19 pandemic has claimed the lives of at least 27 healthcare professionals while infecting 1080 healthcare professionals in the Philippines.1 Despite attempts to formalize protocols and treatment pathways to ensure the safety of healthcare professionals while optimizing patient care, Philippine healthcare workers from every department still continue to suffer from COVID-19 infections. These affect not only acute care but also emergency response systems such as the brain attack code.
Source: Journal of Stroke and Cerebrovascular Diseases - June 19, 2020 Category: Neurology Authors: Christian Oliver C. Co, Jeryl Ritzi T. Yu, Cristina Macrohon-Valdez, Lina C. Laxamana, Vincent Paul E. De Guzman, Remy Margarette M. Berroya-Moreno, Manuel M. Mariano, Peter Paul Dela Paz Rivera, Joana Lyn M. Racpan-Cauntay, Karen Czarina S. Ilano, Evita Tags: Original Article Source Type: research

Cerebrolysin as a New Treatment Option for Post-Stroke Spasticity: Patient and Physician Perspectives
ConclusionIntramuscular treatment with Cerebrolysin of post-stroke spasticity was safe and effective in this patient. The experiences observed in this patient are in line with the findings of a larger cohort study treated in the same way in the Philippines.
Source: Neurology and Therapy - February 18, 2019 Category: Neurology 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

Correction to: Pre-existing Small Vessel Disease in Patients with Acute Stroke from the Middle East, Southeast Asia, and Philippines
AbstractThe author names “Dr. Pablo Garcia Bermejo” and “Dr. Muhammad Faisal Wadiwala” needed to be added as the 6th and 7th authors, respectively. The authors regret this error.
Source: Translational Stroke Research - January 13, 2018 Category: Neurology Source Type: research

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