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Total 131 results found since Jan 2013.

A systematic review and evaluation of post-stroke depression clinical practice guidelines
Post-stroke depression is a depressive mood disorder that follows a cerebrovascular accident and is a burden on stroke patients. Its management is included in clinical practice guidelines focused on stroke, and the recommended treatment is selective serotonin reuptake inhibitors in conjunction with psychotherapy. Clinical practice guidelines are recommendations used to standardize best medical practice, but there is no current evaluation of guidelines containing post stroke depression recommendations.
Source: Journal of Stroke and Cerebrovascular Diseases - August 10, 2023 Category: Neurology Authors: James Graham Cross, Brandon R. May, Peter Q.M. Mai, Elizabeth Anderson, Connor Welsh, Shaeker Chandran, Kevin T. Chorath, Shelby Herr, Daniel Gonzalez Source Type: research

Influence of mild cognitive impairment on patient and care partner decision-making for acute ischemic stroke
This study aimed to understand how patient MCI diagnosis influences patient and care partner decision-making for acute ischemic stroke treatments.
Source: Journal of Stroke and Cerebrovascular Diseases - March 31, 2023 Category: Neurology Authors: Emilie M. Blair, Bailey K. Reale, Darin B. Zahuranec, Jane Forman, Kenneth M. Langa, Bruno J. Giordani, Brenda L. Plassman, Kathleen A. Welsh-Bohmer, Jing Wang, Colleen D. Kollman, Deborah A. Levine 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

Stroke impairment categories: A new way to classify the effects of stroke based on stroke-related impairments.
CONCLUSIONS: A classification system of seven Stroke Impairment Categories has been presented. PMID: 33131321 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 1, 2020 Category: Rehabilitation Authors: Gittins M, Lugo-Palacios D, Vail A, Bowen A, Paley L, Bray B, Tyson S Tags: Clin Rehabil Source Type: research

20 years of researching stroke through audit.
This article records and reviews some questions that have been answered using data from the audit: Is the rate of institutional care after rehabilitation a possible measure of outcome? Does stroke unit care in routine practice give the benefits shown in randomized controlled trials? How is the quality of stroke care affected by a patient's age and the time of their stroke? Do patient-reported measures match those obtained from the professionals recording of processes of care? How do the processes of care after stroke affect mortality? Is thrombolysis safe to use in patients over the age of 80? Do staffing levels matter? Do...
Source: Clinical Rehabilitation - June 1, 2018 Category: Rehabilitation Authors: Rudd AG, Hoffman A, Paley L, Bray B Tags: Clin Rehabil Source Type: research

Returning to Unpaid Work after Stroke: The Psychosocial Outcomes in Stroke Cohort Study
Conclusions: More women are engaged in unpaid work before and at 12 months after stroke, but there is a reduction in the proportion of women returning to unpaid work at 12 months not seen in men. Consideration may need to be given to the development of rehabilitation strategies targeted at the specific needs of stroke survivors.Cerebrovasc Dis 2019;47:1 –7
Source: Cerebrovascular Diseases - January 17, 2019 Category: Neurology Source Type: research

When Time Is Critical: How Involving Frontline Health Workers Can Improve Stroke Survival Rates
By Carmen Graffagnino, Neurologist, Duke Hospital ; Nilima Mehta , Philanthropy program manager, Medtronic Foundation ; Anne Katharine Wales, Senior philanthropy portfolio lead, Medtronic FoundationApril 09, 2019Here are three ways to change a system of acute care.April 10 started as an ordinary day for Sarah. But while eating breakfast, her husband noticed that her face had started to droop and she was unable to find her words. Immediately he called 911.Within 10 minutes, the ambulance arrived with emergency medical services (EMS), a segment of the local health system that recently became partners in a new regional ...
Source: IntraHealth International - April 9, 2019 Category: International Medicine & Public Health Authors: mnathe Tags: Noncommunicable Diseases Education & Performance Private-Sector Approaches SwitchPoint Health Workforce Systems USA Source Type: news

Do Stroke Care Processes Modify Clinical Outcomes in Patients with Stroke-Associated Pneumonia? A Registry Cohort Study in England and Wales
Conclusion: We show for the first time that SAP remains associated with worse clinical outcomes, even after adjusting for processes of acute stroke care and their timing. These findings highlight the importance of continued research efforts aimed at preventing SAP.Cerebrovasc Dis
Source: Cerebrovascular Diseases - June 1, 2022 Category: Neurology Source Type: research

Rehabilitation using virtual gaming for Hospital and hOMe-Based training for the Upper limb post Stroke (RHOMBUS II): protocol of a feasibility randomised controlled trial
Introduction Upper limb (UL) rehabilitation is most effective early after stroke, with higher doses leading to improved outcomes. For the stroke survivor, the repetition may be monotonous. For clinicians, providing a clinically meaningful level of input can be challenging. As such, time spent engaged in UL activity among subacute stroke survivors remains inadequate. Opportunities for the stroke survivor to engage with UL rehabilitation in a safe, accessible and engaging way are essential to improving UL outcomes following stroke. The NeuroBall is a non-immersive virtual reality (VR) digital system designed for stroke rehab...
Source: BMJ Open - June 7, 2022 Category: General Medicine Authors: Kilbride, C., Warland, A., Stewart, V., Aweid, B., Samiyappan, A., Ryan, J., Butcher, T., Athanasiou, D. A., Baker, K., Singla-Buxarrais, G., Anokye, N., Pound, C., Gowing, F., Norris, M. Tags: Open access, Rehabilitation medicine Source Type: research

Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales
CONCLUSION: Our large population-based study identified sex differences in pre-hospital management by emergency medical services of women and men admitted to hospital with stroke. Paramedics should receive training that improves the recognition of stroke symptoms in women.PMID:35831059 | DOI:10.5694/mja2.51652
Source: Med J Aust - July 13, 2022 Category: General Medicine Authors: Xia Wang Cheryl Carcel Benjumin Hsu Sultana Shajahan Matthew Miller Sanne Peters Deborah A Randall Alys Havard Julie Redfern Craig S Anderson Louisa Jorm Mark Woodward Source Type: research