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Education: Teaching Hospitals

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Total 488 results found since Jan 2013.

Muscle Pain Intensity and Pressure Pain Threshold Changes in Different Periods of Stroke Patients.
CONCLUSIONS: In stroke patients, spontaneous muscle pain in the hemiparetic side is a common finding. Bilaterally symmetric changes of pressure pain threshold are probably caused by central sensitization mechanisms. PMID: 24247755 [PubMed - as supplied by publisher]
Source: Medical Physics - November 16, 2013 Category: Physics Authors: Lin CH, Chen KH, Chang CH, Chen CM, Huang YC, Hsu HC, Hong CZ Tags: Am J Phys Med Rehabil Source Type: research

Prognostic factors for discharge destination after acute stroke: a comprehensive literature review.
Conclusion: Patient initial medical care, age and sex, neurological and medical complications and environmental/socio-economic factors should be considered in the decision-making process for discharge destination. [Box: see text]. PMID: 25250810 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - September 24, 2014 Category: Rehabilitation Authors: Van der Cruyssen K, Vereeck L, Saeys W, Remmen R Tags: Disabil Rehabil Source Type: research

Quasi-experimental evaluation of a home care model for patients with stroke in China.
Conclusions Home care may be associated with higher quality of life and reduced dependency among stroke patients in China. Implications for Rehabilitation Home care can be effective method at improving the physical and psychological well-being of stroke survivors in China. The home care model in this study can improve health outcomes as well as reduce healthcare resources utilisation. Home care models for stroke survivors should be adapted to local healthcare policies and resources. PMID: 26824752 [PubMed - as supplied by publisher]
Source: Disability and Rehabilitation - January 29, 2016 Category: Rehabilitation Authors: Chen L, Sit JW, Shen X Tags: Disabil Rehabil Source Type: research

Electrocardiogram Changes as an Independent Predictive Factor of Mortality in Patients with Acute Ischemic Stroke; a Cohort Study.
Conclusion: Based on the findings of the present study, it seems that along with age and history of cardiac diseases, ECG changes can be considered as an independent predictive factor of mortality in patients with ischemic stroke. PMID: 31432037 [PubMed]
Source: Accident and Emergency Nursing - August 24, 2019 Category: Emergency Medicine Authors: Asadi P, Zia Ziabari SM, Naghshe Jahan D, Jafarian Yazdi A Tags: Arch Acad Emerg Med Source Type: research

134 Does a Purely Occipital Lobe Stroke Lead to Significant Long Term Disability and Handicap?
ConclusionA persistent VFD results in long term problems including an increased risk of further vascular events, a reduction in overall independence and quality of life following an occipital lobe stroke. This study has led to a business plan for a dedicated hemianopia clinic.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

An Assessment of Patients Factors Effect on Prescriber Adherence to Ischemic Stroke Secondary Prevention Guidelines.
CONCLUSION: Adherence to stroke secondary prevention guidelines was suboptimal especially in the antihypertensive prescription component. Further assessments and evaluations are required improve guidelines adherence. PMID: 31971113 [PubMed - as supplied by publisher]
Source: Current Clinical Pharmacology - January 22, 2020 Category: Drugs & Pharmacology Authors: Al Qawasmeh M, Alhusban A, Alfwaress F, El-Salem K Tags: Curr Clin Pharmacol Source Type: research

Differential Characteristics of Ischemic and Hemorrhagic Stroke in Patients with Cerebral Small Vessel Disease
Conclusion: Identification of differential clinical and prognostic profile between ischemic and hemorrhagic consequences of underlying cerebral SVD is useful for risk stratification in the current process pursuing precision medicine.
Source: Neurology India - February 24, 2021 Category: Neurology Authors: Mireia Bernal Paula Escarcena Adri & #224; Arboix Lluis Garcia-Eroles Enric Verg & #233;s Laura D & #237;ez Joan Massons Source Type: research

Role of Sleep Apnea and CPAP therapy in the incidence of stroke or coronary heart disease in women.
Conclusion. In women, untreated OSA is associated with increased incidence of serious cardiovascular outcomes, particularly incident stroke. Adequate CPAP treatment seems to reduce this risk. PMID: 24673616 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - March 27, 2014 Category: Respiratory Medicine Authors: Campos-Rodriguez F, Martinez-Garcia MA, Reyes-Nuñez N, Caballero-Martinez I, Catalan-Serra P, Almeida-Gonzalez CV Tags: Am J Respir Crit Care Med Source Type: research

Abstract 266: No Impact of Electronic Health Records on Quality of Care and Outcomes for Ischemic Stroke Session Title: Poster Session II
Conclusions: In our sample of GWTG-Stroke hospitals, EHRs were not associated with higher-quality care or better clinical outcomes. Given that these systems often create significant added burden for clinicians, further work to ensure that they are better integrated with care and fully evidence-driven is critical.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Joynt, K. E., Bhatt, D. L., Schwamm, L. H., Xian, Y., Heidenreich, P. A., Fonarow, G. C., Smith, E. E., Grau-Sepulveda, M. V., Hernandez, A. F. Tags: Session Title: Poster Session II Source Type: research

Obstructive sleep apnea is independently associated with arterial stiffness in ischemic stroke patients
Abstract Obstructive sleep apnea (OSA) is a predictor of all-cause mortality and recurrent vascular events following stroke. However, few studies have investigated the pathophysiology of OSA in ischemic stroke patients. Whether OSA independently increases arterial stiffness in ischemic stroke patients is determined by measuring the carotid–femoral pulse wave velocity (PWV) and via the central augmentation index (AIx). This cross-sectional study consecutively recruited 127 subacute ischemic stroke patients who were admitted to a teaching hospital for inpatient rehabilitation (median age, 61.3 years; IQR 53.6–7...
Source: Journal of Neurology - March 20, 2015 Category: Neurology Source Type: research

Early Mobilization in Ischemic Stroke: A Pilot Randomized Trial of Safety and Feasibility in a Public Hospital in Brazil
This report presents the feasibility and safety findings for the pilot phase of this trial. Methods: The primary outcomes were time to first mobilization, total duration of mobilization, complications during early mobilization, falls within 3 months, mortality within 3 months, and medical complications of immobility. We included adult patients with CT- or MRI-confirmed ischemic stroke within 48 h of symptom onset who were admitted from March to November 2012 to the acute vascular unit or general emergency unit of a large urban emergency department (ED) at the Hospital de Clínicas de Porto Alegre. The severity of the neuro...
Source: Cerebrovascular Diseases Extra - April 27, 2015 Category: Neurology Source Type: research

Short Door-to-Needle Times in Acute Ischemic Stroke and Prospective Identification of Its Delaying Factors
Background: The clinical benefit of intravenous thrombolysis (IVT) in acute ischemic stroke is time dependent. Several studies report a short median door-to-needle time (DNT; 20 min), mainly in large tertiary referral hospitals equipped with a level 1 emergency department, a dedicated stroke team available 24/7, and on-site neuroimaging facilities. Meanwhile, in daily practice, the majority of stroke patients are admitted to secondary care hospitals, and in practice, even the generous benchmark of the American Heart Association (a DNT of 60 min in>80% of the cases) is met for a minority of patients treated with IVT. The fi...
Source: Cerebrovascular Diseases Extra - June 15, 2015 Category: Neurology Source Type: research

Which Comorbidities and Complications Predict Ischemic Stroke Recovery and Length of Stay?
Conclusions: Greater age and higher National Institute of Health Stroke Scale at admission were associated with both higher disability and longer LOS. Congestive heart failure, CRF, presence of arrhythmias, and development of acute renal failure were associated with greater LOS. The development of urinary tract infection caused higher disability.
Source: The Neurologist - August 1, 2015 Category: Neurology Tags: Original Articles Source Type: research

The Effect of Emergency Medical Service Use and Inter-hospital Transfer on Prehospital Delay among Ischemic Stroke Patients: A Multicenter Observational Study.
Authors: Park HA, Ahn KO, Shin SD, Cha WC, Ro YS Abstract The time between symptom onset and arrival at an emergency department (ED) (S2D) is a crucial time for optimal intravenous reperfusion care for ischemic stroke. We aimed to analyze the effect of emergency medical services (EMS) utilization and inter-hospital transfer on S2D in Korea. Ischemic stroke patients were prospectively enrolled from November 2007 to December 2012 in 23 tertiary and teaching hospital EDs in Korea. Of 31,443 adult ischemic stroke patients, 20,780 were categorized into 4 groups based on modes of EMS utilization and inter-hospital transf...
Source: Journal of Korean Medical Science - January 16, 2016 Category: Biomedical Science Tags: J Korean Med Sci Source Type: research

Impact of seasons, years El Nino/La Nina and rainfalls on stroke-related morbidity and mortality in Kinshasa.
CONCLUSION: Early warning systems should be developed to predict the impact of seasons and climate variability on stroke morbidity and mortality. PMID: 26826750 [PubMed - as supplied by publisher]
Source: Journal des Maladies Vasculaires - January 27, 2016 Category: Cardiology Authors: Kintoki Mbala F, Longo-Mbenza B, Mbungu Fuele S, Zola N, Motebang D, Nakin V, Lueme Lokotola C, Simbarashe N, Nge Okwe A Tags: J Mal Vasc Source Type: research