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Educating Caregivers to Reduce Complications and Improve Outcomes of Stroke Patients (ECCOS) – A Cluster-Randomized Trial
Stroke is a leading cause of mortality and morbidity.1,2 Post-stroke complications were found to be significant predictors of mortality and morbidity.3-9 Patients treated in organized stroke units had better results,10 partly attributed to prevention of complications.11 As India has a limited number of stroke units,12 most stroke patients are managed in general wards potentially leading to sub-optimal outcomes.13
Source: Journal of Stroke and Cerebrovascular Diseases - July 13, 2021 Category: Neurology Authors: Radhakrishna Pedapati, Rohit Bhatia, Maneesh Shakywar, Akash Gupta, Sreenivas Vishnubhatla, M. V. Padma Srivastava, Manjari Tripathi, Mamta Bhushan Singh, Rajesh Kumar Singh, Vishnu V. Y, Roopa Rajan, Anu Gupta, Rajeev Aggarwal, Kameshwar Prasad 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

Age- and Sex-Associated Impacts of Body Mass Index on Stroke Type Risk: A 27-Year Prospective Cohort Study in a Low-Income Population in China
Conclusions Being overweight increased the risk of both ischemic and hemorrhagic strokes; obesity was only associated with an increased risk of IS. Additionally, the positive association between BMI and stroke risk was only observed in participants aged <65 years and the associations differed between men and women. Being overweight increased the risk of both ischemic and hemorrhagic strokes in men and being underweight increased their risk of hemorrhagic stroke. In women, being overweight increased the hemorrhagic stroke risk, whereas obesity increased their IS risks. The high prevalence of hypertension and elevat...
Source: Frontiers in Neurology - April 30, 2019 Category: Neurology Source Type: research

Predictors of stroke subtype and severity in patients of a tertiary care hospital, Dehradun
Conclusions: Stroke subtype is significantly associated with higher socioeconomic status and severe stroke. Stroke severity is significantly associated with hemorrhagic stroke. Stroke subtype, sex, dyslipidemia, alcohol intake, and education may act as predictors of stroke severity.
Source: Indian Journal of Community Medicine - March 1, 2021 Category: International Medicine & Public Health Authors: Megha Luthra Puneet Ohri Priyanka V Kashyap Sonam Maheshwari Source Type: research

Study Protocol: IMPETUS: Implementing a uniform stroke care pathway in medical colleges of India: IMPETUS Stroke
We present here a protocol to investigate the feasibility and fidelity of implementing a uniform stroke care pathway in medical colleges of India. Methods and Analysis: This is a multicentric, prospective, multiphase, mixed-method, quasi-experimental implementation study intended to examine the changes in a select set of stroke care-related indicators over time within the sites exposed to the same implementation strategy. We shall conduct process evaluation of the implementation process as well as evaluate the effect of the implementation strategy using the interrupted time series design. During implementation phase, educa...
Source: Annals of Indian Academy of Neurology - September 9, 2022 Category: Neurology Authors: Rohit Bhatia Partha Haldar Inder Puri MV Padma Srivastava Sanjeev Bhoi Menka Jha Anupam Dey Suprava Naik Satyabrata Guru Mamta Bhushan Singh VY Vishnu Roopa Rajan Anu Gupta Deepti Vibha Awadh Kishore Pandit Ayush Agarwal Manish Salunkhe Gunjan Singh Deeps Source Type: research

Stroke-related education to emergency department staff: An acute stroke care quality improvement initiative
Conclusions: Stroke education to emergency department (ED) staff is an effective method to improve acute stroke care.
Source: Neurology India - March 6, 2019 Category: Neurology Authors: Inder Puri Rohit Bhatia Deepti Vibha MB Singh MV Padma Praveen Aggarwal Kameshwar Prasad Source Type: research

Systematic development of structured semi-interactive stroke prevention package for secondary stroke prevention
Conclusion: An implementable complex multilingual patient education material could be developed in a stepwise manner. The efficacy of the package to prevent major adverse cardiovascular events is being tested in the SPRINT INDIA study.
Source: Annals of Indian Academy of Neurology - December 8, 2020 Category: Neurology Authors: Mahesh Pundlik Kate Shweta Jain Verma Deepti Arora PN Sylaja MV Padma Rohit Bhatia Dheeraj Khurana Arvind Sharma Pawan Kumar Ojha Vishnu Renjith Girish Baburao Kulkarni Mohammad Sadiq S Jabeen NC Borah Biman Kanti Ray Meenakshi Sharma Jeyaraj Durai Pandia Source Type: research

Medication-Adherence and management of risk factors for secondary prevention of stroke using smartphone-based application: Protocol for MAMORs-randomized controlled trial
Conclusion: This study will be one among the few studies for secondary prevention of stroke through digital technology innovation in LMICs with resource constraints. The evidences generated from this study will provide translational evidence for other similar settings for stroke survivors.
Source: Annals of Indian Academy of Neurology - December 3, 2022 Category: Neurology Authors: Veena Babu PN Sylaja Biju Soman Ravi Prasad Varma MS Manju GL Geethu B Suresh Kumar Source Type: research

Implementation of a Physician-Based Stroke Unit in a Remote Hospital of North-East India-Tezpur Model
Conclusion The implementation of this physician-based SU care model in a remote hospital in India shows improvements in quality measures, complications, and possibly patient outcomes.PMID:33927525 | PMC:PMC8064833 | DOI:10.1055/s-0041-1723099
Source: Rural Remote Health - April 30, 2021 Category: Rural Health Authors: Lydia John Akanksha William Dimple Dawar Himani Khatter Pratibha Singh Anjana Andrias Christina Mochahari Peter Langhorne Jeyaraj Pandian Source Type: research

Burden faced by caregivers of stroke patients who attend rural-based medical teaching hospital in western India
Conclusions: A structured and targeted caregiver intervention is urgently needed to relieve caregivers&#39; burden and related psychological comorbidities in an Indian setup.
Source: Annals of Indian Academy of Neurology - January 20, 2020 Category: Neurology Authors: Bhavin Mandowara Alpa N Patel Amee A Amin Ajay Phatak Soaham Desai Source Type: research

Atherosclerotic Cardiovascular Disease in South Asians in the United States: Epidemiology, Risk Factors, and Treatments: A Scientific Statement From the American Heart Association.
cial Populations Committee of the Council on Clinical Cardiology; Council on Cardiovascular and Stroke Nursing; Council on Quality of Care and Outcomes Research; and Stroke Council Abstract South Asians (from Bangladesh, Bhutan, India, the Maldives, Nepal, Pakistan, and Sri Lanka) make up one quarter of the world's population and are one of the fastest-growing ethnic groups in the United States. Although native South Asians share genetic and cultural risk factors with South Asians abroad, South Asians in the United States can differ in socioeconomic status, education, healthcare behaviors, attitudes, and health in...
Source: Circulation - May 24, 2018 Category: Cardiology Authors: Volgman AS, Palaniappan LS, Aggarwal NT, Gupta M, Khandelwal A, Krishnan AV, Lichtman JH, Mehta LS, Patel HN, Shah KS, Shah SH, Watson KE, American Heart Association Council on Epidemiology and Prevention; Cardiovascular Disease and Stroke in Women and Sp Tags: Circulation Source Type: research

Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus
Conclusion We developed a framework of comprehensive strategies to assist clinicians in supporting exercise adherence among stroke survivors. It provides practical methods that can be deployed in both research and clinical practices. Future studies should explore stakeholders’ experiences and the cost-effectiveness of implementing these strategies.
Source: BMJ Open - January 6, 2022 Category: General Medicine Authors: Mahmood, A., Deshmukh, A., Natarajan, M., Marsden, D., Vyslysel, G., Padickaparambil, S., TS, S., Direito, A., Kumaran, S., N, G., Sachdev, H., Kumar Veluswamy, S., Karthikbabu, S., Unnikrishnan, B., English, C., Solomon, J. M. Tags: Open access, Neurology Source Type: research

Neurological Involvement in Primary Systemic Vasculitis
Conclusion Neurological involvement is a common complication of PSV (Table 1), and neurologists play an important role in the identification and diagnosis of PSV patients with otherwise unexplained neurological symptoms as their chief complaint. This article summarizes the neurological manifestations of PSV and hopes to improve neuroscientists' understanding of this broad range of diseases. TABLE 1 Table 1. Common CNS and PNS involvements of primary systemic vasculitis. Author Contributions SZ conceived the article and wrote the manuscript. DY and GT reviewed and edited the manuscript. All authors ...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

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