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Total 389 results found since Jan 2013.
Survivor gives us a lens into regional systems of care for acute ischemic stroke in North Dakota
I just got back from the North Dakota Mission: Lifeline STEMI and Acute Stroke Conference in Bismark, ND. I had a great time and I learned a lot.
I often get asked to speak in various venues about acute STEMI and 12-lead ECG interpretation, but for this conference they wanted me to talk mostly about stroke. That turned out to be a good thing because it forced me to read the 2013 AHA / ASA Guildelines for the Early Management of Patients With Acute Ischemic Stroke to make sure I was asking intelligent questions during the panel discussion (which I moderated) and also giving accurate information for the class I taught about ...
Source: EMS 12-Lead - May 31, 2013 Category: Cardiology Authors: Tom Bouthillet Tags: ems-topics patient-management North Dakota Mission Lifeline Stroke Source Type: research
Determinants of early case‐fatality among stroke patients in Maputo, Mozambique and impact of in‐hospital complications
The burden of stroke is increasing in developing countries that struggle to manage it efficiently. We identified determinants of early case‐fatality among stroke patients in Maputo, Mozambique, to assess the impact of in‐hospital complications. Patients admitted to any hospital in Maputo with a new stroke event were prospectively registered (n = 651) according to the World Health Organization's STEPwise approach, in 2005–2006. We assessed the determinants of in‐hospital and 28‐day fatality, independently of age, gender and education, and computed population attributable fractions. In‐hospital mortality was ...
Source: International Journal of Stroke - January 1, 2013 Category: Neurology Authors: Joana Gomes, Albertino Damasceno, Carla Carrilho, Vitória Lobo, Hélder Lopes, Tavares Madede, Pius Pravinrai, Carla Silva‐Matos, Domingos Diogo, Ana Azevedo, Nuno Lunet Tags: Panorama Source Type: research
Study protocol of the Restore4Stroke self‐management study: a multicenter randomized controlled trial in stroke patients and their partners
DiscussionIf effective, the results of this study will enable stroke patients and their partners to deal better with the lasting consequences of stroke. In the context of the growing number of people returning home after stroke, a large number of people may profit from this intervention.
Source: International Journal of Stroke - October 22, 2013 Category: Neurology Authors: Nienke S. Tielemans, Johanna M. A. Visser‐Meily, Vera P. M. Schepers, Marcel W. M. Post, Derick T. Wade, Caroline M. Heugten Tags: Protocols Source Type: research
Quality in Acute Stroke Care (QASC): process evaluation of an intervention to improve the management of fever, hyperglycemia, and swallowing dysfunction following acute stroke
BackgroundOur randomized controlled trial of a multifaceted evidence‐based intervention for improving the inpatient management of fever, hyperglycemia, and swallowing dysfunction in the first three‐days following stroke improved outcomes at 90 days by 15%. We designed a quantitative process evaluation to further explain and illuminate this finding.
MethodsBlinded retrospective medical record audits were undertaken for patients from 19 stroke units prior to and following the implementation of three multidisciplinary evidence‐based protocols (supported by team‐building workshops, and site‐based education and suppor...
Source: International Journal of Stroke - December 1, 2013 Category: Neurology Authors: Peta Drury, Christopher Levi, Catherine D'Este, Patrick McElduff, Elizabeth McInnes, Jennifer Hardy, Simeon Dale, N Wah Cheung, Jeremy M Grimshaw, Clare Quinn, Jeanette Ward, Malcolm Evans, Dominique Cadilhac, Rhonda Griffiths, Sandy Middleton Tags: Research Source Type: research
Burden of stroke in Egypt: current status and opportunities
Middle East and North Africa (MENA) countries have a diversity of populations with similar life style, dietary habits, and vascular risk factors that may influence stroke risk, prevalence, types, and disease burden. Egypt is the most populated nation in the Middle East with an estimated 85.5 million people. In Egypt, according to recent estimates, the overall prevalence rate of stroke is high with a crude prevalence rate of 963/100 000 inhabitants. In spite of disease burden, yet there is a huge evidence practice gap. The recommended treatments for ischemic stroke that are guideline include systematic supportive care in ...
Source: International Journal of Stroke - July 7, 2014 Category: Neurology Authors: Foad Abd‐Allah, Ramez Reda Moustafa Tags: Panorama Source Type: research
Long-Term Effect of Participation in an Early Exercise and Education Program on Clinical Outcomes and Cost Implications, in Patients with TIA and Minor, Non-Disabling Stroke
AbstractParticipation in exercise and education programs following transient ischemic attack (TIA) or minor stroke may decrease cardiovascular disease risk. The purpose of this study was to assess the long-term effect (3.5 years) of an exercise and education program administered soon after TIA or minor stroke diagnosis on clinical outcome measures (stroke classification and number, patient deaths, hospital/emergency department admission) and cost implications obtained from standard hospital records. Hospital records were screened for 60 adults (male,n = 31; 71 ± 10 years), diagnosed with TIA or non-disabling stroke...
Source: Translational Stroke Research - November 13, 2016 Category: Neurology Source Type: research
Periodontal Disease and Recurrent Vascular Events in Stroke/Transient Ischemic Attack Patients
Periodontal disease (PD) has been shown to be associated with incident stroke. We investigated whether PD is independently associated with recurrent vascular events and certain inflammatory markers in stroke/transient ischemic attack (TIA) patients. In this prospective, longitudinal, hospital-based cohort study, PD was assessed in stroke/TIA patients. High periodontal disease (HPD) was defined as the highest tertile of extent (% of sites) with an attachment loss of 5 mm or more. Serum interleukin-6 (IL-6), high-sensitivity C-reactive protein, and soluble intracellular adhesion molecule 1 (s-ICAM) were measured. The patient...
Source: Journal of Stroke and Cerebrovascular Diseases - August 1, 2013 Category: Neurology Authors: Souvik Sen, Roxanne Sumner, James Hardin, Silvana Barros, Kevin Moss, James Beck, Steven Offenbacher Tags: Original Articles Source Type: research
The Impact of Comprehensive Stroke Care Capacity on the Hospital Volume of Stroke Interventions: A Nationwide Study in Japan: J-ASPECT Study
We examined the effect of hospital characteristics, having a t-PA protocol, and the number of fulfilled CSC items (total CSC score) on the hospital volume of t-PA infusion, removal of intracerebral hemorrhage, and coiling and clipping of intracranial aneurysms performed in 2009.Results: Approximately 55% of hospitals responded to the survey. Facilities with t-PA protocols (85%) had a significantly higher likelihood of having 23 CSC items, for example, personnel (eg, neurosurgeons: 97.3% versus 66.1% and neurologists: 51.3% versus 27.7%), diagnostic (eg, digital cerebral angiography: 87.4% versus 43.2%), specific expertise...
Source: Journal of Stroke and Cerebrovascular Diseases - October 7, 2013 Category: Neurology Authors: Koji Iihara, Kunihiro Nishimura, Akiko Kada, Jyoji Nakagawara, Kazunori Toyoda, Kuniaki Ogasawara, Junichi Ono, Yoshiaki Shiokawa, Toru Aruga, Shigeru Miyachi, Izumi Nagata, Shinya Matsuda, Koichi B. Ishikawa, Akifumi Suzuki, Hisae Mori, Fumiaki Nakamura, Tags: Original Articles Source Type: research
Randomized controlled trial of a multipronged intervention to improve blood pressure control among stroke survivors in Nigeria
This study is designed to enhance the implementation and sustainability of secondary stroke‐preventive services following hospital discharge.
Aim/HypothesisThe primary study aim is to test whether a Chronic Care Model‐based initiative entitled the Tailored Hospital‐based Risk reduction to Impede Vascular Events after Stroke (THRIVES) significantly improves blood pressure control after stroke.
DesignThis prospective triple‐blind randomized controlled trial will include a cohort of 400 patients with a recent stroke discharged from four medical care facilities in Nigeria. The culturally sensitive, system‐appropriate...
Source: International Journal of Stroke - July 18, 2014 Category: Neurology Authors: Mayowa O. Owolabi, Rufus O. Akinyemi, Mulugeta Gebregziabher, Olanrewaju Olaniyan, Babatunde L. Salako, Oyedunni Arulogun, Bruce Ovbiagele Tags: Protocols Source Type: research
Translation of the ‘time is brain’ concept into clinical practice: Focus on prehospital stroke management
Acute stroke is one of the main causes of death and chronic disability. Thrombolysis with recombinant tissue plasminogen activator within the first hours after onset of symptoms is an effective therapeutic option for ischemic stroke. However, fewer than 2% to 7% of patients receive this treatment, primarily because most patients reach the hospital too late for the initiation of successful therapy. Several measures can reduce detrimental delay until treatment. It is of importance to use continual public awareness campaigns to reduce delays in patients' alarm of emergency medical services. Further relevant measures are repet...
Source: International Journal of Stroke - March 4, 2014 Category: Neurology Authors: A. Ragoschke‐Schumm, S. Walter, A. Haass, C. Balucani, M. Lesmeister, A. Nasreldein, L. Sarlon, A. Bachhuber, T. Licina, I. Q. Grunwald, K. Fassbender Tags: Review Source Type: research
Earlier thrombolytic treatment is associated with better outcomes following acute ischaemic stroke
Commentary on Saver JL, Fonarow GC, Smith EE, et al.. Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischaemic stroke, JAMA 2013;309:2480–8. Implications for practice and research Optimisation is necessary in public education and hospital triage of the identification of factors such as arrival by ambulance and the importance of requesting emergency medical services (EMS) at scene of the stroke occurrence.1 The results of previous studies suggest that a disparity, observed between hospital-based outcomes for admissions that presented during regular hours and off hours, is not se...
Source: Evidence-Based Nursing - September 15, 2014 Category: Nursing Authors: Ullah, N., Thompson, M. J., Qureshi, A. I. Tags: Adult nursing, Drugs: cardiovascular system, Stroke Source Type: research
Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece
Stroke is the second most common cause of death worldwide and the leading cause of chronic functional limitations.1 Without appropriate and timely care between the stroke symptom appearance and the treatment in acute stroke incidents, the ischemic brain ages 3.6 years for every hour of blood deprivation.2 Yet patients repeatedly arrive late to the hospital.3,4 The lack of public awareness about stroke symptoms has been reported in the literature as one of the main factors, causing this belated arrival to the hospital and hence the belated medical treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2022 Category: Neurology Authors: Hariklia Proios, Maria Baskini, Christos Keramydas, Tatiana Pourliaka, Kalliopi Tsakpounidou Source Type: research
Recurrent stroke arrival time
Stroke patients and family members should receive stroke education including recognition of stroke symptoms and prompt activation of emergency medical services (EMS). The impact of this education is unclear. We aimed to measure the associations between EMS use and timing of hospital arrival and first-ever and recurrent strokes as a proxy for stroke education.
Source: Journal of Stroke and Cerebrovascular Diseases - April 8, 2023 Category: Neurology Authors: Braydon L Dymm, Madeline Kwicklis, William J Meurer, Xu Shi, Lynda D Lisabeth Source Type: research
Evaluating the Effect of Comprehensive Intervention on Cerebro-Vascular Function in Population at High Risk of Stroke
Background: Today there exists few intervention researches on cerebro-vascular function in populations at high risk of stroke in China. Methods: Patients more than 40 years old, with at least 1 of stroke risk factors were recruited from outpatient department in 3 hospitals. A quasi-experimental design was performed by assigning participants into 3 groups: comprehensive intervention group, health education group, and control group. Participants in the control group received no intervention but were informed of risk factors of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - July 8, 2019 Category: Neurology Authors: Xiangxiang Liu, Yaohua Gu, Yuting Zhang, Yanan Zhang, Xiaodong Tan Source Type: research
Neurothrombectomy trial results: stroke systems, not just devices, make the difference
The overwhelming benefit demonstrated in the four recent randomized trials comparing intra‐arterial therapies to medical management alone will have a transformative effect on the emergent management of strokes throughout the world. New generation neurothrombectomy devices were critical to trial success, but not the sole driver of patient outcomes in these trials. Patients in the positive trials were treated at hospitals with complex, efficient, resource‐rich, team‐based stroke systems in place. To ensure attainment of trial results in actual practice, patients should receive treatment at facilities certified as havin...
Source: International Journal of Stroke - September 24, 2015 Category: Neurology Authors: J. Mocco, Kyle M. Fargen, Mayank Goyal, Elad I. Levy, Peter J. Mitchell, Bruce C. V. Campbell, Charles B. L. M. Majoie, Diederik W. J. Dippel, Pooja Khatri, Michael D. Hill, Jeffery L. Saver Tags: Leading opinion Source Type: research
