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Total 214 results found since Jan 2013.

Effects of alteplase on survival after ischaemic stroke (IST-3): 3 year follow-up of a randomised, controlled, open-label trial
We report the effect of intravenous alteplase on long-term survival after ischaemic stroke of participants in the Third International Stroke Trial (IST-3). Methods In IST-3, done at 156 hospitals in 12 countries (Australia, Europe, and the UK), participants (aged >18 years) were randomly assigned with a telephone voice-activated or web-based system in a 1:1 ratio to treatment with intravenous 0·9 mg/kg alteplase plus standard care or standard care alone within 6 h of ischaemic stroke. We followed up participants in the UK and Scandinavia (Sweden and Norway) for survival up to 3 years after randomisation using data...
Source: The Lancet Neurology - July 19, 2016 Category: Neurology Source Type: research

The effect of aircraft, road, and railway traffic noise on stroke - results of a case-control study based on secondary data.
Conclusion: This large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection. PMID: 30136675 [PubMed - in process]
Source: Noise and Health - July 1, 2018 Category: Audiology Authors: Seidler AL, Hegewald J, Schubert M, Weihofen VM, Wagner M, Dröge P, Swart E, Zeeb H, Seidler A Tags: Noise Health Source Type: research

The effects of racism and resilience on Black stroke- survivor quality of life: Study protocol and rationale for a mixed-methods approach
This study aims to examine the effects of experiences of racism and resilience on Black SS QoL during early stroke recovery. This article presents the study protocol.Methods and analysesThis will be a prospective observational mixed-methods study. Black community-dwelling adults who are within 4 weeks of a stroke will be eligible for inclusion. Baseline measures will include the exposure variables of experiences of racism and resilience. Covariates measured at baseline include sociodemographic variables (age, sex, marital status, education, income, health insurance, employment status, number of people in household, residen...
Source: Frontiers in Neurology - August 10, 2022 Category: Neurology Source Type: research

Methods and early recruitment of the Brain Attack Surveillance in Corpus Christi —Post-acute Care (BASIC-PAC) Project
Mexican Americans (MAs) are the most numerous sub-group of Latinx, the largest minority population in the United States. This important sub-group is aging and growing rapidly. Stroke incidence is similar in MAs compared with non-Hispanic whites (NHWs),1 and MA stroke survivors have worse neurologic, functional, cognitive and quality of life outcomes at 90-days post-stroke compared with NHWs for reasons that are not completely understood.2 Worse stroke outcomes in MAs are not fully explained by socio-demographics, including education and insurance, stroke treatment, stroke severity or subtype, or pre-stroke factors.
Source: Journal of Stroke and Cerebrovascular Diseases - November 3, 2022 Category: Neurology Authors: Lewis B. Morgenstern, Elizabeth M. Almendarez, Roshanak Mehdipanah, Madeline Kwicklis, Erin Case, Melinda A. Smith, Lynda D. Lisabeth Source Type: research

Transitions of care for stroke and TIA
ConclusionHospital length of stay, age, insurance status, discharge disposition, comorbidities, and readmission rates were identified as important elements affecting TOC for stroke and TIA. Information from patient surveys indicated that emotional health, follow‐up with care providers, stroke education, and point of contact are important elements during the transition periods after stroke and TIA. Implications for practiceBoth providers and patients should inform the development of a comprehensive TOC program that spans in‐hospital to multiple care settings, including the home, which is essential. The advanced practice...
Source: Journal of the American Academy of Nurse Practitioners - March 4, 2015 Category: Nursing Authors: Helena N. Haynes, Matthew J. Gallek, Kate G. Sheppard, Kendra W. Drake, Leslie S. Ritter Tags: QUALITY IMPROVEMENT Source Type: research

A Comparative Analysis of Stroke in Haitian and Non-Haitian Populations of South Florida (P1.259)
Conclusions: Multiple factors may play a role in these significant differences, including healthcare disparities and differences in socioeconomic status. Policies aimed at improving access to healthcare, patient education, and health care provider cultural/language comprehension should benefit Haitian stroke patient outcomes. Study Supported by: N/ADisclosure: Dr. Barratt has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Lopez has nothing to disclose. Dr. Sirutis has nothing to disclose. Dr. Lozano has nothing to disclose. Dr. Starosciak has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Barratt, D., Brown, C., Lopez, J., Sirutis, B., Lozano, J., Starosciak, A. Tags: Cerebrovascular Disease: Health Disparities Source Type: research

Elucidating the Association Between Depressive Symptoms, Coronary Heart Disease, and Stroke in Black and White Adults: The REasons for Geographic And Racial Differences in Stroke (REGARDS) Study Epidemiology
Conclusions Proximal depressive symptoms were associated with incident fatal and nonfatal stroke and CVD death even after controlling for multiple explanatory factors, further supporting the urgent need for timely management of depressive symptoms.
Source: JAHA:Journal of the American Heart Association - August 11, 2016 Category: Cardiology Authors: Moise, N., Khodneva, Y., Richman, J., Shimbo, D., Kronish, I., Safford, M. M. Tags: Quality and Outcomes Epidemiology Source Type: research

Effects of a health promotion program on medication adherence to antiplatelet therapy among ischemic stroke patients in Hainan Province, China.
In conclusion, the health promotion program, based on a train-the-trainer approach, showed positive effects on awareness of and adherence to antiplatelet therapy, which has the potential to be scaled up to other resource-limited areas. PMID: 27580820 [PubMed - as supplied by publisher]
Source: Vascular - August 30, 2016 Category: Surgery Authors: Su Q, Li C, Long F, Chen B, Wan Z, Wu Y, Dai M, Wang D, Zhang Y, Wang B Tags: Vascular Source Type: research

Elucidating the Association Between Depressive Symptoms, Coronary Heart Disease, and Stroke in Black and White Adults: The REasons for Geographic And Racial Differences in Stroke (REGARDS) Study Epidemiology
ConclusionsProximal depressive symptoms were associated with incident fatal and nonfatal stroke and CVD death even after controlling for multiple explanatory factors, further supporting the urgent need for timely management of depressive symptoms.
Source: JAHA:Journal of the American Heart Association - August 11, 2016 Category: Cardiology Authors: Moise, N., Khodneva, Y., Richman, J., Shimbo, D., Kronish, I., Safford, M. M. Tags: Quality and Outcomes Original Research Source Type: research

Specificities of Ischemic Stroke Risk Factors in Arab-Speaking Countries
Background: Stroke is largely preventable, and therefore, a better understanding of risk factors is an essential step in reducing the population stroke rate and resulting disease burden in Arab countries.Summary: We performed 2 separate analyses in 2 similar populations of patients with noncardioembolic ischemic stroke. This first involved 3,635 patients in the Outcomes in Patients with TIA and Cerebrovascular disease (OPTIC) registry (followed for 2 years), with baseline collection of the usual risk factors and 5 socioeconomic variables (unemployment status, residence in rural area, living in fully serviced accommodation,...
Source: Cerebrovascular Diseases - February 15, 2017 Category: Neurology Source Type: research

Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities
AbstractHigh rates of hospital readmissions have been shown within 12 months post-discharge from inpatient rehabilitation following stroke. Multiple studies coupled with our previous work indicate a need for care support for stroke survivors ’ transitions to the community. The Kentucky Care Coordination for Community Transitions (KC3T) program was developed to provide access to medical, social, and environmental services to support community transitions for individuals with neurological conditions and their caregivers living in Kentucky. This program assessment was conducted to determine the effectiveness of using a spec...
Source: Journal of Community Health - April 27, 2017 Category: Global & Universal Source Type: research

Disparities in Secondary Prevention between Stroke and Coronary Heart Disease in China: Cross-Sectional Community-Based Study, 2014 –2016
Conclusion: Stroke patients had lower use of secondary CVD-preventive medication and achieved lower levels of risk factor control than those of CHD patients in China. Nationwide disease-specific strategies, and better education of participants and health care providers, may narrow these gaps.Cerebrovasc Dis
Source: Cerebrovascular Diseases - December 8, 2021 Category: Neurology Source Type: research

Evaluation on the compliance with secondary prevention and influence factors of ischemic stroke in Hainan province, China.
In conclusion, the importance of antiplatelet therapy should not be ignored any more. Besides, health education will raise patients' attention to ischemic stroke. PMID: 23929417 [PubMed - as supplied by publisher]
Source: Vascular - June 18, 2013 Category: Surgery Authors: Su Q, Yuan K, Long F, Wan Z, Li C, Cai Y, Zeng C, Wu Y, Wu H, Liu S, Li P, Zhou J, Chen C, Wang D, Yan L, Zhang Y, Dai M Tags: Vascular Source Type: research

Show or No-Show - That Is the Question: Lack of Outpatient Follow-up a After Acute Stroke. (P2.131)
CONCLUSION: Poor follow up rates were seen overall. Medicare, Medicaid, and self-pay patients were least likely to follow up. Patients discharged to inpatient rehabilitation or nursing facilities had a low follow-up rate, as did those patients living at a geographic distance from our facilities. Better education of the importance of follow-up prior to discharge is needed.Disclosure: Dr. Chaudhary has nothing to disclose. Dr. Lee has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Chaudhary, G., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology: Evaluation, Cost, and Quality Source Type: research

The Impact of Nurse Staffing on In-Hospital Mortality of Stroke Patients in Korea.
CONCLUSION: Policies to educate sufficient numbers of nurses and retain them in the field are warranted, especially because medical-cost containment has become a dominant concern in most countries. Further studies are needed to understand the mechanisms and other protective roles of nurse staffing to ensure long-term health outcomes after hospital discharge. PMID: 28481826 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - May 5, 2017 Category: Nursing Authors: Chung W, Sohn M Tags: J Cardiovasc Nurs Source Type: research