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Peripheral pulse measurement after ischemic stroke: A feasibility study
Conclusion: With a low rate of false-positive results, MPP offers an easy, ubiquitously available, noninvasive, first-step screening tool to guide ECG diagnostics for pAF after ischemic stroke. The data warrant a prospective trial evaluating the efficacy of MPP-guided ECG diagnostics in secondary prevention after stroke, which is now underway. Classification of evidence: This study provides Class I evidence that MPP by patients or relatives accurately distinguishes AF from normal heart rhythm as compared with continuous ECG.
Source: Neurology - August 11, 2014 Category: Neurology Authors: Kallmunzer, B., Bobinger, T., Kahl, N., Kopp, M., Kurka, N., Hilz, M.-J., Marquardt, L., Schwab, S., Kohrmann, M. Tags: Diagnostic test assessment, Stroke prevention, All Cerebrovascular disease/Stroke, Cardiac, Class I, Embolism ARTICLE Source Type: research

Socioeconomic Status Inconsistency and Risk of Stroke Among Japanese Middle-Aged Women Clinical Sciences
Conclusions— High academic qualifications without an appropriate job could be a risk factor for stroke among Japanese women. Our result suggests that status inconsistency could be a potential explanation for the increased stroke risk among highly educated women.
Source: Stroke - August 25, 2014 Category: Neurology Authors: Honjo, K., Iso, H., Inoue, M., Sawada, N., Tsugane, S., for the JPHC Study Group Tags: Epidemiology Clinical Sciences Source Type: research

Time is Brain: A Quality Improvement Project to Improve Stroke Outcomes by Educating EMS. (P4.308)
Conclusions: Acute stroke management requires a multidisciplinary team effort involving the EMS and stroke team. Contacting the family is essential to review contraindications in aphasic patients. Educating EMS about acute stroke management can help prevent delays in administrating IV rtPA. At our center we were able to decrease the number of delays by involving and educating the EMS.Disclosure: Dr. Singh has nothing to disclose. Dr. Sofat has nothing to disclose. Dr. Abdelhamid has nothing to disclose. Dr. Gaindh has nothing to disclose. Dr. Ahmad has nothing to disclose. Dr. Masud has nothing to disclose. Dr. Sawyer has ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Singh, K., Sofat, P., Abdelhamid, N., Gaindh, D., Ahmad, G., Masud, M., Sawyer, R., Silvestri, N. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke, Prehospital, and Telemedicine Source Type: research

NIH Stroke Scale Assessment via Tablet-based Mobile Telestroke During Ambulance Transport Is Feasible - pilot data from the Improving Treatment with Rapid Evaluation of Acute stroke via mobile Telemedecine (iTREAT) study (S21.003)
CONCLUSIONS: In this simulation study, NIHSS scores performed during rural ambulance transport using our low-cost, off-the-shelf tablet-based mobile telestroke system correlated well with face-to-face assessments. These results support further prospective research of mobile telemedicine in live patient settings of prehospital stroke care.Disclosure: Dr. Padrick has received research support from the American Heart Association. Dr. Chapman has received research support from Virginia Alliance for Emergency Medical Education and Research. Dr. McMurry has nothing to disclose. Dr. Mehndiratta has nothing to disclose. Dr. Chee h...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Padrick, M., Chapman, S., McMurry, T., Mehndiratta, P., Chee, C., Gunnell, B., Kimble, C., Cote, J., Lippman, J., Burke, V., Catell-Gordon, D., Rheuban, K., Solenski, N., Perina, D., Worrall, B., Southerland, A. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

Suicide in stroke survivors: Frequency and risk factors
Stroke is a substantial health problem worldwide. In addition to the high mortality in the acute phase, stroke causes further mortality over time due to associated comorbidities and complications, including suicidality.1 Stroke survivors have an increased risk of attempted or completed suicide.2 Identified risk factors for suicidality include depression, previous mood disorder, prior history of stroke, younger age, and cognitive impairment.2 Limited data are available on the role of socioeconomic factors such as civil status (most stroke survivors are widows or widowers), education, or income in suicidality. The recognitio...
Source: Neurology - April 27, 2015 Category: Neurology Authors: Paolucci, S., Ngeh, J. Tags: All Cerebrovascular disease/Stroke EDITORIALS Source Type: research

Cognitive performance following lacunar stroke in Spanish‐speaking patients: results from the SPS3 trial
ConclusionsMild cognitive impairment in Secondary Prevention of Small Subcortical Strokes Spanish‐speaking patients with recent lacunar stroke is highly prevalent but has a different pattern to that observed in English‐speaking patients. A combination of socio‐demographics, stroke biology, and stroke care may account for these differences.
Source: International Journal of Stroke - May 14, 2015 Category: Neurology Authors: Claudia Jacova, Lesly A. Pearce, Ana M. Roldan, Antonio Arauz, Jorge Tapia, Raymond Costello, Leslie A. McClure, Robert G. Hart, Oscar R. Benavente Tags: Research Source Type: research

A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research

A rare cause of stroke in young: PHACE syndrome (P1.253)
Conclusions:Neurocutaneous syndromes are typically diagnosed in childhood and can be a rare cause of stroke in young. Our patient suffered an ischemic stroke secondary to sequelae of undiagnosed PHACE syndrome. Early identification of neurocutaneous syndromes allows for proper surveillance, evaluation, and preventative education for development of complications.Disclosure: Dr. Fitzgerald has nothing to disclose. Dr. Chandra has nothing to disclose. Dr. Dannenbaum has nothing to disclose. Dr. Sharrief has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Fitzgerald, K., Chandra, S., Dannenbaum, M., Sharrief, A. Tags: Genetic Stroke Syndromes, Biomarkers, and Translational/Basic Research Source Type: research

The COAST stroke advance directive: A novel approach to preserving patient autonomy
This article discusses some of the challenges of preserving patient autonomy in patients presenting with acute stroke and the advent of a stroke advance directive (Coordinating Options for Acute Stroke Therapy [COAST]) aimed to overcome these obstacles.
Source: Neurology Clinical Practice - December 10, 2018 Category: Neurology Authors: McGehrin, K., Spokoyny, I., Meyer, B. C., Agrawal, K. Tags: All Cerebrovascular disease/Stroke, All Ethics in Neurology/Legal issues, Palliative care Commentary Source Type: research

Significant Stroke Knowledge Deficiencies in Community Physician Improved with Stroke 120
Background and Purpose: In the existing model of community health service in China, community general practitioners play important roles in health promotion as well as prehospital stroke recognition and management. We recently engineered Stroke 120 based on FAST for China. This investigation aimed to investigate its acceptance in community physicians and promote their stroke related knowledge. Methods: We conducted an stroke education session to community physicians or family doctors (total of 435 participants), teaching both FAST and Stroke 120.
Source: Journal of Stroke and Cerebrovascular Diseases - September 23, 2019 Category: Neurology Authors: Xiaochuan Liu, Yingfeng Weng, Renyu Liu, Jing Zhao Source Type: research

Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial
Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 15, 2020 Category: Neurology Authors: Charline Benoit, Delphine Lopez, Murielle Loiseau, Julien Labreuche, Maeva Kyheng, Fr édéric Bourdain, Bertrand Lapergue Source Type: research

Development of a self-help cognitive behavioral therapy programme for reducing the stigma of stroke survivors: a modified delphi study
CONCLUSIONS: The self-help CBT programme includes health education and psychological education. This study extends the limited body of research on stroke-related stigma interventions, and the next step is to evaluate its efficacy in trials.PMID:35686678 | DOI:10.1080/10749357.2022.2083296
Source: Topics in Stroke Rehabilitation - June 10, 2022 Category: Neurology Authors: Jinyi Tu Xiang Xue Xuejie Bai Yue Liu Miao Jia Hongzhen Zhou Source Type: research