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Optimal Transport Destination for Ischemic Stroke Patients With Unknown Vessel Status Clinical Sciences
Conclusions—Use of RACE cutoff scores that take into account transport times to triage AIS patients to the nearest appropriate hospital may lead to improved outcomes. Further studies should examine the feasibility of translation into clinical practice.
Source: Stroke - July 24, 2017 Category: Neurology Authors: Eckhard Schlemm, Martin Ebinger, Christian H. Nolte, Matthias Endres, Ludwig Schlemm Tags: Revascularization, Health Services, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research
Trajectories in Leisure-Time Physical Activity and Risk of Stroke in Women in the California Teachers Study Clinical Sciences
Conclusions—Meeting AHA recommendations for moderate activity had a protective effect for reducing ischemic stroke risk. Participants who met AHA recommendations at baseline but not at follow-up, however, were not afforded reduced stroke risk.
Source: Stroke - August 28, 2017 Category: Neurology Authors: Joshua Z. Willey, Jenna Voutsinas, Ayesha Sherzai, Huiyan Ma, Leslie Bernstein, Mitchell S.V. Elkind, Ying K. Cheung, Sophia S. Wang Tags: Lifestyle, Primary Prevention, Cerebrovascular Disease/Stroke Original Contributions Source Type: research
Cerebral Microbleeds and the Risk of Incident Ischemic Stroke in CADASIL (Cerebral Autosomal Dominant Arteriopathy With Subcortical Infarcts and Leukoencephalopathy) Clinical Sciences
Conclusions—The presence of microbleeds is an independent risk marker of incident ischemic stroke in CADASIL, emphasizing the need to carefully interpret MRI data.
Source: Stroke - September 25, 2017 Category: Neurology Authors: Laurent Puy, Francois De Guio, Ophelia Godin, Marco Duering, Martin Dichgans, Hugues Chabriat, Eric Jouvent Tags: Magnetic Resonance Imaging (MRI), CADASIL, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research
Examining a participation-focused stroke self-management intervention in a day rehabilitation setting: a quasi-experimental pilot study.
Conclusions The result shows that IPASS-R has the potential to be integrated into a day rehabilitation setting with a positive impact on community integration and perceived recovery outcomes. Future study is needed to investigate the IPASS-R with a larger sample size and more rigorous study design.
PMID: 28956721 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 28, 2017 Category: Neurology Authors: Lee D, Fischer H, Zera S, Robertson R, Hammel J Tags: Top Stroke Rehabil Source Type: research
Dietary Sodium to Potassium Ratio and Risk of Stroke in a Multiethnic Urban Population Clinical Sciences
Conclusions—Na:K intake is an independent predictor of stroke risk. Further studies are required to understand the joint effect of Na and K intake on risk of cardiovascular disease.
Source: Stroke - October 23, 2017 Category: Neurology Authors: Joshua Willey, Hannah Gardener, Sandino Cespedes, Ying K. Cheung, Ralph L. Sacco, Mitchell S.V. Elkind Tags: Diet and Nutrition, Epidemiology, Risk Factors, Ischemic Stroke Original Contributions Source Type: research
No Racial Difference in Rehabilitation Therapy Across All Post-Acute Care Settings in the Year Following a Stroke Clinical Sciences
Background and Purpose—Black stroke survivors experience greater poststroke disability than whites. Differences in post-acute rehabilitation may contribute to this disparity. Therefore, we estimated racial differences in rehabilitation therapy utilization, intensity, and the number of post-acute care settings in the first year after a stroke.Methods—We used national Medicare data to study 186 168 elderly black and white patients hospitalized with a primary diagnosis of stroke in 2011. We tabulated the proportion of stroke survivors receiving physical, occupational, and speech and language therapy in each post-acute c...
Source: Stroke - November 27, 2017 Category: Neurology Authors: Lesli E. Skolarus, Chunyang Feng, James F. Burke Tags: Health Services, Cerebrovascular Disease/Stroke Original Contributions Source Type: research
Multimodal rehabilitation in the late phase after stroke enhances the life situation of informal caregivers.
Conclusion Engaging stroke survivors in multimodal interventions late after stroke appears to have potential to produce gains also in the general life situation of informal caregivers.
PMID: 29237339 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - December 13, 2017 Category: Neurology Authors: Bunketorp-Käll L, Lundgren-Nilsson Å, Nilsson M, Blomstrand C Tags: Top Stroke Rehabil Source Type: research
Prognostic Significance of Blood Pressure Variability on Beat-to-Beat Monitoring After Transient Ischemic Attack and Stroke Clinical Sciences
Conclusions—Beat-to-beat BPV predicted recurrent stroke and cardiovascular events, independently of mean systolic BP and risk factors but short-term BPV on ambulatory BP monitoring did not. Beat-to-beat BPV may be a useful additional marker of cardiovascular risk.
Source: Stroke - December 22, 2017 Category: Neurology Authors: Alastair J.S. Webb, Sara Mazzucco, Linxin Li, Peter M. Rothwell Tags: Hypertension, Prognosis, Cerebrovascular Disease/Stroke Original Contributions Source Type: research
Novel Telestroke Program Improves Thrombolysis for Acute Stroke Across 21 Hospitals of an Integrated Healthcare System Clinical Sciences
This study included 310 patients treated with alteplase in the pre–EXpediting the PRrocess of Evaluating and Stopping Stroke period and 557 patients treated with alteplase in the EXpediting the PRrocess of Evaluating and Stopping Stroke period. After implementation, alteplase administrations increased to 62/mo from 34/mo at baseline (P
Source: Stroke - December 22, 2017 Category: Neurology Authors: Mai N. Nguyen-Huynh, Jeffrey G. Klingman, Andrew L. Avins, Vivek A. Rao, Abigail Eaton, Sunil Bhopale, Anne C. Kim, John W. Morehouse, Alexander C. Flint Tags: Treatment, Cerebrovascular Disease/Stroke, Ischemic Stroke Original Contributions Source Type: research
Content validity and satisfaction with a caregiver-integrated web-based rehabilitation intervention for persons with stroke.
Conclusions The CARE-CITE intervention may be a viable program for caregivers of patients with stroke. Currently a pilot study is underway to evaluate the impact of the intervention on caregiver mental health, family conflict around stroke recovery and stroke survivor upper extremity function.
PMID: 29334344 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - January 15, 2018 Category: Neurology Authors: Blanton S, Dunbar S, Clark PC Tags: Top Stroke Rehabil Source Type: research
Modified Approach to Stroke Rehabilitation (MAStR): feasibility study of a method to apply procedural memory concepts to transfer training.
CONCLUSIONS: Feasibility was demonstrated for an innovative application of procedural memory concepts to stroke rehabilitation. All rehabilitation disciplines were successfully trained. MAStR was well-tolerated and liked by rehabilitation staff and patients. These results support pursuit of a Phase II pilot study.
PMID: 29609504 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - April 3, 2018 Category: Neurology Authors: Pavol MA, Bassile CC, Lehman JR, Harmon E, Ferreira N, Shinn B, St James N, Callender J, Stein J Tags: Top Stroke Rehabil Source Type: research
Microbiological Etiologies of Pneumonia Complicating Stroke Clinical Sciences
Conclusions—Although the analysis was limited by small and heterogeneous study populations, limiting determination of microbiological causality, this review suggests aerobic Gram-negative bacilli and Gram-positive cocci are frequently associated with pneumonia complicating stroke. This supports the need for appropriately designed studies to determine microbial cause and a consensus-based approach in antibiotic usage and further targeted antibiotic treatment trials for enhanced antibiotic stewardship.
Source: Stroke - June 25, 2018 Category: Neurology Authors: Amit K. Kishore, Andy Vail, Adam R. Jeans, Angel Chamorro, Mario Di Napoli, Lalit Kalra, Peter Langhorne, Christine Roffe, Willeke Westendorp, Paul J. Nederkoorn, Javier Garau, Diederik van de Beek, Joan Montaner, Mark Woodhead, Andreas Meisel, Craig J. S Tags: Complications, Meta Analysis, Cerebrovascular Disease/Stroke, Intracranial Hemorrhage, Ischemic Stroke Original Contributions Source Type: research
The role of subjective cognitive complaints and depressive symptoms in social re-integration following stroke: a mediation explanation in a cross-sectional sample.
Conclusions Subjective cognitive complaints are common in long-term outcome following stroke and predict difficulty in community reintegration. However, this relationship is mediated by variation in emotional status. Therefore, addressing cognitive complaints through cognitive rehabilitation programs that include components to improve mood (for example, building self-efficacy or confidence) may also improve community reintegration post-stroke.
PMID: 30040053 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - July 24, 2018 Category: Neurology Authors: Kimonides S, Cavuoto MG, De Silva L, Kinsella GJ Tags: Top Stroke Rehabil Source Type: research
Moderate-to-vigorous physical activity and the risk of stroke recurrence in patients with a history of minor ischemic stroke in Japan: a retrospective analysis.
CONCLUSIONS: Patients with a history of mild ischemic stroke had low MVPA and high VFL values, which together may be a risk factor for RIS.
PMID: 30207894 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 12, 2018 Category: Neurology Authors: Ushio M, Kanaoka M, Kinoshita Y, Maeno S, Fujita K Tags: Top Stroke Rehabil Source Type: research
Neuroimaging, serum biomarkers, and patient characteristics as predictors of upper limb functioning 12 weeks after acute stroke: an observational, prospective study.
CONCLUSION: ASPECTS score ≥ 8 within 24 hours and S100β protein < 140.5 ng/L at 48 hours predict better upper limb functioning, while advanced age predicts worse upper limb functioning 12 weeks after stroke.
PMID: 30213243 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 13, 2018 Category: Neurology Authors: Branco JP, Oliveira S, Sargento-Freitas J, Galego O, Cordeiro G, Cunha L, Freire Gonçalves A, Pinheiro J Tags: Top Stroke Rehabil Source Type: research
