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Specialty: Neurosurgery
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Total 3673 results found since Jan 2013.

The impact of stroke unit care on outcome in a Scottish stroke population, taking into account case mix and selection bias
Conclusions In routine practice, stroke unit admission is associated with a greater likelihood of discharge home and with lower mortality up to 1 year, after correcting for known independent predictors of outcome, and excluding early non-modifiable mortality.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 12, 2015 Category: Neurosurgery Authors: Turner, M., Barber, M., Dodds, H., Dennis, M., Langhorne, P., Macleod, M. J., on behalf of the Scottish Stroke Care Audit Tags: Open access, Stroke Cerebrovascular disease Source Type: research

Impact of stroke-associated infection on long-term survival: a cohort study
Conclusions SAIs have long-lasting effects on patient survival. This serves to emphasise the importance of immediate access to organised stroke unit care for people with acute stroke, with active physiological monitoring and protocols for early detection and treatment of SAIs.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Kwan, J., Pickering, R. M., Kunkel, D., Fitton, C., Jenkinson, D., Perry, V. H., Ashburn, A. M., on behalf of the Stroke Association Rehabilitation Research Centre Tags: Stroke Cerebrovascular disease Source Type: research

Contrasting impact of fast-test public education on behaviour after tia and minor stroke versus major stroke: a population-based study
Conclusion The U.K. FAST campaign appears to have improved recognition and behaviour after major stroke, but symptom recognition remains poor in TIA and minor stroke and may have been adversely affected. Public education campaigns should consider potential unintended consequences of focussing only on FAST-test symptoms and on major stroke.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Wolters, F. J., Paul, N. L., Chandratheva, A., Li, L., Rothwell, P. M. Tags: Drugs: CNS (not psychiatric), Stroke, Ear, nose and throat/otolaryngology Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Measuring functional recovery in stroke patients: the responsiveness of ACTIVLIM-Stroke
Conclusions ACTIVLIM-Stroke showed good responsiveness and can detect accurately clinical changes in the functional status of stroke patients. The BI and the 6MWT were also responsive and may provide complementary information while investigating change in functional status. However, in addition to being highly sensitive to change, ACTIVLIM-Stroke presents significant methodological advantages for quantifying functional changes in stroke patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Batcho, C. S., Nduwimana, I., Olouka, J., Halkin, V., Kpadonou, T. G., Thonnard, J.-L. Tags: Stroke Cerebrovascular disease Source Type: research

Rates and predictors of risk of stroke and its subtypes in diabetes: a prospective observational study
Conclusions Older people with a history of stroke were at highest risk of stroke, but the prognosis and prognostic factors of subtypes were heterogeneous. The results will help clinicians quantify the absolute risk of stroke and its subtypes for typical diabetes patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Hankey, G. J., Anderson, N. E., Ting, R.-D., Veillard, A.-S., Romo, M., Wosik, M., Sullivan, D. R., O'Connell, R. L., Hunt, D., Keech, A. C. Tags: Stroke, Hypertension, Ophthalmology, Ischaemic heart disease Cerebrovascular disease Source Type: research

Cognitive impairment after lacunar stroke: systematic review and meta-analysis of incidence, prevalence and comparison with other stroke subtypes
Background Cognitive impairment and dementia are common after stroke. It is unclear if risk differs between ischaemic stroke subtypes. Lacunar strokes might be less likely to affect cognition than more severe, larger cortical strokes, except that lacunar strokes are associated with cerebral small vessel disease (SVD), which is the commonest vascular cause of dementia. Methods We searched MEDLINE and PsychINFO for studies of mild cognitive impairment (MCI) or dementia after lacunar or cortical ischaemic stroke. We calculated the OR for cognitive impairment/dementia in lacunar versus non-lacunar stroke, and their incidence ...
Source: Journal of Neurology, Neurosurgery and Psychiatry - July 8, 2013 Category: Neurosurgery Authors: Makin, S. D. J., Turpin, S., Dennis, M. S., Wardlaw, J. M. Tags: Open access, Dementia, Stroke, Memory disorders (psychiatry) Cerebrovascular disease Source Type: research

Long term risk of stroke versus acute coronary events after tia and stroke: a population-based study
Conclusion The long–term risk of major vascular events after TIA and stroke remains substantial, but about 70% of fatal and non–fatal events are now accounted for by recurrent stroke rather than acute coronary events.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Paul, N. L., Mehta, Z., Silver, L., Geraghty, O. C., Rothwell, P. M. Tags: Stroke, Ischaemic heart disease Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Trends in the incidence of ischaemic stroke in young adults between 1985 and 2011: the Dijon Stroke Registry
Conclusions Multiple factors may account for the increased incidence of ischaemic stroke in people aged <55 years including changes in vascular risk factors, better awareness of the disease and treatment options in the population and among practitioners leading to more frequent referrals for specialised care, and improvements in stroke diagnosis. Stroke prevention must be encouraged even in young adults.
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 10, 2014 Category: Neurosurgery Authors: Bejot, Y., Daubail, B., Jacquin, A., Durier, J., Osseby, G.-V., Rouaud, O., Giroud, M. Tags: Stroke Cerebrovascular disease Source Type: research

Post-stroke fatigue and its association with poor functional outcome after stroke in young adults
Conclusions Fatigue was very common in young stroke survivors and was associated with a poor functional outcome, even after almost a decade of follow-up.
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 13, 2015 Category: Neurosurgery Authors: Maaijwee, N. A. M. M., Arntz, R. M., Rutten-Jacobs, L. C. A., Schaapsmeerders, P., Schoonderwaldt, H. C., van Dijk, E. J., de Leeuw, F.-E. Tags: Stroke Cerebrovascular disease Source Type: research

Feasibility, safety and cost of outpatient management of acute minor ischaemic stroke: a population-based study
Conclusion Outpatient management of clinic-referred minor stroke is feasible and may be as safe as inpatient care. Rates of early hospital admission and recurrent stroke were low and uptake and maintenance of secondary prevention was high.
Source: Journal of Neurology, Neurosurgery and Psychiatry - February 15, 2013 Category: Neurosurgery Authors: Paul, N. L. M., Koton, S., Simoni, M., Geraghty, O. C., Luengo-Fernandez, R., Rothwell, P. M. Tags: Stroke Cerebrovascular disease Source Type: research

Socioeconomic deprivation and provision of acute and long-term care after stroke: the South London Stroke Register cohort study
Conclusions Stroke healthcare inequalities in England exist for some important indicators, although overall it has improved over time. The impact of SED may be stronger in black patients than in white patients. Further efforts are required to achieve stroke care equality.
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Chen, R., McKevitt, C., Crichton, S. L., Rudd, A. G., Wolfe, C. D. A. Tags: Other rehabilitative therapies, Stroke, Physiotherapy Cerebrovascular disease Source Type: research

Stroke in Asia: geographical variations and temporal trends
Asian countries are in various stages of epidemiological transition and therefore exhibit a great diversity in disease patterns. Collectively, they comprise almost two-third of the world's total mortality due to stroke. The purpose of this review is to explore existing epidemiological data on stroke, highlight the temporal trends in stroke epidemiology in various regions of Asia and predict future patterns based on these observations. Our search revealed that there is a lack of good epidemiological data from most Asian countries. Whatever data exist are not comparable due to lack of standardised methodology for ascertainin...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 17, 2014 Category: Neurosurgery Authors: Mehndiratta, M. M., Khan, M., Mehndiratta, P., Wasay, M. Tags: Stroke Cerebrovascular disease Source Type: research

Stroke associated with giant cell arteritis: a population-based study
Conclusions This population-based study demonstrated that GCA-related stroke essentially affects the vertebrobasilar territory and mainly occurs in old men with associated vascular risk factors. Although rare, GCA symptoms must be searched for in elderly patients with stroke, and optimal vascular prevention must be conducted carefully in patients with GCA with a high vascular risk before initiating GCA treatment.
Source: Journal of Neurology, Neurosurgery and Psychiatry - January 14, 2015 Category: Neurosurgery Authors: Samson, M., Jacquin, A., Audia, S., Daubail, B., Devilliers, H., Petrella, T., Martin, L., Durier, J., Besancenot, J.-F., Lorcerie, B., Giroud, M., Bonnotte, B., Bejot, Y. Tags: Immunology (including allergy), Stroke, Vascularitis Cerebrovascular disease Source Type: research

Recurrent transient ischaemic attack and early risk of stroke: data from the PROMAPA study
Conclusions According to our results, multiple TIAs within 7 days are associated with a greater subsequent risk of stroke than after a single TIA. Nevertheless, we found no independent predictor of stroke recurrence among these patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 7, 2013 Category: Neurosurgery Authors: Purroy, F., Jimenez Caballero, P. E., Gorospe, A., Torres, M. J., Alvarez-Sabin, J., Santamarina, E., Martinez-Sanchez, P., Canovas, D., Freijo, M. J., Egido, J. A., Ramirez-Moreno, J. M., Alonso-Arias, A., Rodriguez-Campello, A., Casado, I., Delgado-Mede Tags: Stroke Cerebrovascular disease Source Type: research

Variations in acute stroke care and the impact of organised care on survival from a European perspective: the European Registers of Stroke (EROS) investigators
Conclusions This European study demonstrated associations between delivery of care and stroke outcomes. The implementation of evidence-based interventions is suboptimal and understanding better ways to implement these interventions in different healthcare settings should be a priority for health systems.
Source: Journal of Neurology, Neurosurgery and Psychiatry - May 7, 2013 Category: Neurosurgery Authors: Ayis, S. A., Coker, B., Bhalla, A., Wellwood, I., Rudd, A. G., Di Carlo, A., Bejot, Y., Ryglewicz, D., Rastenyte, D., Langhorne, P., Dennis, M. S., McKevitt, C., Wolfe, C. D. A. Tags: Stroke Cerebrovascular disease Source Type: research