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Source: International Journal of Stroke
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Total 50 results found since Jan 2013.

The iScore predicts total healthcare costs early after hospitalization for an acute ischemic stroke
ConclusionsThe ischemic Stroke risk score can be useful as a predictor of healthcare utilization and costs early after hospitalization for an acute ischemic stroke.
Source: International Journal of Stroke - October 27, 2015 Category: Neurology Authors: Emmanuel M. Ewara, Wanrudee Isaranuwatchai, Dawn M. Bravata, Linda S. Williams, Jiming Fang, Jeffrey S. Hoch, Gustavo Saposnik, Tags: Research Source Type: research

Which stroke patients gain most from intermittent pneumatic compression: further analyses of the CLOTS 3 trial
ConclusionsIPC appears to reduce the risk of DVT and probably improves survival in all immobile stroke patients, other than the fifth with the best prognosis. It therefore seems reasonable to recommend that IPC should be considered in all immobile stroke patients, but that the final decision should be based on a judgment about the individual's prognosis. In some, their prognosis for survival with an acceptable quality of life will be so poor that use of IPC might be considered futile, while at the other end of the spectrum, patients' risk of DVT, and of dying from VTE, may not be high enough to justify the modest cost and ...
Source: International Journal of Stroke - August 26, 2015 Category: Neurology Authors: Martin Dennis, Catriona Graham, Joel Smith, John Forbes, Peter Sandercock, Tags: Research Source Type: research

Specialized stroke rehabilitation services in seven countries
ConclusionThis multinational study of specialized stroke rehabilitation centers shows that a universal definition of specialized rehabilitation is possible, even in quite different countries and settings, in terms of general principles. There were however differences in structures and procedures, which may influence patients' outcomes, indicating a need for refinement of the definitions to be globally applicable.
Source: International Journal of Stroke - August 18, 2015 Category: Neurology Authors: Birgitta Langhammer, Frank Becker, Katharina Stibrant‐Sunnerhagen, Tang Zhong, Xiaoxia Du, Tamara Bushnik, Maria Panchenko, Ofer Keren, Samir Banura, Khamis Elessi, Fuad Luzon, Åsa Lundgren‐Nilsson, Xie Li, Susanne Sällström, Johan Kvalvik Stanghel Tags: Research Source Type: research

Direct medical cost of stroke in Singapore
ConclusionThere is a considerable economic burden associated with stroke in Singapore. The type of stroke, length of poststroke period, and stroke complications and comorbidities are found to be associated with the total costs. Efforts to reduce inpatient costs and to allocate health resources to focus on the primary prevention of stroke should become a priority.
Source: International Journal of Stroke - July 14, 2015 Category: Neurology Authors: Charmaine Shuyu Ng, Matthias Paul Han Sim Toh, Jiaying Ng, Yu Ko Tags: Research Source Type: research

Management of ischemic stroke in Central and Eastern Europe
We present features of current management of stroke in Central and Eastern European countries.
Source: International Journal of Stroke - July 1, 2015 Category: Neurology Authors: Hrvoje Budincevic, Cristina Tiu, Daniel Bereczki, Janika Kõrv, Alexander Tsiskaridze, Kurt Niederkorn, Anna Czlonkowska, Vida Demarin, Tags: Panorama Source Type: research

Safety and efficacy of intensive vs. guideline antiplatelet therapy in high‐risk patients with recent ischemic stroke or transient ischemic attack: rationale and design of the Triple Antiplatelets for Reducing Dependency after Ischaemic Stroke (TARDIS) trial (ISRCTN47823388)
DiscussionThe trial has recruited more than 50% of its target sample size (latest number: 2399) and is running in 104 sites in 4 countries. One‐third of patients presented with a transient ischemic attack.
Source: International Journal of Stroke - June 16, 2015 Category: Neurology Tags: Protocol Source Type: research

Poor utility of grading scales in acute intracerebral hemorrhage: results from the INTERACT2 trial
ConclusionsIntracerebral hemorrhage prognostic scores are not useful in defining patients at high probability of early death, but they are reliable for predicting poor outcome, defined by death or major disability. Potential benefits of early intensive blood pressure lowering are broadly applicable across grades of severity defined by such scores.
Source: International Journal of Stroke - June 4, 2015 Category: Neurology Authors: Emma Heeley, Craig S. Anderson, Mark Woodward, Hisatomi Arima, Thompson Robinson, Christian Stapf, Mark Parsons, Pablo M. Lavados, Yining Huang, Yanxia Wang, Sophie Crozier, Adrian Parry‐Jones, Jiguang Wang, John Chalmers, Tags: Research 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

Burden of stroke in Italy: An economic model highlights savings arising from reduced disability following thrombolysis
ConclusionOur study reveals that performing thrombolytic therapy in eligible patients improves economic outcomes compared with patients receiving standard care. This model is useful for decision makers, both within and outside of the Italian national context, as a tool to assess the cost‐effectiveness of thrombolysis in both short‐ and long‐term period.
Source: International Journal of Stroke - April 8, 2015 Category: Neurology Authors: M. Chiumente, M. M. Gianino, D. Minniti, T. J. Mattei, B. Spass, K. M. Kamal, D. E. Zimmerman, A. Muca, E. Luda Tags: Research Source Type: research

Rationale, design, and progress of the ENhanced Control of Hypertension ANd Thrombolysis strokE stuDy (ENCHANTED) trial: An international multicenter 2 × 2 quasi‐factorial randomized controlled trial of low‐ vs. standard‐dose rt‐PA and early intensive vs. guideline‐recommended blood pressure lowering in patients with acute ischaemic stroke eligible for thrombolysis treatment
ConclusionsLow‐dose iv rt‐PA and early intensive BP lowering could provide more affordable and safer use of thrombolysis treatment for patients with AIS worldwide.
Source: International Journal of Stroke - April 2, 2015 Category: Neurology Authors: Yining Huang, Vijay K. Sharma, Thompson Robinson, Richard I. Lindley, Xiaoying Chen, Jong Sung Kim, Pablo Lavados, Verónica Olavarría, Hisatomi Arima, Sully Fuentes, Huy Thang Nguyen, Tsong‐Hai Lee, Mark W. Parsons, Christopher Levi, Andrew M. Demchuk Tags: Protocol Source Type: research

ICARUSS, the Integrated Care for the Reduction of Secondary Stroke trial: rationale and design of a randomized controlled trial of a multimodal intervention to prevent recurrent stroke in patients with a recent cerebrovascular event, ACTRN = 12611000264987
ConclusionThe ICARUSS study aims to recruit and follow up patients between 2007 and 2013 and demonstrate the effectiveness of exposure to the ICARUSS model in stroke survivors to reduce recurrent stroke or vascular events and promote the implementation of best practice risk factor management at primary care level.
Source: International Journal of Stroke - April 1, 2015 Category: Neurology Authors: J. Joubert, S. M. Davis, G. J. Hankey, C. Levi, J. Olver, G. Gonzales, G. A. Donnan Tags: Protocol Source Type: research

Circuit class therapy or seven‐day week therapy for increasing rehabilitation intensity of therapy after stroke (CIRCIT): a randomized controlled trial
ConclusionsBoth seven‐day therapy and group circuit class therapy increased physiotherapy time, but walking outcomes were equivalent to usual care.
Source: International Journal of Stroke - March 20, 2015 Category: Neurology Authors: Coralie English, Julie Bernhardt, Maria Crotty, Adrian Esterman, Leonie Segal, Susan Hillier Tags: Research Source Type: research

Solitaire™ with the Intention for Thrombectomy as Primary Endovascular Treatment for Acute Ischemic Stroke (SWIFT PRIME) trial: protocol for a randomized, controlled, multicenter study comparing the Solitaire revascularization device with IV tPA with IV tPA alone in acute ischemic stroke
RationaleEarly reperfusion in patients experiencing acute ischemic stroke is critical, especially for patients with large vessel occlusion who have poor prognosis without revascularization. Solitaire™ stent retriever devices have been shown to immediately restore vascular perfusion safely, rapidly, and effectively in acute ischemic stroke patients with large vessel occlusions. AimThe aim of the study was to demonstrate that, among patients with large vessel, anterior circulation occlusion who have received intravenous tissue plasminogen activator, treatment with Solitaire revascularization devices reduces degree of disab...
Source: International Journal of Stroke - March 16, 2015 Category: Neurology Authors: Jeffrey L. Saver, Mayank Goyal, Alain Bonafe, Hans‐Christoph Diener, Elad I. Levy, Vitor M. Pereira, Gregory W. Albers, Christophe Cognard, David J. Cohen, Werner Hacke, Olav Jansen, Tudor G. Jovin, Heinrich P. Mattle, Raul G. Nogueira, Adnan H. Siddiqu Tags: Protocols Source Type: research

FAmily‐Led RehabiliTaTion aftEr Stroke in INDia: the ATTEND pilot study
ConclusionThe pilot study established the feasibility of conducting a large‐scale study of family‐led, trained caregiver‐delivered, home‐based stroke rehabilitation in a low resource setting. The main phase of the trial ‘ATTEND’ is currently underway in over 10 centers in India.
Source: International Journal of Stroke - March 1, 2015 Category: Neurology Authors: Jeyaraj D. Pandian, Cynthia Felix, Paramdeep Kaur, Deepika Sharma, Lizzie Julia, Gagan Toor, Rajni Arora, Dorcas B.C. Gandhi, Shweta J. Verma, Craig S. Anderson, Peter Langhorne, G.V.S. Murthy, Maree L. Hackett, Pallab K. Maulik, Mohammed Alim, Lisa A. Ha Tags: Research Source Type: research

Stroke incidence and case‐fatality among Indigenous and non‐Indigenous populations in the Northern Territory of Australia, 1999–2011
ConclusionsIn the Northern Territory, as elsewhere in Australia, Indigenous Australians are more likely than other Australians to suffer a stroke. Lack of falling in incidence in the Northern Territory population highlights the importance for ongoing comprehensive primary and acute care in reducing risk factors and managing stroke patients.
Source: International Journal of Stroke - January 15, 2015 Category: Neurology Authors: Jiqiong You, John R. Condon, Yuejen Zhao, Steven L. Guthridge Tags: Research Source Type: research