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Source: International Journal of Stroke
Condition: Disability

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Total 50 results found since Jan 2013.

World Stroke Organization Global Stroke Services Guidelines and Action Plan
Every two seconds, someone across the globe suffers a symptomatic stroke. ‘Silent’ cerebrovascular disease insidiously contributes to worldwide disability by causing cognitive impairment in the elderly. The risk of cerebrovascular disease is disproportionately higher in low to middle income countries where there may be barriers to stroke care. The last two decades have seen a major transformation in the stroke field with the emergence of evidence‐based approaches to stroke prevention, acute stroke management, and stroke recovery. The current challenge lies in implementing these interventions, particularly in regions ...
Source: International Journal of Stroke - September 23, 2014 Category: Neurology Authors: Patrice Lindsay, Karen L. Furie, Stephen M. Davis, Geoffrey A. Donnan, Bo Norrving Tags: Guidelines Source Type: research

Past, present, and future of stroke in middle‐income countries: the Brazilian experience
ConclusionsThe evolution of stroke care in Brazil over the last decade is a pathway that exemplifies the challenges that middle‐income countries have to face in order to improve stroke prevention, treatment and rehabilitation. The reported Brazilian experience can be extrapolated to understand the past, present, and future of stroke care in middle‐income countries.
Source: International Journal of Stroke - May 22, 2013 Category: Neurology Authors: Sheila Cristina Ouriques Martins, Octávio Marques Pontes‐Neto, Cloer Vescia Alves, Gabriel Rodriguez Freitas, Jamary Oliveira Filho, Elza Dias Tosta, Norberto Luiz Cabral, Tags: Research Source Type: research

Part II: predictors of depression after stroke and impact of depression on stroke outcome: an updated systematic review of observational studies
ConclusionsEarly identification of patients at high risk of depression after stroke, those with a history of depression and physical disability after stroke, would enable the early implementation of effective management and prevention strategies for depression. The reciprocal relationship between depression and physical disability highlights the need for interventions that reduce disability after stroke, which may in turn improve mood and overall recovery for an increasingly large number of stroke survivors.
Source: International Journal of Stroke - August 1, 2014 Category: Neurology Authors: Mansur A. Kutlubaev, Maree L. Hackett Tags: Research Source Type: research

Reducing recurrent stroke: Methodology of the motivational interviewing in stroke (MIST) randomized clinical trial
DiscussionThe results of the motivational interviewing in stroke trial will add to our understanding of whether motivational interviewing may be potentially beneficial in the management of stroke and other diseases where similar lifestyle factors or medication adherence are relevant.
Source: International Journal of Stroke - October 27, 2013 Category: Neurology Authors: Rita Krishnamurthi, Emma Witt, Suzanne Barker‐Collo, Kathryn McPherson, Kelly Davis‐Martin, Derrick Bennett, Elaine Rush, Flora Suh, Nicola Starkey, Varsha Parag, Yogini Rathnasabapathy, Amy Jones, Paul Brown, Braden Te Ao, Valery L. Feigin, Tags: Protocols (Invited) 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

Methodology of a population‐based stroke and TIA incidence and outcomes study: The Auckland Regional Community Stroke Study (ARCOS IV) 2011–2012
ConclusionsThe methodology described may be used as a guide in order to design similar population‐based stroke incidence and outcome studies in other countries and populations, thus facilitating the collection of most consistent and accurate stroke epidemiological data.
Source: International Journal of Stroke - October 27, 2013 Category: Neurology Authors: Rita Krishnamurthi, Amy Jones, P Alan Barber, Suzanne Barker‐Collo, Kathryn McPherson, Derrick Bennett, Elaine Rush, Flora Suh, Nicola Starkey, Alice Theadom, Varsha Parag, Yogini Rathnasabapathy, Valery L. Feigin, Tags: Protocol (Invited) Source Type: research

The SOAR (Stroke subtype, Oxford Community Stroke Project classification, Age, prestroke modified Rankin) score strongly predicts early outcomes in acute stroke
ConclusionsA simple 8‐point clinical score is highly predictive of acute stroke mortality and length of hospital stay. It could be used as prognostic tool in service planning and also to risk‐stratify patients to use these outcomes as markers of stroke care quality across institutions.
Source: International Journal of Stroke - July 9, 2013 Category: Neurology Authors: Phyo Kyaw Myint, Allan B. Clark, Chun Shing Kwok, John Davis, Ramesh Durairaj, Anand K. Dixit, Anil K. Sharma, Gary A. Ford, John F. Potter Tags: Research Source Type: research

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

Methodology of the Field Administration of Stroke Therapy – Magnesium (FAST‐MAG) phase 3 trial: Part 1 – rationale and general methods
RationalePrehospital initiation by paramedics may enable delivery of neuroprotective therapies to stroke patients in the hyperacute period when they are most effective in preclinical studies. Magnesium is neuroprotective in experimental stroke models and has been shown to be safe with signals of potential efficacy when started early after onset of human cerebral ischemia. Aims(a) To demonstrate that paramedic initiation of the neuroprotective agent magnesium sulfate in the field is an efficacious and safe treatment for acute stroke; (b) To demonstrate that field enrollment of acute stroke patients is a practical and feasib...
Source: International Journal of Stroke - January 1, 2014 Category: Neurology Authors: Jeffrey L. Saver, Sidney Starkman, Marc Eckstein, Samuel Stratton, Frank Pratt, Scott Hamilton, Robin Conwit, David S. Liebeskind, Gene Sung, Nerses Sanossian, Tags: Protocols 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

The disability adjusted life years due to stroke in South Africa in 2008
ConclusionsThis study provides information on prevalence, incidence and disease burden of stroke at the national level in South Africa. The results of this analysis will enable further work on priority setting and health service planning for primary and secondary prevention of stroke in South Africa.
Source: International Journal of Stroke - January 7, 2013 Category: Neurology Authors: Melanie Y. Bertram, Judith Katzenellenbogen, Theo Vos, Debbie Bradshaw, Karen J. Hofman Tags: Research Source Type: research

A simple 8‐point score strongly predicts early outcomes in acute stroke
ConclusionsA simple 8‐point clinical score is highly predictive of acute stroke mortality and length of hospital stay. It could be used as prognostic tool in service planning and also to risk‐stratify patients to use these outcomes as markers of stroke care quality across institutions.
Source: International Journal of Stroke - July 9, 2013 Category: Neurology Authors: Phyo Kyaw Myint, Allan B. Clark, Chun Shing Kwok, John Davis, Ramesh Durairaj, Anand K. Dixit, Anil K. Sharma, Gary A. Ford, John F. Potter Tags: Research Source Type: research

Rationale, design, and baseline features of a randomized controlled trial to assess the effects of statin for the secondary prevention of stroke: the Japan Statin Treatment Against Recurrent Stroke (J‐STARS)
ConclusionThis article reports the rationale, design, and baseline features of a randomized controlled trial to assess the effects of statin for the secondary prevention of stroke. Follow‐ups of patients are in progress and will end in 2014.
Source: International Journal of Stroke - September 9, 2013 Category: Neurology Authors: Yoji Nagai, Tatsuo Kohriyama, Hideki Origasa, Kazuo Minematsu, Chiaki Yokota, Shinichiro Uchiyama, Setsuro Ibayashi, Yasuo Terayama, Makoto Takagi, Kazuo Kitagawa, Eiichi Nomura, Naohisa Hosomi, Toshiho Ohtsuki, Takemori Yamawaki, Yoshihiro Matsubara, Mas 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

Strategies to improve recovery in acute ischemic stroke patients: Iberoamerican Stroke Group Consensus
Stroke is not only a leading cause of death worldwide but also a main cause of disability. In developing countries, its burden is increasing as a consequence of a higher life expectancy. Whereas stroke mortality has decreased in developed countries, in Latin America, stroke mortality rates continue to rise as well as its socioeconomic dramatic consequences. Therefore, it is necessary to implement stroke care and surveillance programs to better describe the epidemiology of stroke in these countries in order to improve therapeutic strategies. Advances in the understanding of the pathogenic processes of brain ischemia have re...
Source: International Journal of Stroke - June 29, 2013 Category: Neurology Authors: M Alonso de Leciñana, M Gutiérrez‐Fernández, M Romano, C Cantú‐Brito, A Arauz, LE Olmos, SF Ameriso, E Díez‐Tejedor, Tags: Review Source Type: research