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A Cross-Sectional Analysis of Differences in Physical Activity Levels between Stroke Belt and Non-Stroke Belt US Adults
Background: The Stroke Belt is a region of the United States with elevated stroke incidence and prevalence of stroke risk factors. Physical inactivity is an important stroke risk factor, but little is known about whether current physical activity levels differ between Stroke Belt and non-Stroke Belt states. In this nationally representative study, we determined whether unadjusted and adjusted physical activity levels differ between the Stroke Belt region and the rest of the United States. Methods: Using 2017 Behavioral Risk Factor Surveillance System data, we conducted bivariate analyses to obtain unadjusted physical activ...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2019 Category: Neurology Authors: Phoebe Tran, Lam Tran, Liem Tran Source Type: research

Impact of the COVID-19 pandemic on stroke epidemiology and clinical stroke practice in the US
: To examine the impact of the COVID-19 pandemic on stroke, the number of stroke patients, time since last known well (LKW), morbidity, and mortality of stroke patients in Southwest Healthcare System (SHS), California (CA) and the United States (US) were analyzed during 2019 and compared to 2020. Our hypothesis is that there are regional differences in stroke outcome depending on location during the COVID-19 study period which influences stroke epidemiology and clinical stroke practice.
Source: Journal of Stroke and Cerebrovascular Diseases - January 26, 2021 Category: Neurology Authors: Daniel Friedlich, Tali Newman, Stephanie Bricker Source Type: research

Post-stroke pneumonia: Factors associated with readmission within 90 days of stroke discharge
Stroke is the fifth leading cause of death and a leading cause of disability within the United States.1,2 On average, a stroke occurs every 40 seconds and accounts for approximately 1 in every 19 deaths.2 The prevalence of stroke is projected to increase by 20.5% from 2012 to 2030.2 Post-stroke complications are prevalent; infection occurs among 30% of acute cases.3 Pneumonia is one of the most common post-stroke infections and is associated with increased morbidity.4,5 Moreover, pneumonia is recognized as an independent risk factor for stroke-related mortality.
Source: Journal of Stroke and Cerebrovascular Diseases - August 21, 2023 Category: Neurology Authors: Tiffany Bouddhara, LeighAnn Persondek, Elizabeth Ablah, Hayrettin Okut, Liuqiang Lu, James Walker Source Type: research

Novel Algorithm to Help Identify Stroke Mimics
Stroke is a major cause of disability in the United States. A portion of patients presenting with stroke-like symptoms in the emergency room who receive tissue plasminogen activator (tPA) do not end up having a true stroke, leading to unnecessary health-care costs. The aim of our study is to identify those patients who have a high likelihood of experiencing a stroke mimic using a novel stroke mimic score and to identify a cutoff point with a high specificity of ruling in stroke mimics.
Source: Journal of Stroke and Cerebrovascular Diseases - November 6, 2017 Category: Neurology Authors: Nadeem Israr Khan, Shilpa Chaku, Christina Goehl, Laura Endris, Georgia Mueller-Luckey, Fazeel M. Siddiqui Source Type: research

Mechanical Thrombectomy in Ischemic Stroke Patients with Severe Pre-Stroke Disability
Frequency and outcomes of mechanical thrombectomy (MT) in clinical practice for patients with severe pre-stroke disability are largely unknown. In this case series, we aim to describe the disability make-up and outcomes of 33 patients with severe pre-stroke disability undergoing MT. Patients with a permanent, severe, pre-stroke disability (modified Rankin Score, mRS, 4-5) were identified from a prospectively-maintained database of consecutive, MT-treated, anterior circulation acute ischemic stroke patients at two comprehensive stroke centers in the United States.
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: Sanjana Salwi, Shawna Cutting, Alan D. Salgado, Kiersten Espaillat, Matthew R. Fusco, Michael T. Froehler, Rohan V. Chitale, Howard Kirshner, Matthew Schrag, Adam Jasne, Tina Burton, Brian Mac Grory, Ali Saad, Mahesh V. Jayaraman, Tracy E. Madsen, Katarin Source Type: research

Ascertainment of Alaska Native Stroke Incidence, 2005-2009: Lessons for Assessing the Global Burden of Stroke
Stroke is a critical public health issue in the United States and globally. System models to optimally capture stroke incidence in rural and culturally diverse communities are needed. The epidemiological transition to a western lifestyle has been associated with an increased burden of vascular risk factors among Alaska Native (AN) people. The burden of stroke in AN communities remains understudied.
Source: Journal of Stroke and Cerebrovascular Diseases - July 14, 2017 Category: Neurology Authors: Bernadette Boden-Albala, James Allen, Eric T. Roberts, Lisa Bulkow, Brian Trimble Source Type: research

Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities
The Stroke& Vascular Neurology Section of the American Academy of Neurology was charged to identify challenges to the recruitment and retention of stroke neurologists and to make recommendations to address any identified problems. The Section initiated this effort by determining the impact of stroke on-call requirements as a barrier to the recruitment and retention of vascular neurologists.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2018 Category: Neurology Authors: Edgar J. Kenton, Antonio Culebras, Pierre B. Fayad, Larry B. Goldstein, Brian Kaskie, Enrique C. Leira, Helmi L. Lutsep, Lawrence R. Wechsler, Jos é Biller, Irene L. Katzan, James C. Stevens, David Z. Wang, Nellie Adams, Carolyn Cahill, AAN Vascular Neur Source Type: research

Influence of a Comorbid Diagnosis of Seizure on 30-Day Readmission Rates Following Hospitalization for an Index Stroke
Objective: To examine the association of a comorbid seizure diagnosis with early hospital readmission rates following an index hospitalization for stroke in the United States. Methods: Retrospective analysis of the 2014 National Readmission Database. The study population included adult patients (age>18 years old) with stroke, identified using the International Classification of Disease Ninth Revision, Clinical Modification (ICD-9-CM) codes 433.X1, 434.X1, and 436 for ischemic stroke as well as 430, 431, 432.0, 432.1, and 432.9 for hemorrhagic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - November 25, 2019 Category: Neurology Authors: Alain Lekoubou, Kinfe G Bishu, Bruce Ovbiagele Source Type: research

YouTube as a Source of Information for Transcranial Magnetic Stimulation in Stroke: A Quality, Reliability and Accuracy Analysis
Stroke is one of the major causes of death and disability among adults and affects more than 795000 people each year in the United States.1,2 Globally, 6.5 million stroke deaths occurred in 2013 and stroke was the 2nd most common cause of mortality worldwide.2,3 Usually, after a stroke, the damaged brain region and surrounding healthy cells try to repair the disrupted neural networks and to regulate the disrupted functions by creating new networks. However, the complete recovery of motor functions takes place in only 20% of patients, depending on the location of the damaged area, its size, and the general health of the patient.
Source: Journal of Stroke and Cerebrovascular Diseases - September 21, 2020 Category: Neurology Authors: Ayhan Askin, lker Sengul, Aliye Tosun Source Type: research

Effect of Insurance Status on Outcomes of Acute Ischemic Stroke Patients Receiving Intra-Arterial Treatment: Results from the Paul Coverdell National Acute Stroke Program
Stroke continues to be a leading cause of death and disability in the United States. Rates of intra-arterial reperfusion treatments (IAT) for acute ischemic stroke (AIS) are increasing, and these treatments are associated with more favorable outcomes. We sought to examine the effect of insurance status on outcomes for AIS patients receiving IAT within a multistate stroke registry.
Source: Journal of Stroke and Cerebrovascular Diseases - March 3, 2021 Category: Neurology Authors: Ganesh Asaithambi, Xin Tong, Kamakshi Lakshminarayan, Sallyann M Coleman King, Mary G George Source Type: research

Predictive Factors of Perioperative Stroke-Related Mortality Following Vascular Surgery: A Retrospective Analysis
Strokes are one of the leading causes of death in the United States. With 90% of strokes being attributed to modifiable risk factors, an opportunity arises to decrease the overall burden of strokes on the healthcare system.1 Perioperative stroke, defined as a stroke taking place during or within 30 days of a surgical procedure, is an uncommon, yet devastating outcome that is linked to significant morbidity and mortality.2 –6 Vascular surgical procedures carry a higher risk of perioperative stroke and stroke-related mortality, yet the independent risk factors contributing to this increased mortality have not been described.
Source: Journal of Stroke and Cerebrovascular Diseases - May 5, 2021 Category: Neurology Authors: Bansri M. Patel, Nathan J. Reinert, Natalie D. Sridharan, Parthasarathy D. Thirumala Source Type: research

Educational Intervention in the Emergency Department to Address Disparities in Stroke Knowledge
In the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group.
Source: Journal of Stroke and Cerebrovascular Diseases - March 22, 2022 Category: Neurology Authors: Erin F. Shufflebarger, Lauren A. Walter, Toby I. Gropen, Tracy E. Madsen, Mark R. Harrigan, Ronald M. Lazar, Jamie Bice, Cassidy S. Baldwin, Michael J. Lyerly Source Type: research

Effects of virtual reality-based telerehabilitation for stroke patients: A systematic review and meta-analysis of randomized controlled trials
Stroke is a severe neurological disorder that occurs in nearly 800,000 people and kills more than 140,000 people per year in the United States.1 The cost of stroke is projected to rise to $231 billion by the year 2030.2 Moreover, stroke is the leading cause of serious long-term disability.1 These stroke survivors suffer from a variety of impairments, including motor, sensory, speech, cognition, and psychosocial aspects. Those impairments affect their independence to perform daily activities, and furtherly hamper their participation and quality of life.
Source: Journal of Stroke and Cerebrovascular Diseases - December 29, 2022 Category: Neurology Authors: Jie Hao, Yuqi Pu, Zhen Chen, Ka-Chun Siu Source Type: research

Mechanisms of in-hospital acute ischemic stroke and their relevance to prognosis: A retrospective analysis
In-hospital stroke (IHS) refers to stroke that occurs during hospitalization in patients admitted for other diagnoses,1 of which ischemic stroke is the most common type, accounting for approximately 60% to 89%.2,3 IHS is common with approximately 35,000 to 75,000 patients having a stroke while hospitalized in the United States each year.4 The incidence of IHS tends to increase per year,5 resulting in a serious social burden. In-hospital ischemic strokes are widely distributed across various in-hospital departments.
Source: Journal of Stroke and Cerebrovascular Diseases - April 11, 2023 Category: Neurology Authors: Juanjuan Wu, Guangsong Han, Yuhui Sha, Mingyu Tang, Ziang Pan, Ziyue Liu, Yicheng Zhu, Lixin Zhou, Jun Ni Source Type: research

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