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Source: Journal of Stroke and Cerebrovascular Diseases
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A Literature Review of Indirect Costs Associated with Stroke
Conclusions: Most of the literature indicates that indirect costs account for a significant portion of the economic burden of stroke, and there is a pressing need to develop proper approaches to analyze these costs and to make better use of relevant data sources for such studies or establish new ones.
Source: Journal of Stroke and Cerebrovascular Diseases - June 23, 2014 Category: Neurology Authors: Heesoo Joo, Mary G. George, Jing Fang, Guijing Wang Tags: Review Articles Source Type: research
The Effects of Citicoline on Acute Ischemic Stroke: A Review
Early reopening of the occluded artery is, thus, important in ischemic stroke, and it has been calculated that 2 million neurons die every minute in an ischemic stroke if no effective therapy is given; therefore, “Time is Brain.” In massive hemispheric infarction and edema, surgical decompression lowers the risk of death or severe disability defined as a modified Rankin Scale score greater than 4 in selected patients. The majority, around 80%-85% of all ischemic stroke victims, does not fulfill the criteria for revascularization therapy, and also for these patients, there is no effective acute therapy. Also there is no...
Source: Journal of Stroke and Cerebrovascular Diseases - April 15, 2014 Category: Neurology Authors: Karsten Overgaard Tags: Review Articles Source Type: research
Effects of Stroke Education Using an Animated Cartoon and a Manga on Elementary School Children
Background: Stroke education for the youth is expected to reduce prehospital delay by informing the bystander of appropriate action to take and providing knowledge to prevent onset of stroke in future. Previously, we developed effective teaching materials consisting of an animated cartoon and a Manga for junior high school students. The aim of this study was to evaluate the feasibility and effectiveness of our educational materials for stroke education taught by schoolteachers to elementary school children.Methods: Using our teaching materials, a 30-minute lesson was given by trained general schoolteachers. Questionnaires ...
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: Yuki Sakamoto, Chiaki Yokota, Fumio Miyashita, Tatsuo Amano, Yuya Shigehatake, Satoshi Oyama, Naruhiko Itagaki, Kosuke Okumura, Kazunori Toyoda, Kazuo Minematsu Tags: Original Articles Source Type: research
Outcome and Risk Factors Presented in Old Patients Above 80 Years of Age Versus Younger Patients After Ischemic Stroke
Background: Older patients are associated with increased stroke prevalence, worse outcome, and risk of undertreatment in comparison with younger patients. The aim of the present study was to compare risk factor distribution and functional outcome in stroke survivors older and younger than 80 years.Methods: The analysis was based on consecutive patients admitted within 6 hours after stroke onset and discharged with ischemic stroke, surviving at least 3 months after ictus. To prevent bias, the analysis was based on a registry from before implementation of tissue plasminogen activator treatment; all patients received strok...
Source: Journal of Stroke and Cerebrovascular Diseases - May 2, 2014 Category: Neurology Authors: Line Bentsen, Louisa Christensen, Anders Christensen, Hanne Christensen Tags: Original Articles Source Type: research
Stroke-induced Immune Depression–A Randomized Case Control Study in Kashmiri Population of North India
Conclusions: The higher levels of urinary cortisol and norepinephrine were observed in patients with stroke who developed infections, which indirectly reflected increased amount of stroke related stress. Furthermore, the levels of plasma IL-6 and IL-10 were also elevated in the same group of patients, which means transformation of immunecompetence to immunedepression, which is responsible for higher mortality. Subsequently on recovery from infection the plasma levels of interleukins and urinary cortisol and norepinephrine did not show any difference, which indirectly means recovery of the immune system on recovery from ac...
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Devinder Kumar, Roohi Rasool, Khalid Z. Masoodi, Imtiyaz A. Bhat, Sawan Verma, Sheikh Saleem Tags: Original Articles Source Type: research
Association of the ASCO Classification with the Executive Function Subscores of the Montreal Cognitive Assessment in Patients with Postischemic Stroke
Conclusions: These results suggest that the ASCO phenotypic classification of stroke is useful not only for assessing the etiology of ischemic stroke but also for predicting cognitive decline after ischemic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 29, 2014 Category: Neurology Authors: Kazuo Washida, Masafumi Ihara, Hisatsugu Tachibana, Kenji Sekiguchi, Hisatomo Kowa, Fumio Kanda, Tatsushi Toda Tags: Original Articles Source Type: research
Secondary Prevention and Health Promotion after Stroke: Can It Be Enhanced?
The aim was to study if health outcome and secondary prevention were satisfactory 1 year after stroke and if nurse-led interventions 3 months after stroke could have impact. Design was a randomized controlled open trial in a 1-year population. Primary outcome was health status 1 year after stroke. One month after stroke, survivors were randomized into intervention group (IG) with follow-up by a specialist nurse (SN) after 3 months (n = 232), and control group (CG) with standard care (n = 227), all to be followed up 1 year after stroke. At the first follow-up, patients graded their health, replied to the EuroQol-5 ...
Source: Journal of Stroke and Cerebrovascular Diseases - July 21, 2014 Category: Neurology Authors: Ann-Cathrin Jönsson, Peter Höglund, Marco Brizzi, Hélène Pessah-Rasmussen Tags: Original Articles Source Type: research
The Finnish Prehospital Stroke Scale Detects Thrombectomy and Thrombolysis Candidates —A Propensity Score-Matched Study
Prehospital stroke triage is challenged by endovascular treatment for large vessel occlusion (LVO) being available only in major stroke centers. Conjugate eye deviation (CED) is closely related to LVO, whereas common stroke signs (face-arm-leg-speech-visual) screen stroke. We hypothesized that combining CED with common stroke signs would yield a prehospital stroke scale for identifying both LVO and stroke in general.
Source: Journal of Stroke and Cerebrovascular Diseases - November 20, 2017 Category: Neurology Authors: Jyrki P. Ollikainen, Heikki V. Janhunen, Juho A. Tynkkynen, Kalle M. Mattila, Minna M. H älinen, Niku K. Oksala, Satu-Liisa K. Pauniaho Source Type: research
Determinants Influencing the Prestroke Health Behaviors and Cardiovascular Disease Risk of Stroke Patients: A Cross-Sectional Study
Background: Knowledge about stroke and stroke prevention may provide motivation to lead a healthy lifestyle to prevent stroke. The goal of this study is to quantify the knowledge of stroke and stroke prevention of patients with a recent stroke and its association with health behaviors and cardiovascular disease risk. Methods: We conducted a prospective cross-sectional study utilizing consecutive stroke admissions at 2 hospitals in Vancouver, Canada. We included patients within 48-72hours of admission.
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2019 Category: Neurology Authors: Beena P. Parappilly, Thalia S. Field, William B. Mortenson, Brodie M. Sakakibara, Janice J. Eng Source Type: research
Stroke Mimics: Experience of a Moroccan Stroke Unit
The objective of this study was to evaluate the frequency and the various etiologies of stroke mimics in our center. Methods: We retrospectively reviewed the Thrombolysis Alert registry and we studied the frequency and characteristics of patients with stroke mimic. Results: Among 673 patients who were admitted to the emergency department within 4.5 hours for sudden focal neurological deficit suggestive of acute stroke, 105 patients (15.6 %) had a stroke mimic.
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2020 Category: Neurology Authors: Naima Chtaou, Siham Bouchal, Aouatef E.l. Midaoui, Zouhayr Souirti, Nabil Tachfouti, Mohammed Faouzi Belahsen Source Type: research
Hospital Volume and Mortality in Acute Ischemic Stroke Patients: Effect of Adjustment for Stroke Severity
Objective: Stroke severity of 1 hospital is a crucial information when assessing hospital performance. We aimed to determine the effect of stroke severity in the association between hospital patient volume and outcome after acute ischemic stroke. Methods: Data from National Acute Stroke Quality Assessment in 2013 and 2014 were analyzed. Hospital patient volume was defined as the annual number of acute ischemic stroke patients who admitted to each hospital. Comparisons among hospital patient volume quartiles before and after adjusting age, sex, onset to arrival and stroke severity were made to determine the associations bet...
Source: Journal of Stroke and Cerebrovascular Diseases - March 6, 2020 Category: Neurology Authors: Keon-Joo Lee, Jun Yup Kim, Jihoon Kang, Beom Joon Kim, Seong-Eun Kim, Hyunji Oh, Hong-Kyun Park, Yong-Jin Cho, Jong-Moo Park, Kwang-Yeol Park, Kyung Bok Lee, Soo Joo Lee, Tai Hwan Park, Ji Sung Lee, Juneyoung Lee, Ki Hwa Yang, Ah Rum Choi, Mi Yeon Kang, G Source Type: research
Knowledge of Stroke Warning Signs, Risk Factors, and Response to Stroke among Lebanese Older Adults in Beirut
Background and objectives: Stroke is a global burden. In Lebanon, recent studies have shown that stroke prevalence may be higher than other developing countries. While older people are particularly vulnerable to stroke, research suggests that they have poor stroke awareness. Since awareness is crucial for early hospital admission, thereby outcome, the main objectives of this study were to assess knowledge of stroke ie, symptoms, risk factors, and intended behavior in case of stroke suspicion. Methods: A community-based survey targeting adults aged 50 and above was conducted at 20 random pharmacies in Beirut from May to Oct...
Source: Journal of Stroke and Cerebrovascular Diseases - March 16, 2020 Category: Neurology Authors: Hussein Mohammad Khalil, Nathalie Lahoud Source Type: research
A Stroke Care Model at an Academic, Comprehensive Stroke Center During the 2020 COVID-19 Pandemic
The COVID-19 pandemic has required the adaptation of hyperacute stroke care (including stroke code pathways) and hospital stroke management. There remains a need to provide rapid and comprehensive assessment to acute stroke patients while reducing the risk of COVID-19 exposure, protecting healthcare providers, and preserving personal protective equipment (PPE) supplies. While the COVID infection is typically not a primary cerebrovascular condition, the downstream effects of this pandemic force adjustments to stroke care pathways to maintain optimal stroke patient outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - May 6, 2020 Category: Neurology Authors: Dawn Meyer, Brett C. Meyer, Karen S. Rapp, Royya Modir, Kunal Agrawal, Lovella Hailey, Melissa Mortin, Richard Lane, Tamra Ranasinghe, Brian Sorace, Tara D. von Kleist, Emily Perrinez, Mohammed Nabulsi, Thomas Hemmen Source Type: research
Socioeconomic Factors Predicting Depression Differ in the Acute Stage and at 1 year After Ischemic Stroke or TIA
The most prevalent psychiatric complication after stroke is depression. Clinically relevant depressive symptoms appear in about one third of cases after stroke.1,2 The frequency of post stroke depression (PSD) is highest in the first year after stroke.3 In a recent Spanish survey of patients with TIA and minor stroke 43.9 % had post stroke depression (PSD) at 10 days after the cerebrovascular event and 8.6 % of patients had PSD 12 months later.4 Severity of depressive symptoms often changes in the first year after stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 22, 2020 Category: Neurology Authors: Ágnes Mirolovics, Magdolna Bokor, Balázs Dobi, Judit Zsuga, Dániel Bereczki Source Type: research
Prevalence of Worsening Problems Using Post-Stroke Checklist and Associations with Quality of Life in Patients with Stroke
Stroke is the most common cause of adult disability worldwide.1,2 Stroke survivors suffer from various kinds of motor and non-motor problems, which hinders participation in daily activities.3,4 Without proper resolution of these problems, they can result in worsening of health-related quality of life (HRQoL).5 However, long-term post-stroke care has not been standardized yet,6 and stroke survivors have reported that health systems are not responsive to their changing needs.7 Therefore, long-term stroke follow-up should address a broad range of post-stroke medical and HRQoL –related problems with scheduled reassessments.
Source: Journal of Stroke and Cerebrovascular Diseases - October 29, 2020 Category: Neurology Authors: Hyo Won Im, Won-Seok Kim, SeungYeun Kim, Nam-Jong Paik Source Type: research
