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Source: Journal of Stroke and Cerebrovascular Diseases
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Visual stroke symptom triage tool to reduce delays due to limited English proficiency in Emergency department stroke activations
Limited English proficiency (LEP) may contribute to delays in care and worse outcomes in patients hospitalized with stroke. Limited access to interpreter services leads to delays in triage, code activation, imaging evaluations, and treatment. At our Comprehensive Stroke Center, 20% of patients with stroke have a Chinese dialect as a primary language and LEP. We sought to assess differences in stroke activation process times and IV alteplase treatment (IVT) rates between English and LEP (Chinese dialect) patients before and after implementation of a visual stroke symptom (VSS) triage tool.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Lisa M. Scott Tags: Poster 02 Source Type: research
Risk factors and pathogenic microorganism characteristics for pneumonia in convalescent patients with stroke: A retrospective study of 380 patients from a rehabilitation hospital
Stroke significantly impacts public health and ranks among the leading causes of death and disabilities, resulting in enormous costs measured in both health care resources and lost productivity. It results primarily from embolus or thrombosis for ischemic stroke and hypertension for hemorrhagic stroke, respectively [1]. In 2016, there were 5.5 million deaths and 116.4 million disability-adjusted life-years (DALYs) owed to stroke [2]. As reported, the impact of stroke on the Chinese population is more severe compared to average global levels, and the prevalence of stroke continues to surpass that of ischemic heart disease [3 –4].
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2020 Category: Neurology Authors: Jia Xu, Zhiling Yang 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
The Unmet Needs of Stroke Survivors and Stroke Caregivers: A Systematic Narrative Review
Stroke has been recognized as a factor that has contributed significantly to the mortality and morbidity in developing and non-developing countries.1 It has been documented that 15 million individuals suffer from stroke globally, in which 5 million patients die from stroke while another 5 million continue living with disability.2 Analysis from the Global Burden of Disease (GBD) Study 20163 demonstrated differences in the rise of stroke geographically. Specifically, the authors documented higher risk in stroke in East Asia, Central E urope and Eastern Europe.
Source: Journal of Stroke and Cerebrovascular Diseases - July 15, 2020 Category: Neurology Authors: N.S.M. Zawawi, N.A. Aziz, R. Fisher, K. Ahmad, M.F. Walker Source Type: research
Prevalence of stroke-related sarcopenia: A systematic review and meta-analysis
Objectives: Although the skeletal muscle is the main effector of disability in stroke, evidence on post-stroke skeletal muscle is scarce; especially, the prevalence of stroke-related sarcopenia remains unclear. Thus, we aimed to systematically search the prevalence of sarcopenia in stroke survivors and synthesize pooled estimates of overall prevalence of stroke-related sarcopenia and prevalence stratified by sex, country, time since stroke onset, and diagnostic criteria of sarcopenia. Methods: We performed systematic searches in the MEDLINE, CINAHL, Embase, and Cochrane Library databases.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Ya Su, Michiko Yuki, Mika Otsuki Source Type: research
Deiodinases, organic anion transporter polypeptide polymorphisms and symptoms of anxiety and depression after ischemic stroke
Mental disorders, such as anxiety and depression, are common after stroke. It was reported, that post-stroke anxiety cumulative incidence reached 57% within the first ten years after stroke was experienced.1 This mental health problem after stroke leads to impaired quality of life1 and poorer activity of daily living.2 Recent meta-analysis established, that the risk of stroke in a person with symptoms of anxiety is even higher compared to the risk of coronary heart disease or heart failure.3 Moreover, anxiety disorder comorbid with symptoms of depression after stroke was associated with increased lethal outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: Saulius Taroza, Daiva Rastenyt ė, Julius Burkauskas, Aurelija Podlipskytė, Nijolė Kažukauskienė, Vaiva Patamsytė, Narseta Mickuvienė Source Type: research
Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial
Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 15, 2020 Category: Neurology Authors: Charline Benoit, Delphine Lopez, Murielle Loiseau, Julien Labreuche, Maeva Kyheng, Fr édéric Bourdain, Bertrand Lapergue Source Type: research
Knowledge of Acute Stroke Management Among Healthcare Professionals: Development and Validation of Acute Stroke Management Questionnaire (ASMaQ)
Around 15.0% of all strokes occurred in hospitalised patients and studies showed significant delay in the stroke recognition and lack of awareness on thrombolytic therapy for acute ischaemic stroke (AIS) which lead to higher mortality for in-hospital stroke. We aimed to develop and validate a new instrument known as acute stroke management questionnaire (ASMaQ) to evaluate the awareness of healthcare professionals in managing acute ischaemic stroke cases.
Source: Journal of Stroke and Cerebrovascular Diseases - November 4, 2020 Category: Neurology Authors: Chun yang Sim, Wan Asyraf Wan Zaidi, Shamsul Azhar Shah, Wan Nur Nafisah Wan Yahya, Hui jan Tan Source Type: research
Comprehensive and Structured 3-month Stroke Follow-up Using the Post-stroke Checklist (The Struct-FU study): A Feasibility and Explorative Study
There is recent evidence supporting that a comprehensive post-stroke treatment program improves outcome. However, the prevalence of stroke-related health problems and the extent of needed interventions have not been well-delineated. The Struct-FU study aims to assess the feasibility of a comprehensive stroke follow-up model and to map stroke-related problems and subsequent multidisciplinary interventions using a modified Post-stroke Checklist (PSC).
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2020 Category: Neurology Authors: Teresa Ullberg, Kristina M ånsson, Ida Berhin, Hélène Pessah-Rasmussen Source Type: research
Addressing stroke admissions during COVID-19 pandemic beyond fear and constraining health factors
We read with great interest the recently published paper by Candelaresi et al1 addressing the impact of Covid-19 lockdown on stroke admissions. The manuscript further consolidates the evidence that COVID-19 pandemic has an impact on stroke admissions and the associated quality of care1 –4. Similar to previous studies2,3, fear of exposure to coronavirus was considered to be an important driver to the reduction of stroke admission. Although the reduction of stroke admissions during COVID-19 was proposed to be driven predominantly by decrease of admission of less severe stroke pati ents3,4, there are evidence showing that t...
Source: Journal of Stroke and Cerebrovascular Diseases - February 26, 2021 Category: Neurology Authors: Hip ólito Nzwalo, Nicola Logallo Tags: Letter to the Editor Source Type: research
Chronic Kidney Disease and Risk of Stroke. Resolved Chronic Kidney Disease is A Biomarker Rather Than A Risk Factor for Stroke
Over the last approximate 15 years some have suggested that chronic kidney disease (CKD) is a risk factor for stroke in and of itself. The assertion that CKD is a risk factor for stroke requires more scrutiny. It is possible that CKD is a reflection of severity of conditions such as hypertension and diabetes that are themselves among the most treatable risk factors for stroke or it is possible that the effects of CKD change vascular and related physiological functions and therefor directly contribute to increased risk of stroke and it is also possible that treatments for advance CKD such has hemodialysis could contribute t...
Source: Journal of Stroke and Cerebrovascular Diseases - May 29, 2021 Category: Neurology Authors: Judy Dawod, Bruce M Coull Source Type: research
Association of Initial Potassium Levels with the Type of Stroke in the Emergency Department
Early differentiation of hemorrhagic stroke from ischemic stroke in patients with suspected stroke is essential for subsequent management of the patient. While serum potassium level has been suggested as a marker of acute hemorrhagic conditions,1, 2 little is known about whether the initial serum potassium levels differ based on the type of stroke. If serum potassium levels can help differentiate hemorrhagic stroke from ischemic stroke, this information can be applied in deciding subsequent treatment procedures (e.g., catheter intervention, tissue plasminogen activator administration, and antihypertensive therapy) in setti...
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2021 Category: Neurology Authors: Kiyomitsu Fukaguchi, Hiroshi Yamagami, Shoko Soeno, Konan Hara, Toru Shirakawa, Tomohiro Sonoo, Kensuke Nakamura, Tadahiro Goto Source Type: research
Hospital Revisits for Post-Ischemic Stroke Epilepsy after Acute Stroke Interventions
Improvements in acute stroke care, namely the use of intravenous alteplase (IV-tPA) and mechanical thrombectomy (MT), have led to a considerable increase in the proportion of patients who survive a first-time ischemic stroke.1 Despite demonstrated benefits of acute stroke interventions, their impact on long term complications is not yet clear. One such complication is post-ischemic stroke epilepsy (PISE). PISE is estimated to occur in 2 –6% of stroke survivors,2–4 and is associated with poor-quality of life and high mortality in young patients.
Source: Journal of Stroke and Cerebrovascular Diseases - October 21, 2021 Category: Neurology Authors: Lindsey R. Kuohn, Alison L. Herman, Alexandria L. Soto, Stacy C. Brown, Emily J. Gilmore, Lawrence J. Hirsch, Charles C. Matouk, Kevin N. Sheth, Jennifer A. Kim Source Type: research
The Reliability and Validity of Post Stroke Depression Scale in Different Type of Post Stroke Depression Patients
Stroke is the second leading cause of death around the world, and approximately a third of all stroke survivors were have different degree of depression at any time after stroke.1 The repercussions of post-stroke depression (PSD) might cause extend psychological wellbeing, worsen rehabilitation outcomes, even lead to post-stroke mortality.2,3 Therefore, the early detection of PSD is essential to promote the prognosis and avoid unfortunate incidents.
Source: Journal of Stroke and Cerebrovascular Diseases - November 25, 2021 Category: Neurology Authors: Yingying Yue, Rui Liu, Jiu Chen, Yin Cao, Yanfeng Wu, Shining Zhang, Huajie Li, Jijun Zhu, Aiqin Wu, Yonggui Yuan Source Type: research
Depression in Stroke Survivors: Ten-Year Follow-Up. Determinants of the Natural Course of Depressive Symptoms in Stroke Survivors in the Netherlands: The SMART-Medea Study
Stroke is one of the leading causes of mortality and a major cause of disability, due to impairments in functioning, limitations in activities, and restrictions in societal participation.20 Although these consequences vary widely between stroke survivors, the most common consequences are physical impairments, communication disorders, cognitive and emotional problems, and mood disturbances.13,50 Every year 15 million people suffer from stroke,30 in the Netherlands, 40.000 patients have a stroke each year28 Most stroke patients survive the initial illness and the greatest health effect is usually caused by the long-term consequences.
Source: Journal of Stroke and Cerebrovascular Diseases - January 21, 2022 Category: Neurology Authors: A. de Bekker, M.I. Geerlings, I.E. Uitewaal-Poslawsky, J.M. de Man-van Ginkel Source Type: research
