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Evaluating the performance of the PRISMA-7 frailty criteria for predicting disability and death after acute ischemic stroke
Stroke is the second cause of death and disability in the world, affecting close to 14 million people globally per year and being responsible for around 120 million disability-adjusted life years.1,2 More deaths occur worldwide because of stroke than AIDS, tuberculosis, and malaria combined.3 Therefore, being able to identify which individuals with stroke are at highest risk of poor function and mortality is critically important given the need for weighing the risks, costs, and benefits of interventions during various shared decision-making processes.
Source: Journal of Stroke and Cerebrovascular Diseases - October 22, 2022 Category: Neurology Authors: Luana Aparecida Miranda, Gustavo Jos é Luvizutto, Blossom Christa Maree Stephan, Juli Thomaz de Souza, Taís Regina da Silva, Fernanda Cristina Winckler, Natalia Cristina Ferreira, Leticia Claudia de Oliveira Antunes, Pedro Augusto Cândido Bessornia, Si Source Type: research

Progressive Small-Vessel Strokes Following Antiretroviral Therapy in a Patient with Acquired Immunodeficiency Syndrome
The human immunodeficiency virus (HIV), which primarily infects CD4+ T-cells and microglia/macrophages, causes cognitive, memory-related, behavioral, and motor dysfunctions, collectively known as HIV-1-associated neurocognitive disease (HAND),1 which typically occurs among patients with chronic HIV/acquired immunodeficiency syndrome (AIDS) with low CD4+ T-cell levels and high plasma viral loads. The introduction of combinational antiretroviral therapy (cART) has significantly improved the survival rate and quality of life of patients with HIV/AIDS.
Source: Journal of Stroke and Cerebrovascular Diseases - March 2, 2022 Category: Neurology Authors: Tomoya Shibahara, Kuniyuki Nakamura, Daisuke Abe, Naoki Tagawa, Yoshinobu Wakisaka, Takanari Kitazono, Tetsuro Ago Tags: Case Report Source Type: research

Criteria for Emergency Brain MRI During Stroke-Alert
Intravenous (IV) tissue plasminogen activator (tPA) should be given to patients with acute ischemic stroke (AIS) and avoided in stroke mimics (SM). Select use of emergency brain magnetic resonance imaging (eMRI-brain) in stroke-alerts aids diagnosis, but accepted utilization criteria for eMRI-brain do not currently exist. We developed criteria for eMRI-brain and report the yield of eMRI-brain in stroke-alert patients.
Source: Journal of Stroke and Cerebrovascular Diseases - June 6, 2021 Category: Neurology Authors: Evgeny Sidorov, Courtney Iser, Nidhi Kapoor, Bappaditya Ray, Juliane Chainakul, Chao Xu, Andrei V. Alexandrov, David Lee Gordon Source Type: research

Prognosis of Neurological Improvement in Inpatient Acute Ischemic Stroke Survivors: A Propensity Score Matching Analysis
Stroke has become a national concern in China. Early prediction of stroke benefits patients and aids medical professionals in clinical decision making and rehabilitation plans to improve successful outcomes. To identify prediction factors influencing short-term outcomes in patients with acute ischemic stroke (AIS).
Source: Journal of Stroke and Cerebrovascular Diseases - November 14, 2020 Category: Neurology Authors: Qian Wu, Ai-Jie Tang, Li Zeng, Shu-Zhen Niu, Mei-Mei Tian, Ai-Ping Jin, Hong-Yan Yang, Jing-Juan Chen, Zhu Xiao-ping, Yan Shi Source Type: research

Comparison of Risk Scores for the Prediction of the Overall Cardiovascular Risk in Patients with Ischemic Stroke: The Athens Stroke Registry
Stratification of overall vascular risk in patients with ischemic stroke is important as it may guide management decisions. Currently available schemes have only modest prognostic accuracy. The TRA2 °P score aids in vascular risk stratification in patients with previous myocardial infarction (MI).
Source: Journal of Stroke and Cerebrovascular Diseases - October 24, 2019 Category: Neurology Authors: Georgios Georgiopoulos, George Ntaios, Kimon Stamatelopoulos, Efstathios Manios, Eleni Korompoki, Evangelia Vemmou, Haralampos Milionis, Stefano Masi, Gregory Y.H. Lip, Konstantinos Vemmos Source Type: research

Impact of General Practitioner Transient Ischemic Attack Training on 90-Day Stroke Outcomes: Secondary Analysis of a Cluster Randomized Controlled Trial
Many patients with transient ischemic attack (TIA) receive initial assessments by general practitioners (GPs) who may lack TIA management experience. In a randomized controlled trial (RCT), we showed that electronic decision support for GPs improves patient outcomes and guideline adherence. Some stroke services prefer to improve referrer expertise through TIA/stroke education sessions instead of promoting TIA decision aids or triaging tools. This is a secondary analysis of whether a GP education session influenced TIA management and outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2018 Category: Neurology Authors: Annemarei Ranta, Susan Dovey, John Gommans, Murray Tilyard, Mark Weatherall Source Type: research

Visual Aids for Improving Patient Decision Making in Severe Symptomatic Carotid Stenosis
Because of the large amount of information to process and the limited time of a clinical consult, choosing between carotid endarterectomy (CEA) and carotid angioplasty with stenting (CAS) can be confusing for patients with severe symptomatic internal carotid stenosis (ICA).
Source: Journal of Stroke and Cerebrovascular Diseases - August 7, 2017 Category: Neurology Authors: Sebastian Fridman, Gustavo Saposnik, Luciano A. Sposato Source Type: research

Epidemiology of Acquired Immune Deficiency Syndrome and Cerebrovascular Disease in a Post Antiretroviral Era
People with acquired immune deficiency syndrome (AIDS) develop ischemic stroke through distinct mechanisms. These include infections such as syphilis, tuberculosis, varicella, and other conditions such as cocaine abuse, endocarditis, and hypercoagulability. The effect of improved awareness, detection, and treatment with highly active antiretroviral therapy (HAART) on the incidence and outcome of AIDS patients with stroke is unknown.
Source: Journal of Stroke and Cerebrovascular Diseases - February 7, 2017 Category: Neurology Authors: Phillip Kucab, Pratik Bhattacharya Source Type: research

Delivering Knowledge of Stroke to Parents Through Their Children Using a Manga for Stroke Education in Elementary School
This study aimed to clarify the effectiveness of our new educational aids that were developed for elementary school children to impart information about stroke to children and their parents in 2 different ways: with or without stroke lessons by a neurologist.
Source: Journal of Stroke and Cerebrovascular Diseases - November 8, 2016 Category: Neurology Authors: Akiko Ishigami, Chiaki Yokota, Kunihiro Nishimura, Satoshi Ohyama, Shinya Tomari, Tenyu Hino, Takuro Arimizu, Shinichi Wada, Kazunori Toyoda, Kazuo Minematsu Source Type: research

Net Clinical Benefits of Guidelines and Decision Tool Recommendations for Oral Anticoagulant Use among Patients with Atrial Fibrillation
The 2012 American College of Chest Physicians' Evidence-Based Clinical Practice (CHEST), the 2012 European Society of Cardiology, and the 2014 American Heart Association guidelines and published decision tools by LaHaye and Casciano offer oral anticoagulant (OAC) recommendations for patients with atrial fibrillation (AF). The aim of our study was to compare the net clinical benefit (NCB) of OAC prescribing that was concordant with these decision aids.
Source: Journal of Stroke and Cerebrovascular Diseases - October 15, 2015 Category: Neurology Authors: Anand R. Shewale, Jill T. Johnson, Chenghui Li, David Nelsen, Bradley C. Martin Source Type: research

Over-the-counter and Prescription Sleep Medication and Incident Stroke: The REasons for Geographic And Racial Differences in Stroke Study
Conclusions: Over-the-counter sleep medication use may independently increase the risk of stroke beyond other risk factors in middle-aged to older individuals with no history of stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - August 11, 2014 Category: Neurology Authors: Megan E. Petrov, Virginia J. Howard, Dawn Kleindorfer, Michael A. Grandner, Jennifer R. Molano, George Howard Tags: Original Articles Source Type: research

Stroke Education Using an Animated Cartoon and a Manga for Junior High School Students
Conclusions: Stroke education using these teaching aids of the animated cartoon and the Manga improved stroke knowledge in junior high school students.
Source: Journal of Stroke and Cerebrovascular Diseases - March 31, 2014 Category: Neurology Authors: Yuya Shigehatake, Chiaki Yokota, Tatsuo Amano, Yasuhiro Tomii, Yasuteru Inoue, Takaaki Hagihara, Kazunori Toyoda, Kazuo Minematsu Tags: Original Articles Source Type: research

Risk of Spontaneous Intracranial Hemorrhage in HIV-infected Individuals: A Population-based Cohort Study
Background: We studied the association between HIV infection, antiretroviral medications, and the risk of spontaneous intracranial hemorrhage.Methods: We performed a cohort and nested case control study in an administrative database. We selected all HIV-positive individuals presenting between 1985 and 2007. Each HIV-positive subject was matched with 4 HIV-negative individuals. We used a Poisson regression model to calculate rates of intracranial hemorrhage according to HIV status. We conducted a case -control study nested within the cohort of HIV-positive individuals to look at the effect of antiretroviral medications. Odd...
Source: Journal of Stroke and Cerebrovascular Diseases - May 3, 2012 Category: Neurology Authors: Madeleine Durand, Odile Sheehy, Jean-Guy Baril, Jacques LeLorier, Cécile L. Tremblay Tags: Original Articles Source Type: research