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Total 9563 results found since Jan 2013.

BE-FAST: A Sensitive Screening Tool to Identify In-Hospital Acute Ischemic Stroke
This study aims to assess the validity of BE-FAST (Balance, Eyes, Face, Arm, Speech, Time) as a screening tool for acute ischemic stroke among inpatients.
Source: Journal of Stroke and Cerebrovascular Diseases - April 16, 2020 Category: Neurology Authors: Faten El Ammar, Agnieszka Ardelt, Victor J. Del Brutto, Andrea Loggini, Zachary Bulwa, Raisa C. Martinez, Cedric J. McKoy, James Brorson, Ali Mansour, Fernando D. Goldenberg Source Type: research

A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
Background To improve the health outcomes of survivors of stroke, it is critical that they are highly motivated to engage in rehabilitation activities. Despite the increasing prevalence of strokes among middle-aged adults, there is limited knowledge regarding factors that may affect survivors' motivation to engage in rehabilitation. Objective The aim of this study was to examine the relationship among factors that predict the rehabilitation motivation of middle-aged survivors after a stroke through structural equation modeling. Methods A total of 200 middle-aged (40–64 years) survivors of stroke from 9 rehabilita...
Source: Journal of Cardiovascular Nursing - August 13, 2020 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Integrating New Staff into Endovascular Stroke-Treatment Workflows in the COVID-19 Pandemic INTERVENTIONAL
SUMMARY: A health care crisis such as the coronavirus disease 2019 (COVID-19) pandemic requires allocation of hospital staff and resources on short notice. Thus, new and sometimes less experienced team members might join the team to fill in the gaps. This scenario can be particularly challenging in endovascular stroke treatment, which is a highly specialized task that requires seamless cooperation of numerous health care workers across various specialties and professions. This document is intended for stroke teams who face the challenge of integrating new team members into endovascular stroke-treatment workflows during the...
Source: American Journal of Neuroradiology - January 11, 2021 Category: Radiology Authors: Goyal, M., Kromm, J., Ganesh, A., Wira, C., Southerland, A., Sheth, K. N., Khosravani, H., Panagos, P., McNair, N., Ospel, J. M., On behalf of the AHA/ASA Stroke Council Science Subcommittees: Emergency Neurovascular Care (ENCC), the Cardiovascular and St Tags: INTERVENTIONAL Source Type: research

Decision-Making on Referral to Primary Care Physiotherapy After Inpatient Stroke Rehabilitation
Worldwide, stroke is a leading cause of death and disability.1 Although incidence rates are expected to increase over the next few decades, survival rates are expected to improve. Consequently, more stroke survivors will have to learn to live with the consequences. After acute stroke care or rehabilitation, returning home is one of the primary goals for stroke survivors.2 In the Netherlands, 65 % of stroke survivors return home immediately after acute hospital care.3 The remaining 35% continue inpatient rehabilitation in a rehabilitation center (RC) or geriatric rehabilitation center (GRC) before returning home.
Source: Journal of Stroke and Cerebrovascular Diseases - February 23, 2021 Category: Neurology Authors: Marieke Geerars, Roderick Wondergem, Martijn F. Pisters Source Type: research

Development of a Scoring System to Predict Prolonged Post-Stroke Dysphagia Remaining at Discharge from a Subacute Care Hospital to the Home
Stroke is the second-leading cause of death worldwide.1 One of the major post-stroke disabilities is dysphagia, which occurs in up to 80% of stroke patients.2,3 Post-stroke dysphagia is associated with not only physical problems (malnutrition, dehydration, and mortality)2 but also social and psychological well-being.4,5 Therefore, it is important to anticipate and intervene post-stroke dysphagia in the early stages and to share the predicted risk of long-term dysphagia among multidisciplinary professionals (e.g., physicians, nurses, physical therapists) and patient's families.
Source: Journal of Stroke and Cerebrovascular Diseases - April 24, 2021 Category: Neurology Authors: Yukiko Ito, Tadahiro Goto, Ji Young Huh, Osamu Yamamura, Tadanori Hamano, Ken-Ichiro Kikuta, Hiroyuki Hayashi Source Type: research

Association between volume of patients undergoing stroke rehabilitation at acute care hospitals and improvement in activities of daily living
Stroke is one of the most common causes of functional disability, and rehabilitation plays a vital role in treating acute stroke.1,2 In recent years, it has been reported that early rehabilitation and the amount of rehabilitation intervention, including treatment at a stroke care unit (SCU), contribute to the improvement in activities of daily living (ADL) in acute stroke rehabilitation.3,4 Stroke rehabilitation requires multi-disciplinary intervention, including physiotherapy, occupational and speech therapy, and it is believed that the quality of rehabilitation depends on the level of rehabilitation expertise of healthca...
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2022 Category: Neurology Authors: Takuaki Tani, Shinobu Imai, Norihiko Inoue, Natsuko Kanazawa, Kiyohide Fushimi Source Type: research

Depression In Both Stroke Patients And Spouse Caregivers Influenced By Self-Esteem And Optimism
Self-esteem, optimism and perceived control influence depression in stroke survivors and their spouse caregivers - who should be treated together, according to research presented at the American Stroke Association's International Stroke Conference 2013. Researchers, who analyzed 112 depressed stroke survivors up to 8 weeks after hospital discharge and their spouses, found self-esteem and optimism influenced each partners' depression...
Source: Health News from Medical News Today - February 8, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

EMS Not Used In One In Three Stroke Emergencies
More than a third of stroke patients don't get to the hospital by ambulance, even though that's the fastest way to get there, according to new research in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal. Researchers studied records on more than 204,000 stroke patients arriving at emergency rooms at 1,563 hospitals participating in the American Heart Association/American Stroke Association's Get With The Guidelines®-Stroke quality improvement program in 2003-10. Emergency medical services (EMS) transported 63...
Source: Health News from Medical News Today - May 1, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

Emotional Effects Of Stroke 'As Devastating As Physical Effects' Says New Report
Too many stroke survivors and their families are abandoned when they leave hospital and left without the support they need to help them cope with the emotional impact of stroke. A new report published yesterday (Wednesday 1 May) by the Stroke Association reveals that the emotional impact of the condition can be as devastating as the physical effects. The charity's report, Feeling Overwhelmed, is based on the findings of a survey(i) of over 2,700 people affected by stroke...
Source: Health News from Medical News Today - May 2, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

'Majority' of stroke patients might have undiagnosed attention disorders
The majority of stroke patients may have attention disorders, most of which are not diagnosed, according to a study published in the journal Neurology. Researchers from Imperial College London in the UK analyzed 110 patients who were being treated for stroke at London's Charing Cross Hospital, alongside 62 participants who had not suffered from stroke. Five of the stroke patients had already been diagnosed with an attention disorder called "neglect" - a deficit of attention and awareness in one side of the body...
Source: Health News from Medical News Today - August 28, 2013 Category: Consumer Health News Tags: Stroke Source Type: news

Stroke Outcomes of Japanese Patients With Major Cerebral Artery Occlusion in the Post-Alteplase, Pre-MERCI Era
This study examined outcomes of patients with acute ischemic stroke (AIS) with major cerebral artery occlusion after the approval of intravenous recombinant tissue-type plasminogen activator (IV rt-PA) but before approval of the MERCI retriever. We retrospectively enrolled 1170 consecutive patients with AIS and major cerebral artery occlusion (496 women; mean age, 73.9 ± 12.3 years) who were admitted within 24 hours after the onset of symptoms to 12 Japanese stroke centers between October 2005 and June 2009. Cardioembolism was a leading cause of AIS in this group (68.2%). The occlusion sites of the major cerebral arteries...
Source: Journal of Stroke and Cerebrovascular Diseases - June 21, 2012 Category: Neurology Authors: Kaoru Endo, Masatoshi Koga, Nobuyuki Sakai, Hiroshi Yamagami, Eisuke Furui, Yasushi Matsumoto, Yoshiaki Shiokawa, Shinichi Yoshimura, Yasushi Okada, Jyoji Nakagawara, Toshio Hyogo, Yasuhiro Hasegawa, Hisashi Nagashima, Toshiyuki Fujinaka, Akio Hyodo, Tomo Tags: Original Articles Source Type: research

Thrombocytopenia and In-hospital Mortality Risk among Ischemic Stroke Patients
Background: Thrombocytopenia has been associated with increased mortality in nonstroke conditions. Because its role in acute ischemic stroke is less well understood, we sought to determine whether thrombocytopenia at admission for acute ischemic stroke was associated with in-hospital mortality.Methods: We used data from a retrospective cohort of stroke patients (1998-2003) at 5 U.S. hospitals. Risk factors considered included conditions that can lead to thrombocytopenia (e.g., liver disease), increase bleeding risk (e.g., hemophilia), medications with antiplatelet effects (e.g., aspirin), and known predictors of mortality ...
Source: Journal of Stroke and Cerebrovascular Diseases - September 12, 2012 Category: Neurology Authors: Jason J. Sico, Michael S. Phipps, John Concato, Carolyn K. Wells, Albert C. Lo, Steven E. Nadeau, Linda S. Williams, Aldo J. Peixoto, Mark Gorman, John L. Boice, Dawn M. Bravata Tags: Original Articles Source Type: research

Identification of Modifiable and Nonmodifiable Risk Factors for Neurologic Deterioration after Acute Ischemic Stroke
Background: Neurologic deterioration (ND) after ischemic stroke has been shown to impact short-term functional outcome and is associated with in-hospital mortality.Methods: Patients with acute ischemic stroke who presented between July 2008 and December 2010 were identified and excluded for in-hospital stroke, presentation>48 hours since last seen normal, or unknown time of last seen normal. Clinical and laboratory data, National Institutes of Health Stroke Scale (NIHSS) scores, and episodes of ND (increase in NIHSS score ≥2 within a 24-hour period) were investigated.Results: Of the 596 patients screened, 366 were includ...
Source: Journal of Stroke and Cerebrovascular Diseases - December 17, 2012 Category: Neurology Authors: James E. Siegler, Amelia K. Boehme, Andre D. Kumar, Michael A. Gillette, Karen C. Albright, T. Mark Beasley, Sheryl Martin-Schild Tags: Original Articles Source Type: research

Endovascular therapeutic hypothermia for acute ischemic stroke: ICTuS 2/3 protocol
Therapeutic hypothermia improves neurological outcome after out‐of‐hospital cardiac arrest or neonatal hypoxic–ischemic injury. Although supported by preclinical evidence, therapeutic hypothermia for acute stroke remains under study. In the Intravascular Cooling in the Treatment of Stroke (ICTuS) trial, awake stroke patients were successfully cooled using an endovascular cooling catheter and a novel antishivering regimen. In the ICTuS‐L study, the combination of endovascular hypothermia and thrombolysis proved feasible; while hypothermia was associated with no increased risk of bleeding complications, there was an ...
Source: International Journal of Stroke - November 10, 2013 Category: Neurology Authors: Patrick D. Lyden, Thomas M. Hemmen, James Grotta, Karen Rapp, Rema Raman Tags: Protocols Source Type: research

Atrial Fibrillation Detected after Acute Ischemic Stroke: Evidence Supporting the Neurogenic Hypothesis
Background: It is unknown whether atrial fibrillation (AF) detected after acute ischemic stroke is caused by neurogenic or cardiogenic mechanisms. Based on the potential damage to the autonomic nervous system, neurogenic mechanisms could be implicated in the pathophysiology of newly diagnosed AF. To test this hypothesis, we developed a mechanistic approach by comparing a prespecified set of indicators in acute ischemic stroke patients with newly diagnosed AF, known AF, and sinus rhythm.Methods: We prospectively assessed every acute ischemic stroke patient undergoing continuous electrocardiographic monitoring from 2008 thro...
Source: Journal of Stroke and Cerebrovascular Diseases - June 24, 2013 Category: Neurology Authors: María E. González Toledo, Francisco R. Klein, Patricia M. Riccio, Fátima Pagani Cassará, Francisco Muñoz Giacomelli, Juan M. Racosta, Eleanor S. Roberts, Luciano A. Sposato Tags: Original Articles Source Type: research