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Ischemic Stroke Management: Posthospitalization and Transition of Care
Am Fam Physician. 2023 Jul;108(1):70-77.ABSTRACTIschemic stroke is a major cause of morbidity and mortality worldwide. Ischemic stroke and transient ischemic attack exist on a continuum of the same disease process. Ischemic stroke is common, and more than 85% of stroke risk is attributed to modifiable risk factors. The initial management of acute stroke is usually performed in the emergency department and hospital settings. Family physicians have a key role in follow-up, ensuring that a complete diagnostic evaluation has been performed, addressing modifiable risk factors, facilitating rehabilitation, and managing chronic s...
Source: American Family Physician - July 13, 2023 Category: Primary Care Authors: Scott T Larson Brigit E Ray Jason Wilbur Source Type: research
Systemic immune-inflammation index as a predictor of prognosis after carotid artery stenting compared with C-reactive protein
This study was a single-center retrospective investigation. Overall, 129 patients who underwent CAS were categorized into tertiles based on their SII levels. We primarily investigated the long-term major adverse cardiac and cerebrovascular events (MACCE) and secondarily the in-hospital and long-term stroke incidence, as well as all-cause death. ResultsThe in-hospital stroke rate tended to increase with a rise in SII (P = 0.13). Over the 5-year follow-up period, the Kaplan –Meier overall incidence of MACCE was 9.3%, 16.3%, and 39.5% in the lowest to highest tertiles, respectively (log-rank trend test,P647) was a predictor...
Source: PLoS One - July 13, 2023 Category: Biomedical Science Authors: Shuji Morikawa Source Type: research
Guideline Compliant Minimum Asymptomatic Carotid Endarterectomy Surgeon and Hospital Volume Cutoffs
The objective here is to identify a lower optimal cutpoint for surgeon and hospital volume for asymptomatic CEA.
Source: Annals of Vascular Surgery - July 13, 2023 Category: Surgery Authors: Joshua T. Geiger, Fergal Fleming, James C. Iannuzzi, Michael Stoner, Adam Doyle Tags: Clinical Research Source Type: research
Heat Stroke Isn ’t Just a Short-Term Danger
With each summer of increased extreme heat, more people worldwide face the risks associated with heat exposure. Last year, Europe saw a record number of heat-related deaths, and even regions more used to dealing with hot weather, like South Asia, are seeing high temperatures start earlier and earlier in the season. Heat stroke—the most dangerous form of heat-related illness—is a growing threat and creates a public health quandary since there’s still no available treatment other than simply cooling victims down. What’s more, early research seems to suggest heat stroke could lead to further health con...
Source: TIME: Health - July 12, 2023 Category: Consumer Health News Authors: Haley Weiss Tags: Uncategorized climate change healthscienceclimate Source Type: news
Disparities in transitions of acute stroke care: The transitions of care stroke disparities study methodological report
Despite successful stroke therapies, women, minority, and other disadvantaged populations continue to experience a disproportionate burden of stroke and poor outcomes after stroke.1,2 Hospital based quality improvement stroke programs have demonstrated greater adherence to evidence-based stroke care recommendations. However, it is less evident if the implementation of these programs minimizes race-ethnic, sex and geographic disparities in stroke care post hospitalization. About 25% of discharged stroke patients are readmitted to the hospital within 30 days of initial event.
Source: Journal of Stroke and Cerebrovascular Diseases - July 12, 2023 Category: Neurology Authors: Karlon H. Johnson, Hannah Gardener, Carolina Gutierrez, Erika Marulanda, Iszet Campo-Bustillo, Gillian Gordon Perue, WayWay Hlaing, Ralph Sacco, Jose G. Romano, Tatjana Rundek, Transitions of Care Stroke Disparities Study (TCSD-S) Investigators Source Type: research
Effect of a Hospital-To-Home Transitional Intervention Based on an Interaction Model of Client Health Behavior for Adult Patients with Stroke
J Community Health Nurs. 2023 Jul 10:1-16. doi: 10.1080/07370016.2023.2227154. Online ahead of print.ABSTRACTTo develop and identify the effectiveness of a hospital-to-home transitional intervention based on an interaction model of client health behavior in adult patients with stroke. A non-equivalent control group pretest-posttest. Thirty-eight patients participated (18=intervention, 20=control); the intervention group received 12 weeks of the intervention. The intervention influenced anxiety, disease severity, health behavior adherence, patient satisfaction, and quality of life in adult patients with stroke. Transitional...
Source: Journal of Community Health Nursing - July 11, 2023 Category: Nursing Authors: Su-Jin Cho Sung Reul Kim Kyung-Hee Cho Nah-Mee Shin Won-Oak Oh Source Type: research
