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IJERPH, Vol. 18, Pages 7552: Economic Burden of Stroke Disease: A Systematic Review
The objective of this study was to analyze the burden in consequence of stroke. This research used a systematic review method. Furthermore, a search for articles was carried out in June–July 2020. Four databases were used to search articles from 2015 to 2020. Eligible studies were identified, analyzed, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The inclusion criteria were prospective cost studies, retrospective cost studies, database analysis, mathematical models, surveys, and COI studies that assess burden of stroke in primary and referral healthcar...
Source: International Journal of Environmental Research and Public Health - July 15, 2021 Category: Environmental Health Authors: Thinni Nurul Rochmah Indana Tri Rahmawati Maznah Dahlui Wasis Budiarto Nabilah Bilqis Tags: Review Source Type: research
Cost Burden and Cost-Effective Analysis of the Nationwide Implementation of the Quality in Acute Stroke Care Protocol in Australia
Stroke is the third global leading cause of death and disability.1,2 In Australia, stroke accounts for 3% of the total burden of disease and 5% of all deaths, with 36,700 incident strokes annually.3 Healthcare expenditure for stroke in Australia in 2017 was AUD 663 million.4
Source: Journal of Stroke and Cerebrovascular Diseases - June 19, 2021 Category: Neurology Authors: Clara Marquina, Zanfina Ademi, Ella Zomer, Richard Ofori-Asenso, Rhiannon Tate, Danny Liew Source Type: research
Swimming with Swimsuit and Wetsuit at Typical vs. Cold-water
Temperatures (26 vs. 18 ℃)
This study aimed to compare three swimming conditions in a swimming flume with
water at 26 ℃ (using swimsuit) and 18 ℃
(randomly with swimsuit and wetsuit). Seventeen swimmers (32.4±14.7
years old, 175.6±0.06 cm height, and 70.4±9.8 kg
body mass) performed three bouts until exhaustion at a 400-m front crawl pace
(24 h intervals). ANOVA repeated measures compared the experimental
conditions. Swimming at 26 ℃ with swimsuit evidenced a higher
metabolic demand (total energy expenditure; (E)), comparing to
18 ℃ swimsuit (p=0.05) and with 18 ℃
wetsuit (p=0...
Source: International Journal of Sports Medicine - May 21, 2021 Category: Sports Medicine Authors: Gay, Ana Zacca, Rodrigo Abraldes, J. Arturo Morales-Ort íz, Esther L ópez-Contreras, Gracia Fernandes, Ricardo J. Arellano, Ra úl Tags: Training & Testing Source Type: research
Analyzing Cost-Effectiveness of Allocating Neurointerventionist for Drive and Retrieve System for Patients with Acute Ischemic Stroke
The cost of stroke treatment accounts for approximately 6% of Japan's national medical expenditure,1 and stroke is the second most common condition, after dementia, that results in a requirement for long-term care. Thus, stroke has a significant impact on society.2 Cerebral infarction accounts for 60% or more of stroke cases.3 Systematic provision of highly equitable and efficient treatment for cerebral infarction is an important policy issue, such as the enactment of the Stroke and Cardiovascular Disease Control Act in December 2018 in Japan, as part of an effort to enhance provision of treatment for cerebral infarction.
Source: Journal of Stroke and Cerebrovascular Diseases - May 14, 2021 Category: Neurology Authors: Yasuhiro Morii, Toshiya Osanai, Kensuke Fujiwara, Takumi Tanikawa, Kiyohiro Houkin, Songzi Gu, Katsuhiko Ogasawara Source Type: research
Hearing Loss and Healthcare Access among Adults
In this study, we examined the association between HL and access to medical care and prescription drugs among individuals 50+ with and without HL. We used nationally representative 2013–2014 Medical Expenditure Panel Survey data, consisting of 1,977 adults with HL and 17,399 without. We applied an inverse propensity score weighting and regression modeling to adjust for any potential differences in health and socioeconomic conditions between the two groups. Adults with HL were more likely to be white, less educated, poorer, and with public insurance (p < 0.001). They were also likely to have hypertension, heart dis...
Source: Seminars in Hearing - April 15, 2021 Category: Audiology Authors: Mahmoudi, Elham Zazove, Philip Pleasant, Terrence Meeks, Lisa McKee, Michael M. Tags: Review Article Source Type: research
IJERPH, Vol. 18, Pages 4129: Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan
Willy Chou
Stroke rehabilitation focuses on alleviating post-stroke disability. Post-acute care (PAC) offers an intensive rehabilitative program as transitional care following acute stroke. A novel home-based PAC program has been initiated in Taiwan since 2019. Our study aimed to compare the current inpatient PAC model with a novel home-based PAC model in cost-effectiveness and functional recovery for stroke patients in Taiwan. One hundred ninety-seven stroke patients eligible for the PAC program were divided into two different health interventional groups. One received rehabilitation during hospitalization, and the o...
Source: International Journal of Environmental Research and Public Health - April 14, 2021 Category: Environmental Health Authors: Yu-Ju Tung Wen-Chih Lin Lin-Fu Lee Hong-Min Lin Chung-Han Ho Willy Chou Tags: Article Source Type: research
Factors Associated with Level of Physical Activity After Minor Stroke
Health authorities recommend physical activity for general health and to prevent cardiovascular events.1,2 Despite this, physical inactivity is the fourth leading risk factor for global mortality.3 Physical activity has been defined as any bodily movement produced by skeletal muscles that results in energy expenditure, consisting of a broad spectre of daily life activities, including exercise, and resulting in physical fitness.4 There is a dose-response effect of the amount of physical activity on health, where higher volumes, both time and intensity, of activity are associated with additional health benefits.
Source: Journal of Stroke and Cerebrovascular Diseases - January 25, 2021 Category: Neurology Authors: Charlotta Hamre, Brynjar Fure, Jorunn L ægdheim Helbostad, Torgeir Bruun Wyller, Hege Ihle-Hansen, Georgios Vlachos, Marie Helene Ursin, Gro Gujord Tangen Source Type: research
The Metabolic Cost of Exercising With a Robotic Exoskeleton: A Comparison of Healthy and Neurologically Impaired People
While neuro-recovery is maximized through active engagement, it has been suggested that the use of robotic exoskeletons in neuro-rehabilitation provides passive therapy. Using oxygen consumption (VO2) as an indicator of energy expenditure, we investigated the metabolic requirements of completing exercises in a free-standing robotic exoskeleton, with 20 healthy and 12 neurologically impaired participants (six with stroke, and six with multiple sclerosis (MS)). Neurological participants were evaluated pre- and post- 12 weeks of twice weekly robotic therapy. Healthy participants were evaluated in, and out of, the exoskeleton....
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - December 1, 2020 Category: Neuroscience Source Type: research
Tackling diabetes: how nurses can make the difference.
Authors: El Berri H, Gedik FG, Belkhadir J, Catton H, Hammerich A, Oweis A, Slama S
Abstract
This year, World Diabetes Day on 14 November coincides with the International Year of the Nurse and the Midwife, and therefore focuses on highlighting the role of nurses in the prevention and management of diabetes.
Diabetes is recognized as an important cause of premature death and disability globally and in the Eastern Mediterranean Region, where its prevalence has been steadily increasing since 1990. Although the annual decline of the risk of dying from a major noncommunicable disease between the ages of 30 and 70 ye...
Source: Eastern Mediterranean Health Journal - November 24, 2020 Category: Middle East Health Tags: East Mediterr Health J Source Type: research
Prevalence and predictors of post-stroke epilepsy among Ghanaian stroke survivors
Post-stroke epilepsy (PSE) is associated with poorer quality of life, higher mortality, and greater health expenditures. We are unaware of any published reports on the frequency of and factors associated with PSE in Africa.
Source: Journal of the Neurological Sciences - September 10, 2020 Category: Neurology Authors: Fred Stephen Sarfo, John Akassi, Vida Obese, Sheila Adamu, Manolo Agbenorku, Bruce Ovbiagele Source Type: research
Comparison of Frequency of Atrial Fibrillation in Blacks versus Whites and the Utilization of Race in a Novel Risk Score
Atrial fibrillation (AF) is the most prevalent sustained arrhythmia in the world, with over 30 million people affected as of 2010.1 The number of patients projected to develop AF will double over the next decade.2 AF is independently associated with an increased risk of stroke,3 heart failure (HF),4 and mortality.5 It is not surprising, thus, that AF assumes a sizeable share of health care expenditure and its magnitude is reaching epidemic proportions.6 Blacks despite having a higher prevalence of traditional risk factors for AF, such as HF, hypertension, and diabetes mellitus, have been shown to have a lower incidence of AF.
Source: The American Journal of Cardiology - August 27, 2020 Category: Cardiology Authors: Gurukripa N. Kowlgi, Sampath Gunda, Santosh K. Padala, Jayanthi N. Koneru, Abhishek J. Deshmukh, Kenneth A. Ellenbogen Source Type: research
Sensors, Vol. 20, Pages 3236: A Mobile Application for Smart Computer-Aided Self-Administered Testing of Cognition, Speech, and Motor Impairment
We present a model for digital neural impairment screening and self-assessment, which can evaluate cognitive and motor deficits for patients with symptoms of central nervous system (CNS) disorders, such as mild cognitive impairment (MCI), Parkinson&rsquo;s disease (PD), Huntington&rsquo;s disease (HD), or dementia. The data was collected with an Android mobile application that can track cognitive, hand tremor, energy expenditure, and speech features of subjects. We extracted 238 features as the model inputs using 16 tasks, 12 of them were based on a self-administered cognitive testing (SAGE) methodology and...
Source: Sensors - June 5, 2020 Category: Biotechnology Authors: Andrius Lauraitis Rytis Maskeli ūnas Robertas Dama ševičius Tomas Krilavi čius Tags: Article Source Type: research
Cardiac Rehabilitation and Secondary Prevention Roundtable: Australian Implementation and Research Priorities
Cardiovascular disease (CVD), including coronary heart disease (CHD) and stroke, is the leading cause of death and disease burden globally [1]. CVD resulted in>1.1 million hospitalisations in 2015-16, and incurs the highest level of health care sector expenditure in Australia (11-12% of total health expenditure) [2]. CHD accounts for the greatest single disease morbidity (>500,000 bed-days annually) and nearly one fifth of all deaths with a total cost of $1.14 billion annually [2]. Over 65,000 Australians experience an acute coronary event (heart attack or unstable angina) each year [3], and, importantly, around a third of...
Source: Heart, Lung and Circulation - February 28, 2020 Category: Cardiology Authors: Julie Redfern, Gemma Figtree, Clara Chow, Garry Jennings, Tom Briffa, Robyn Gallagher, Rachelle Foreman, on behalf of Roundtable Attendees Tags: Editorial Source Type: research
The burden of health conditions across race and ethnicity for aging Americans: Disability-adjusted life years
The objective of this study was to determine the burden of 10 health conditions across race and ethnicity for a nationally-representative sample of aging Americans.
Data from the 1998 to 2014 waves of the Health and Retirement Study, an ongoing longitudinal-panel study, were analyzed.
Those aged over 50 years who identified as Black, Hispanic, or White were included. There were 5510 Blacks, 3423 Hispanics, and 21,168 Whites in the study.
At each wave, participants reported if they had cancer, chronic obstructive pulmonary disease, congestive heart failure, diabetes, back pain, hypertension, a fractured hip, myocardial i...
Source: Medicine - November 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Preventive Care: How Mammography Utilization Changes as Women Age
DiscussionMammography use was higher in patients with HTN and HLD, and lower in patients with prior MI and stroke, which may reflect differences in comorbidity-related general health care use. Use increased until it peaked around age 60. An understanding of how mammography use naturally evolves as people age may help better target specific populations and improve overall use of preventive care.
Source: Journal of the American College of Radiology - October 18, 2019 Category: Radiology Source Type: research
