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Total 383 results found since Jan 2013.

Modeling the potential efficiency of a blood biomarker-based tool to guide pre-hospital thrombolytic therapy in stroke patients
ConclusionsThe use of a blood biomarker test to guide pre-hospital thrombolysis is cost-effective compared with standard hospital care in patients with ischemic stroke.
Source: The European Journal of Health Economics - July 27, 2022 Category: Health Management Source Type: research

A Nationwide Analysis of Aneurysmal Subarachnoid Hemorrhage Mortality, Complications, and Health Economics in the USA
In conclusion, patients with aSAH have high post-operative complication ra tes and costs. Development of novel interventions to reduce complications and improve outcomes is crucial.
Source: Translational Stroke Research - July 26, 2022 Category: Neurology Source Type: research

Rethinking driving against medical advice: the situated nature of driving after stroke - Vander Veen A, Laliberte Rudman D.
BACKGROUND: As stroke can result in functional impairments that impact driving ability, many jurisdictions mandate a 30-day period of driving restriction post-stroke. However, between 26% and 38% of clients drive against medical advice during this period. ...
Source: SafetyLit - July 25, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

The Evolving Economics of Implementation
Decision makers in healthcare systems strive to implement evidence-based, high-quality care. A lack of economic data is often cited as a barrier to implementation, especially when decision makers are asked to allocate finite resources and face competing demands.1–3 Studies that evaluate the cost of implementation strategies remain rare, and often these studies only estimate the implementation costs without connecting those investments to patient outcomes. In this issue of BMJ Quality & Safety, in a cost-effectiveness evaluation of a quality improvement project to improve thrombolysis door-to-needle times in a lar...
Source: Quality and Safety in Health Care - July 19, 2022 Category: Health Management Authors: Knocke, K., Wagner, T. W. Tags: Open access Editorials Source Type: research

Can we successfully improve attentional impairments after brain injury with computer-based interventions? - van Heugten CM, Bertens D, Fasotti L.
The series of systematic reviews on cognitive rehabilitation for people with traumatic brain injury (TBI) or stroke published in APMR present the current evidence and recommendations for clinical practice. The authors performed an impressive amount of work...
Source: SafetyLit - July 4, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Cumulative risk and factors associated with fall-related fractures in stroke survivors after discharge from rehabilitation wards: a retrospective study with a 6-year follow-up - Kumagai M, Otaka Y, Yoshida T, Kitamura S, Ushizawa K, Mori N, Matsuura D, Honaga K, Kondo K, Shimizu E.
OBJECTIVE: To investigate the long-term cumulative risk and factors associated with fall-related fractures in stroke survivors discharged from convalescent rehabilitation wards. DESIGN: Retrospective cohort study. PARTICIPANTS: A total of 786 strok...
Source: SafetyLit - June 6, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Long-term risk of stroke after traumatic brain injury: a population-based medical record review study - Sperl MA, Esterov D, Ransom JE, Mielke MM, Witkowski JE, Brown AW.
OBJECTIVE To reliably inform secondary prevention strategies and reduce morbidity and mortality after traumatic brain injury (TBI), we sought to understand the long-term risk of stroke after TBI in patients aged 40 years and older in comparison to age- and...
Source: SafetyLit - May 30, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Decreasing rates of cost-related medication non-adherence by age advancement among American generational cohorts 2004-2014: a longitudinal study
Conclusion The paradox of decreasing CRN rates, independent of disease burden, income and insurance status, suggests populations’ CRN behaviours change as Americans age, bearing implications to social policy.
Source: BMJ Open - May 6, 2022 Category: General Medicine Authors: Zhang, J., Bhaumik, D., Meltzer, D. Tags: Open access, Health economics Source Type: research

The management of anticoagulants in patients with atrial fibrillation and history of falls or risk of falls: protocol for a systematic review and meta-analysis - Galvain T, Hill R, Donegan S, Lisboa P, Lip GYH, Czanner G.
BACKGROUND: Atrial fibrillation affects an estimated 33 million individuals worldwide and is a major cause of stroke, heart failure, and death. Anticoagulants substantially reduce the risk of stroke but are also associated with an increased risk of bleedin...
Source: SafetyLit - April 14, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

The impact of a structured rehabilitation program for uninsured individuals - Draganich C, Berliner J, Sevigny M, Niehaus W, Philippus A, Payne L, Gerber D, Monden KR.
PURPOSE/OBJECTIVE: Health disparities in rehabilitation have been identified in brain injury (BI), spinal cord injury (SCI), stroke, and amputee populations. A free clinic was established to serve such uninsured individuals. The purpose of this exploratory...
Source: SafetyLit - April 6, 2022 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

Cost-effective analysis of mechanical thrombectomy alone in the treatment of acute ischaemic stroke: a Markov modelling study
Conclusions MT alone was cost-effective compared with MT with alteplase in China. However, cautions are needed to extend this conclusion to regions outside of China.
Source: BMJ Open - April 6, 2022 Category: General Medicine Authors: Han, M., Qin, Y., Tong, X., Ji, L., Zhao, S., Liu, L., Chen, J., Liu, A. Tags: Open access, Health economics Source Type: research

The Aging Brain and Benefits of Exercise versus Increased Prevalence of Sedentary Lifestyle: Lessons Learned from Behavioral Economics on Irrational Decision Making
Thereis growing evidence for the benefits of exercise to the aging brain. Exercise promotes brain function, improves brain metabolism, cerebrovascular flow, and neuroplasticity. All these contribute to cognitive reserve and prevention of late life cognitive decline. Conversely, a sedentary lifestyle has been shown to increase all causes of mortality, double the risk of cardiovascular and metabolic diseases which are significant risk factors to stroke and vascular cognitive decline. Inactivity also increases the risk for late life depression and anxiety.
Source: The American Journal of Geriatric Psychiatry - March 17, 2022 Category: Geriatrics Authors: Sivan Klil-Drori, Karin Cinalioglu, Soham Rej Tags: Poster Number: NR-31 Source Type: research

Cost-effectiveness of a photopethysmographic procedure for screening for atrial fibrillation in 6 European countries
ConclusionThe model results showed a strong dependence of the results on the country-specific costs for stroke treatment. The use of the investigated screening method is close to cost-neutral or cost-reducing in the Western European countries and Greece. In countries with low price levels, higher cost increases due to AF screening are to be expected. Lower costs of anticoagulation, which are expected due to the upcoming patent expiry of direct anticoagulants, have a positive effect on the cost result.
Source: Health Economics Review - February 26, 2022 Category: International Medicine & Public Health Source Type: research