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Agreement between ambulance and hospital records for information promoting urgent stroke treatment decisions
Conclusion: In a retrospective cohort of stroke patients admitted by emergency ambulance, standard practice did not consistently result in prehospital documentation of information that could promote rapid treatment decisions. Training emergency practitioners and/or providing clinical protocols could facilitate early stroke treatment decisions, but prehospital information availability is likely to be a limiting factor.
Source: European Journal of Emergency Medicine - December 21, 2015 Category: Emergency Medicine Tags: Original Articles Source Type: research

Aerobic Training in Canadian Stroke Rehabilitation Programs
Conclusions: Most stroke rehabilitation programs across Canada include AT. People with severe physical impairment and those with cardiac, metabolic, and hemodynamic comorbidities may be excluded or not appropriately monitored during exercise. More detailed guidelines and training practices are needed to address these challenges. Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A233).
Source: Journal of Neurologic Physical Therapy - October 1, 2018 Category: Physiotherapy Tags: Research Articles Source Type: research

Functional outcome prediction of ischemic stroke patients with atrial fibrillation accepting post-acute care training
ConclusionIn the current study, nearly half of the enrolled patients showed favorable functional recovery. The outcome assessments seem to correlate well with NIHSS and Barthel Index scores, rather than mRS. The anxiety/depression and usual activities domains of the EQ-5D results are associated with and have a great impact after the patients undertake the PAC rehabilitative strategy. Moreover, the variables obtained through carotid duplex and plaque index might also play a significant role in determining the patient's functional outcome.
Source: Frontiers in Neurology - September 23, 2022 Category: Neurology Source Type: research

Development and Validation of a Nomogram to Predict the Individual Future Stroke Risk for Adult Patients With Moyamoya Disease: A Multicenter Retrospective Cohort Study in China
Conclusions: We developed a novel nomogram incorporating several clinical characteristics with relatively good accuracy, which may have considerable potential for evaluating individual future stroke risk and providing useful management recommendations for adult patients with MMD in clinical practice.
Source: Frontiers in Neurology - May 13, 2021 Category: Neurology Source Type: research

Fuzzy cognitive map based approach for determining the risk of ischemic stroke
In this study, the soft computing method known as fuzzy cognitive mapping was proposed for diagnosis of the risk of ischemic stroke. Non-linear Hebbian learning method was used for fuzzy cognitive maps training. In the proposed method, the risk rate for each person was determined based on the opinions of the neurologists. The accuracy of the proposed model was tested using 10-fold cross-validation, for 110 real cases, and the results were compared with those of support vector machine and K-nearest neighbours. The proposed system showed a superior performance with a total accuracy of (93.6 ± 4.5)%. The da...
Source: IET Systems Biology - November 29, 2019 Category: Biology Source Type: research

Role of female community health volunteers in ischemic stroke prevention, identification, referral and rehabilitation in Nepal
Ann Med Surg (Lond). 2021 Oct 8;72:102893. doi: 10.1016/j.amsu.2021.102893. eCollection 2021 Dec.ABSTRACTFor the past three decades, female community health volunteers (FCHVs) have been at the forefront of Nepal's health map and have contributed significantly to its improving health indicators such as maternal mortality rate and infant mortality rate. Given the changing epidemiology of Nepal and the shift of burden from communicable to non-communicable diseases (NCDs), it is important to revitalize their role with the changing times. The prevalence of ischemic stroke in Nepal is on the rise. However, very few people make i...
Source: Annals of Medicine - January 7, 2022 Category: Internal Medicine Authors: Babin Basnet Jayant Kumar Yadav Bikram Prasad Gajurel Yow Ka Shing Bipin Kandel Gaurav Nepal Source Type: research

IJERPH, Vol. 19, Pages 3182: Predictive Model and Mortality Risk Score during Admission for Ischaemic Stroke with Conservative Treatment
Conclusions: It is possible to create a predictive model of mortality for patients with ischaemic stroke from which important advances can be made towards optimising the quality and efficiency of care. The model results are available within a few minutes of admission and would provide a valuable complementary resource for the neurologist.
Source: International Journal of Environmental Research and Public Health - March 8, 2022 Category: Environmental Health Authors: Mar ía Carmen Lea-Pereira Laura Amaya-Pascasio Patricia Mart ínez-Sánchez Mar ía del Mar Rodríguez Salvador Jos é Galván-Espinosa Luis T éllez-Ramírez Fernando Reche-Lorite Mar ía-José Sánchez Juan Manuel Garc ía-Torrecillas Tags: Article Source Type: research

Partnering with the black church: recipe for promoting heart health in the stroke belt.
This article shares findings of elements to improve relations between community agencies and pastors, explores the strengths and challenges of working with churches, examines the role of the pastors in establishing successful programs, and identifies model programs. This article will identify key factors that are essential to cardiovascular health programs that purport to reach high-risk populations for cardiovascular disease with life saving environmental policies and behavior change strategies. Suggestions are provided for working with pastors, churches, and church resources to maximize the desired outcomes of future hea...
Source: ABNF Journal : Official Journal of the Association of Black Nursing Faculty in Higher Education Inc - November 18, 2015 Category: Nursing Tags: ABNF J Source Type: research

Service factors causing delay in specialist assessment for TIA and minor stroke: a qualitative study of GP and patient perspectives
Conclusions Primary and emergency care providers need to review how they can best handle patients presenting with symptoms that could be due to stroke or TIA. In general practice, this may include receptionist training and/or triage by a nurse or doctor. Mechanisms need to be established to enable direct referral to the TIA clinic when patients whose symptoms have resolved present to other agencies. Further work is needed to improve diagnostic accuracy by non-specialists.
Source: BMJ Open - May 16, 2016 Category: Journals (General) Authors: Wilson, A., Coleby, D., Regen, E., Phelps, K., Windridge, K., Willars, J., Robinson, T. Tags: Open access, Cardiovascular medicine, Emergency medicine, Health services research, Qualitative research Source Type: research

Brain Imaging Signs and Health-Related Quality of Life after Acute Ischemic Stroke: Analysis of ENCHANTED Alteplase Dose Arm
Conclusions: In thrombolysed AIS patients, right-sided and deep ischemia within the MCA territory predict poor overall HRQoL, whilst features of old cerebral ischemia are associated with reduced physical HRQoL.Cerebrovasc Dis
Source: Cerebrovascular Diseases - July 22, 2020 Category: Neurology Source Type: research

Establishment of Clinical Prediction Model Based on the Study of Risk Factors of Stroke in Patients With Type 2 Diabetes Mellitus
Conclusion: This study established a model predicting risk of stroke for T2DM patients through a community-based survey.
Source: Frontiers in Endocrinology - August 24, 2020 Category: Endocrinology Source Type: research

Feasibility of a Clinical-Radiomics Model to Predict the Outcomes of Acute Ischemic Stroke
CONCLUSION: The clinical-radiomics model outperformed individual clinical or radiomics models and achieved satisfactory performance in predicting AIS outcomes.PMID:35695316 | DOI:10.3348/kjr.2022.0160
Source: Korean Journal of Radiology - June 13, 2022 Category: Radiology Authors: Yiran Zhou Di Wu Su Yan Yan Xie Shun Zhang Wenzhi Lv Yuanyuan Qin Yufei Liu Chengxia Liu Jun Lu Jia Li Hongquan Zhu Weiyin Vivian Liu Huan Liu Guiling Zhang Wenzhen Zhu Source Type: research