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Condition: Pneumonia
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Total 1895 results found since Jan 2013.
Screening for silent aspiration in hyperacute stroke: A feasibility study of clinical swallowing examination and cough reflex testing
CONCLUSIONS & IMPLICATIONS: CRT, CSE and FEES are feasible in 58% of hyperacute stroke patients in this setting. FEES anxiety is the main recruitment barrier and is not always well tolerated. Results support further work to establish optimum methods and differential sensitivity/specificity of CRT and CSE in hyperacute stroke for SA identification.WHAT THIS PAPER ADDS: What is already known on this subject SA significantly increases the risk of pneumonia in the early days post-stroke. CSEs are unreliable for identification of SA risk in this population. CRT is gaining popularity as a potential tool to identify stroke patien...
Source: International Journal of Language and Communication Disorders - May 9, 2023 Category: Speech-Language Pathology Authors: Julie Trimble Joanne M Patterson Janet A Wilson Anand K Dixit Michael Drinnan Source Type: research
Patients with Stroke and Dysphagia: Demographics and Trends in Percutaneous Endoscopic Gastrotomy Tube Use in Stroke Patients in the United States from 1988-2010 (P01.219)
CONCLUSIONS: The use of PEG tubes has increased over time in US hospital admissions for acute stroke, and was associated with multiple comorbidities, greater length of stay and age > 74. This shows the increasing awareness of post-stroke dysphagia.Disclosure: Dr. Johnson has nothing to disclose. Dr. Dubinsky has received personal compensation for activities with Allergan, Inc. Dr. Dubinsky has received research support from Allergan Pharmaceuticals, Medivation Pharmaceuticals, and from the National Institutes of Health.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Johnson, K., Dubinsky, R. Tags: P01 Cerebrovascular Disease I Source Type: research
Mechanical Ventilation for Acute Stroke: A Multi-state Population-Based Study
Conclusions
In this large population-based sample, over half of mechanically ventilated stroke patients died in the hospital despite the fact that younger patients were more likely to receive mechanical ventilation. Future studies are indicated to elucidate mechanical ventilation strategies to optimize long-term outcomes after severe stroke.
Source: Neurocritical Care - December 9, 2014 Category: Neurology Source Type: research
Stroke Impairs Bactericidal Function in Phagocytes (P5.131)
CONCLUSIONS. Oxidative burst and NETosis were reduced in cells derived from stroke patients compared to controls. In vitro, NETosis was inhibited by the addition of adrenalin and dexamethasone to the cell culture. Migration, phagocytosis of bacteria and the release of HNP 1-3 were not altered in stroke patients. We conclude that the immunological consequences of stroke are not limited to the adaptive immune system but extend to the bactericidal function of phagocytes. This may be causally related to the enhanced susceptibility to infection in stroke patients. The hormone induced inhibition of NETosis in vitro further suppo...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dressel, A., Ruhnau, J., Schulze, K., Blumke, L., Gaida, B., Langner, S., Kessler, C., Broker, B., Vogelgesang, A. Tags: Cerebrovascular Disease and Interventional Neurology: Biomarkers and Emerging Science Source Type: research
Establishment Of Stroke Ward Results In Immediate Reduction Of Major Complications (P5.143)
Conclusion: A protocol based multidisciplinary care Stroke Ward care significantly reduces common early complications of acute stroke. It also helps in significantly reducing the length of stay, saving total bed days at a tertiary care hospital, hence improving the overall care of these patients.Disclosure: Dr. Akhtar has nothing to disclose. Dr. Kamran has nothing to disclose. Dr. D'SOUZA has nothing to disclose. Dr. Imam has nothing to disclose. Dr. BOURKE has nothing to disclose. Dr. Joseph has nothing to disclose. Dr. SANTOS has nothing to disclose. Dr. Shuaib has received research support from AstraZeneca, CoAxia, Pfi...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Akhtar, N., Kamran, S., D'Souza, A., Imam, Y., Bourke, P., Joseph, S., Santos, M., Shuaib, A. Tags: Cerebrovascular Disease and Interventional Neurology: Clinical Research Tools, Methods, and Innovations Source Type: research
Outcomes after stroke in patients receiving adjuvant therapy with traditional Chinese medicine: A nationwide matched interventional cohort study
Conclusions Hospitalized stroke patients who received routine care and adjuvant TCM therapy exhibited reduced adverse outcomes after admission within a 6-month follow-up period. Graphical abstract
Source: Journal of Ethnopharmacology - November 30, 2015 Category: Drugs & Pharmacology Source Type: research
Laryngeal Elevation Velocity and Aspiration in Acute Ischemic Stroke Patients
This study aimed to explore the ability of laryngeal elevation velocity to predict aspiration in patients with acute ischemic stroke. MethodsThis was a prospective cohort study that included consecutive acute ischemic stroke patients treated at a teaching hospital during a 10-month period. Patients underwent magnetic resonance imaging (MRI) to confirm the diagnosis of acute ischemic stroke. Patients who were at risk of aspiration and could swallow 5 ml of diluted barium (40%, w/v) for a videofluoroscopic swallowing (VFS) study were included. The association between abnormal indices in the oral and pharyngeal phase of the V...
Source: PLoS One - August 31, 2016 Category: Biomedical Science Authors: Jing Zhang Source Type: research
A Mouse Model of Post-Stroke Pneumonia Induced by Intra-Tracheal Inoculation with < b > < i > Streptococcus pneumoniae < /i > < /b >
Conclusions: In this standardized mouse model of post-stroke pneumonia, we describe attenuated leukocyte infiltration and cytokine production in response to bacterial infection in the lungs that has a profound effect on outcome.Cerebrovasc Dis 2017;43:99-109
Source: Cerebrovascular Diseases - January 3, 2017 Category: Neurology Source Type: research
A Mouse Model of Post-Stroke Pneumonia Induced by Intra-Tracheal Inoculation with Streptococcus pneumoniae
Conclusions: In this standardized mouse model of post-stroke pneumonia, we describe attenuated leukocyte infiltration and cytokine production in response to bacterial infection in the lungs that has a profound effect on outcome.Cerebrovasc Dis 2017;43:99-109
Source: Cerebrovascular Diseases - January 4, 2017 Category: Neurology Source Type: research
Research on the Cause of Death for Severe Stroke Patients
ConclusionsThe most common cause of death in stroke patients was damage to the central nervous system. Independent risk factors were brain herniation, multiple organ failure, dyslipidemia, community‐acquired lung infection, the use of mechanical ventilation, hypoproteinemia, a history of hypertension, and hospital‐acquired pneumonia. Clinicians should be aware of the presence and possible effects of these conditions. Early prevention, monitoring and intervention to modify controllable risk factors will improve patient prognosis.
Relevance to clinical practiceClinicians should be aware of the multiple independent risk f...
Source: Journal of Clinical Nursing - July 5, 2017 Category: Nursing Authors: Mei ‐zhen Yuan, Feng Li, Qin Fang, Wei Wang, Jing‐jing Peng, De‐yu Qin, Xue‐feng Wang, Guang‐wei Liu Tags: Original Article Source Type: research
Predictors of dependence after MCA ischemic stroke submitted to thrombolysis.
DISCUSSION: .Dependence is an important indicator of the efficacy of stroke care. Besides it was not possible to evaluate rehabilitation, this is the first study on predictors of post-stroke dependence that focus exclusively on patients with first-ever MCA IS submitted to IVT. NIHSS, LAA stroke, in-hospital pneumonia and seizures after discharge were associated with dependence after first-ever MCA IS submitted to IVT.
PMID: 29125072 [PubMed - as supplied by publisher]
Source: Neurological Research - November 11, 2017 Category: Neurology Tags: Neurol Res Source Type: research
