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Education: Teaching Hospitals

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Total 488 results found since Jan 2013.

Early prediction and outcome of septic encephalopathy in acute stroke patients with nosocomial coma.
CONCLUSION: High fever and severe SIRS are two early predictors of stroke patients with SE, and survival rates were worse in stroke patients with SE than those without SE. PMID: 26015818 [PubMed]
Source: Clin Med Res - May 29, 2015 Category: Research Authors: Tong DM, Zhou YT, Wang GS, Chen XD, Yang TH Tags: J Clin Med Res 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

Depression and dynamic balance recovery among stroke survivors: A preliminary investigation
Conclusions There is a high prevalence of post-stroke depression among stroke survivors and they have poor dynamic balance. However, owing to small sample of participants in the present study, its premature to draw conclusion on the relationship between depression and dynamic balance recovery among stroke survivors from the result of this study.
Source: Polish Annals of Medicine - September 10, 2016 Category: Journals (General) Source Type: research

Quality of acute stroke care in a regional Victorian hospital, Australia.
CONCLUSION: The timeliness of brain imaging and thrombolysis was comparable in the study hospital to that of the national standard, while other stroke management indicators still require improvement. Continuing efforts for improvement and revisiting possible areas of delay are warranted. PMID: 30945784 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - April 3, 2019 Category: Rural Health Authors: Yang TWW, Islam MR Tags: Aust J Rural Health Source Type: research

225 Assessment of Well-being after Stroke
ConclusionThis study highlights significant concerns from patients following stroke with regard to their memory and mood. This emphasises the importance of formal assessment of mood and memory both during admission and on an ongoing basis post discharge. A significant proportion of patients required additional help at home with family members providing the majority of this support.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

IJERPH, Vol. 19, Pages 16345: Post-Stroke Experiences and Rehabilitation Needs of Community-Dwelling Chinese Stroke Survivors: A Qualitative Study
i Liang Stroke survivors encounter significant limitations in daily life activities and face increased risk of health complications such as stroke recurrence. Considering the escalating demand for personalised community rehabilitation services, this qualitative study was conducted to understand the current recovery experiences, needs, and expectations of community-dwelling stroke survivors. Fifty stroke survivors were recruited from two tertiary teaching hospitals and community centres in two provinces in mainland China. Semi-structured interviews were carried out, and participants were asked to describe their experien...
Source: International Journal of Environmental Research and Public Health - December 6, 2022 Category: Environmental Health Authors: Janita Pak Chun Chau Suzanne Hoi Shan Lo Laveeza Butt Surui Liang Tags: Article Source Type: research

The accuracy of surrogate decision makers: informed consent in hypothetical acute stroke scenarios
Conclusions: Surrogates accurately predict patient preferences for standard acute stroke treatments. However, the accuracy decreases when predicting research participation suggesting that the degree of surrogate agreement is dependent on the type of decision being made. Further research is needed to more thoroughly characterize surrogate decision-making in acute stroke situations.
Source: BMC Emergency Medicine - November 13, 2013 Category: Emergency Medicine Authors: Jessica BryantLesli SkolarusBarbara SmithEric AdelmanWilliam Meurer Source Type: research

Improving the one-year mortality of stroke patients: an 18-year observation in a teaching hospital.
This study determined the one-year survival rate and prognostic factors of hospitalized hemorrhagic and ischemic stroke patients from 1991 to 2008 in a teaching hospital in Taiwan. We also evaluated the improvements in the one-year mortality after stroke during an 18-year study period. Patients admitted for cerebral hemorrhage (n = 3,678) and cerebral infarction (n = 16,010), identified from an in-patient electronic database, were linked to the National Death Registry of Taiwan. Actuarial analysis was used to determine the one-year survival rates, and Cox proportional hazard regression model was used to investigate the pre...
Source: The Tohoku Journal of Experimental Medicine - February 8, 2014 Category: Research Authors: Chen HF, Li CY, Lee SP, Kwok YT, Chu YT Tags: Tohoku J Exp Med Source Type: research

Advance preferences regarding thrombolysis in patients at risk for stroke: a cross-sectional study
Conclusion: Advance discussion of the potential risks and benefits of thrombolysis in at-risk patients may improve decision making if thrombolysis is being considered and the patient can no longer make a decision.
Source: QJM - December 28, 2014 Category: Internal Medicine Authors: O Flatharta, T., Khan, A., Walsh, T., O'Donnell, M., O'Keefe, S. T. Tags: Original papers Source Type: research

Short-Term Functional Outcome and its Predictors in a Hospital-Based Cohort of Nigerians with Acute Stroke (P5.171)
CONCLUSIONS: About 1 in 3 stroke patients in this cohort had poor functional outcome. In order to improve functional outcome and reduce the burden of stroke in Nigeria, public health education on early recognition and hospital presentation is needed. In acute stroke management, complications should be prevented while speech and language therapy should be instituted to improve functional outcome.Disclosure: Dr. Wahab has nothing to disclose. Dr. Sanya has nothing to disclose. Dr. Ademiluyi has nothing to disclose. Dr. Bello has nothing to disclose. Dr. Alaofin has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Wahab, K., Sanya, E., Ademiluyi, B., Bello, A., Alaofin, W. Tags: Cerebrovascular Disease and Interventional Neurology: Recovery and Rehabilitation Source Type: research

Stroke Thrombolysis in a Tertiary Care Teaching Hospital in Saudi Arabia - A Single Center Experience (P2.282)
Conclusions: In our newly established stroke unit, the overall mortality and discharge disposition were comparable to standards. Women had significantly more stroke related complications. Patients older than 60 years had more thrombolysis related complications and were discharged with higher NIHSS.Disclosure: Dr. Khatri has nothing to disclose. Dr. Alkhathaami has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclose. Dr. Alrasheed has nothing to disclose. Dr. Kojan has received personal compensation for a...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Alkhathaami, A., Abulaban, A., Alhamouieh, O., Scriven, S., Tarawneh, M., Alrasheed, D., Kojan, S., Alotaibi, N., Al-Khalaf, A., Alshehri, A. M., El-Metwally, A. Tags: Acute Therapy: Thrombolysis and Adjuvant Therapy Source Type: research

In light of recently published clinical trials and their implication for clinical practice, does a large catchment area acute hospital require 24  hour CT neck and head angiography and/or neuro-interventional services in the setting of acute ischaemic stroke?
ConclusionUHL should provide routine CT angiography to all patients presenting with acute ischaemic stroke in line with current guidelines. The need for provision of neuro-interventional services on-site proved more difficult to assess and requires further analysis.
Source: Irish Journal of Medical Science - August 15, 2017 Category: General Medicine Source Type: research

Risk factors and subtypes of ischemic stroke in young patients: an observational study from a teaching hospital in Saudi Arabia.
Authors: Shahid R Abstract Young adults are a key part of any society and the psychosocial and economic burden of any chronic or devastating disease in this particular group has significant consequences and impacts negatively on the development of the society as a whole. Although stroke in this age group is relatively rare, its consequences, in terms of lifelong dependence and disability, are substantial. Therefore, it is important to address this issue. In this retrospective epidemiological study, we analyzed the medical records of young patients (aged 18- 45 years) with a diagnosis of stroke during the study peri...
Source: Functional Neurology - September 28, 2019 Category: Neurology Tags: Funct Neurol Source Type: research

Role of Renal Dysfunction as a Prognostic Factor in Acute Stroke Patients at a Tertiary Hospital in Northeastern Nigeria
Saudi J Kidney Dis Transpl. 2021 Jan-Feb;32(1):199-203. doi: 10.4103/1319-2442.318524.ABSTRACTChronic kidney disease (CKD) and stroke share many common risk factors, and the presence of CKD confers added risk factors for stroke. With increasing interest and understanding of the close relationship between the kidney and the brain, this study aims to assess the prevalence and impact of renal dysfunction on outcomes acute stroke patients. This is a prospective hospital-based study carried out in the neurology unit of University of Maiduguri Teaching Hospital, Maiduguri, northeastern Nigeria. The study population consisted of ...
Source: Saudi Journal of Kidney Diseases and Transplantation - June 19, 2021 Category: Urology & Nephrology Authors: Mohammad Maina Sulaiman Musa Mamman Watila Jummai Shettima Ibrahim Ummate Yakubu Wilberforce Nyandaiti Source Type: research