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A review of post-stroke urinary incontinence.
CONCLUSIONS: Stroke is a debilitating disease which causes urinary incontinence in many patients. As a result, patients have increased rates of hospitalization and disability compared to post-stroke patients without urinary incontinence. The history and physical exam are key in diagnosing the type of urinary incontinence with urodynamic studies being an adjunctive study. Non-pharmacologic treatment, such as behavioral therapy, and pharmacologic agents including antimuscarinics and beta adrenergic medications, are not well studied in the post-stroke patient. Urinary incontinence in stroke patients needs to be further studie...
Source: Canadian Journal of Urology - June 29, 2016 Category: Urology & Nephrology Tags: Can J Urol Source Type: research
Neurology Concepts: Young Women and Ischemic Stroke: Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.This article is protected by copyright. All rights reserved.
Source: Academic Emergency Medicine - June 24, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research
Neurology Concepts: Young Women and Ischemic Stroke —Evaluation and Management in the Emergency Department
ConclusionUnique challenges exist in the evaluation and diagnosis of ischemic stroke in young women. There are still many opportunities for future research aimed at improving detection and treatment of this population.
Source: Academic Emergency Medicine - October 10, 2017 Category: Emergency Medicine Authors: Bernard P. Chang, Charles Wira, Joseph Miller, Murtaza Akhter, Bradley E. Barth, Joshua Willey, Lauren Nentwich, Tracy Madsen Tags: Original Contribution Source Type: research
Patients With Greater Stroke Severity and Premorbid Disability Are Less Likely to Receive Therapist Consultations and Intervention During Acute Care Hospitalization.
CONCLUSIONS: Approximately 1 in 4 participants with acute stroke received neither a consultation nor an intervention. Efforts to improve the delivery of acute care therapy services are needed to optimize care for these people.
PMID: 31390013 [PubMed - as supplied by publisher]
Source: Physical Therapy - August 6, 2019 Category: Physiotherapy Authors: Capo-Lugo CE, Askew RL, Naidech A, Prabhakaran S Tags: Phys Ther Source Type: research
Factors Predicting Misidentification of Acute Ischemic Stroke and Large Vessel Occlusion by Paramedics
The emergence of thrombectomy for large vessel occlusions has increased the importance of accurate prehospital identification and triage of acute ischemic stroke (AIS). Despite available clinical scores, prehospital identification is suboptimal. Our objective was to improve the sensitivity of prehospital AIS identification by combining dispatch information with paramedic impression. We performed a retrospective cohort review of emergency medical services and hospital records of all patients for whom a stroke alert was activated in 1 urban, academic emergency department from January 1, 2018, to December 31, 2019. Using admi...
Source: Critical Pathways in Cardiology - November 24, 2022 Category: Cardiology Tags: Original Study Source Type: research
The implementation of evidence-based rehabilitation services for stroke survivors living in the community: the results of a Delphi consensus process.
Conclusions:Consensus on the provision of evidence-based community stroke rehabilitation has been reached. Commissioning services with a clearly defined remit, which can deliver tailored care to individual stroke patients, is a challenge that needs further exploration.
PMID: 23405023 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - February 12, 2013 Category: Rehabilitation Authors: Fisher RJ, Walker MF, Golton I, Jenkinson D Tags: Clin Rehabil Source Type: research
HINTS Outperforms ABCD2 to Screen for Stroke in Acute Continuous Vertigo and DizzinessEl HINTS Supera el ABCD2 en el Despistaje del Ictus en los Pacientes con Vértigo y Mareo Agudos Persistentes
ConclusionsHINTS substantially outperforms ABCD2 for stroke diagnosis in ED patients with AVS. It also outperforms MRI obtained within the first 2 days after symptom onset. While HINTS testing has traditionally been performed by specialists, methods for empowering emergency physicians (EPs) to leverage this approach for stroke screening in dizziness should be investigated.
Resumen
ObjetivosEl mareo y el vértigo contabilizan aproximadamente 4 millones de visitas anuales a los servicios de urgencias (SU) en Estados Unidos, y de 160.000 a 240.000 (4% al 6%) tienen un origen cerebrovascular. El diagnóstico de ictus en los ...
Source: Academic Emergency Medicine - October 15, 2013 Category: Emergency Medicine Authors: David E. Newman‐Toker, Kevin A. Kerber, Yu‐Hsiang Hsieh, John H. Pula, Rodney Omron, Ali S. Saber Tehrani, Georgios Mantokoudis, Daniel F. Hanley, David S. Zee, Jorge C. Kattah Tags: Original Research Contribution Source Type: research
Stroke And Cerebrovascular Risk Factors Knowledge In Patients Admitted To A Cardiovascular Ward. (P1.135)
Conclusion: Even in these selected population, with previous or current CVD, a large amount of RF and a high rate of previous medical consultations, knowledge about stroke showed to be very low indicating a poor quality of preventive measures and the need to emphasize educational interventions.Disclosure: Dr. Muñoz has nothing to disclose. Dr. Gonzalez Toledo has nothing to disclose. Dr. Pagani Cassara has nothing to disclose. Dr. Tamargo has nothing to disclose. Dr. Thomson has nothing to disclose. Dr. Nadile has nothing to disclose. Dr. Ferre has nothing to disclose. Dr. Klein has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Munoz Giacomelli, F., Gonzalez Toledo, M., Pagani Cassara, F., Tamargo, A., Thomson, A., Nadile, D., Ferre, A., Klein, F. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Miscellaneous Source Type: research
Stroke Among Hospitalized Patients Diagnosed With Vertebrobasilar Insufficiency: A Retrospective Cohort Study (P1.152)
CONCLUSIONS:The proportion of cerebrovascular events in patients hospitalized for VBI was low within one year. Unimproved symptom during follow-up was a significant predictor of stroke.Study Supported by:Natural Science Foundation of China (No. 81301988) to Li Yang.Disclosure: Dr. Yang has nothing to disclose. Dr. Bai has nothing to disclose. Dr. Zhao has nothing to disclose. Dr. Xiao has nothing to disclose. Dr. Yang has nothing to disclose. Dr. Kasner has received personal compensation for activities with Pfizer Inc, Novartis, AstraZeneca Pharmaceuticals, Parexel, Brainsgate, Medtronic, Inc., and Boehringer Ingelheim. Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Yang, L., Bai, H., Zhao, X., Xiao, Y., Yang, Y., Kasner, S., Tan, L. Tags: Cerebrovascular Disease and Interventional Neurology: Intracranial Disease Source Type: research
NIH Stroke Scale Change Correlates with Length of Stay in Intensive Care Unit Stroke Patients (P3.099)
Conclusion: NIHSS change appears to be related to the ICU LOS and discharge disposition. Application of Shewhart control charts may provide valuable additional information providing us with opportunities to improve health care delivery. In this study, control charts found wider variation in NIHSS over hospital stays for ischemic stroke compared to intracerebral hemorrhage, suggesting that for ischemic patients there are more opportunities to secure a good outcome as well as more risks of clinical worsening, depending on care provision.Disclosure: Dr. Krishnamohan has nothing to disclose. Dr. Fan has nothing to disclose. Dr...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Krishnamohan, P., Fan, Q., Dobbs, M. Tags: Cerebrovascular Disease and Interventional Neurology: Clinical Management Source Type: research
Utility of Pelvic MRV in Evaluation of Patients with Cryptogenic Stroke and PFO (P4.228)
CONCLUSIONS: Our data expands on prior study showing that pelvic MRV has the potential to identify a stroke source in patients with cryptogenic stroke, absent identifiable hypercoagulability state, and PFO.Disclosure: Dr. Osgood has nothing to disclose. Dr. Budman has nothing to disclose. Dr. Henninger has received personal compensation for activities with Brainsgate as a consultant.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Osgood, M., Budman, E., Henninger, N. Tags: Cerebrovascular Disease and Interventional Neurology: Cardiac Source Type: research
Reducing Time to Treatment - The Role of Stroke Neurologist as First Responder (S5.006)
CONCLUSIONS: The use of a stroke-trained attending neurologist as a first responder and stroke team leader resulted in rapid patient evaluation and faster decision regarding thrombolytic therapy, improving time to treatment and time to CT.Disclosure: Dr. Ozark has nothing to disclose. Dr. Sabatino has nothing to disclose. Dr. Holmstedt has nothing to disclose. Dr. Turan has received personal compensation for activities with Gore Laboratories Inc., and Boehringer Ingelheim Pharmaceuticals Inc. Dr. Turan has received research support from Stryker Co., the National Institutes of Health, and AstraZeneca.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ozark, S., Sabatino, P., Holmstedt, C., Turan, T. Tags: Cerebrovascular Disease and Interventional Neurology: Pre-hospital, Telemedicine, and Related Topics Source Type: research
Perioperative stroke in patients undergoing elective spinal surgery: a retrospective analysis using the Japanese diagnosis procedure combination database
Conclusions:
Perioperative stroke occurred in 0.22 % of patients undergoing spinal surgery. Resection of a spinal cord tumor was associated with increased risk of perioperative stroke as well as advanced age, comorbidities at admission, cervical spine surgery, surgery in a teaching hospital, and length of stay.
Source: BMC Musculoskeletal Disorders - October 2, 2015 Category: Orthopaedics Authors: Junichi OhyaHirotaka ChikudaTakeshi OichiHiromasa HoriguchiKatsushi TakeshitaSakae TanakaHideo Yasunaga Source Type: research
Quality of life and caregiver outcomes following decompressive hemicraniectomy for severe stroke: a narrative literature review.
CONCLUSION: Most patients and caregivers in the studies reviewed agreed with the original decision to undergo DHC and would make the same decision again. However, little is known about quality of life for both patients and caregivers and caregiver burden over the long-term post-surgery. Further research is needed to generate information and interventions for the management of ongoing patient and carer recovery following DHC for severe stroke.
PMID: 20533642 [PubMed - indexed for MEDLINE]
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research
Time window to help people who ’ve had a stroke longer than previously shown
Time is of the essence when getting people stricken with acute ischemic strokes to treatment. And the use of stent retrievers — devices that remove the blood clot like pulling a cork out of a wine bottle — has proven to be a breakthrough for removing the life-threatening blockage of blood flow to the brain.Current professional guidelines recommend that the procedure be performed within six hours for people to benefit. But researchers on a UCLA-led study published today in the Journal of the American Medical Association have found that the procedure has benefits for people up to 7.3 hours following the onset of a stroke...
Source: UCLA Newsroom: Health Sciences - September 27, 2016 Category: Universities & Medical Training Source Type: news
