Filtered By:
Condition: Pneumonia
Education: Study

This page shows you your search results in order of relevance. This is page number 15.

Order by Relevance | Date

Total 1270 results found since Jan 2013.

E-048 Factors Associated with Early Tracheostomy and Percutaneous Gastrostomy and Their Effects on Hospitalization in Hemorrhagic Stroke Patients
ConclusionsHemorrhagic stroke is a devastating neurovascular event that requires prompt intervention and vigilant management. Our study identified patient risk factors that may suggest candidacy for tracheotomy and PEG. Additionally, we found that timing of PEG may shape a patient’s hospital course. Complication rates related to tracheostomy and PEG in this population were minimal. In conclusion, this retrospective data set supports some benefit to early PEG placement in this population, and justifies the need for further prospective study.DisclosuresM. McCann: None. J. Fraser: None.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: McCann, M., Fraser, J. Tags: Electronic poster abstracts Source Type: research

Guideline conform diagnostics for dysphagia : A  representative survey of speech therapists at certified stroke units in Germany.
CONCLUSION: The implementation of a detailed and differentiated anamnesis, standardized screening, and a clinical swallowing examination with testing of different food consistencies suggests a high quality of the dysphagia diagnostics at stroke units in Germany. The increasing availability of technical instruments, especially fiber endoscopy, substantiates this view. PMID: 28382486 [PubMed - as supplied by publisher]
Source: Der Nervenarzt - April 5, 2017 Category: Neurology Authors: Flader CM, Rosendahl C, Günther T Tags: Nervenarzt Source Type: research

Disability and mortality after permanent feeding tube placement in patients with acute stroke (P3.107)
Conclusions:In our large cohort of patients with acute stroke and PEG tubes, nearly 9/10 had severe disability at discharge. From discharge to 1 year, there was no difference in mortality between PEG and NG patient cohorts. These results suggest that PEG tubes serve mainly to prolong survival in patients discharged with severe disability. Our study may help support guideline creation and facilitate discussions with patients and families regarding PEG tube placement after acute stroke.Disclosure: Dr. Joundi has nothing to disclose. Dr. Saposnik has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Fang has nothi...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Joundi, R., Saposnik, G., Martino, R., Fang, J., Giannakeas, V., Porter, J., Kapral, M. Tags: Cerebrovascular Disease and Interventional Neurology Poster Discussion Session Source Type: research

Key performance indicators for stroke from the Ministry of Health of Brazil: benchmarking and indicator parameters
Conclusion Our results suggest using the parameters of all of the 16 KPIs required by the Ministry of Health of Brazil, and the present results for the two stroke units for future benchmarking.RESUMO O objetivo do presente estudo é analisar os indicadores de qualidade (IQ) exigidos pelo Ministério da Saúde no Brasil em duas unidades de AVC. Métodos Foram analisados os 16 IQ, incluindo a percentagem de pacientes internados na unidade de AVC, profilaxia de tromboembolismo venoso (TEV) nas primeiras 48 horas após a admis são; pneumonia e mortalidade hospitalar e alta hospitalar em terapia antitrombótica (TAT) em pacien...
Source: Arquivos de Neuro-Psiquiatria - June 23, 2017 Category: Neurology Source Type: research

Early Screening Parameters for Dysphagia in Acute Ischemic Stroke
This study aimed to detect early and easily assessable predictors of dysphagia in a large cohort of patients with acute ischemic stroke.Methods: Our analysis was based on data from a prospective in-hospital registry. Patients with ischemic stroke were included over the course of 3 years. Patients were scheduled to undergo a clinical swallowing investigation within the first 24 h after hospital admission. Step-wise multivariate logistic regression was used to identify independent predictors of dysphagia in general and of pneumonia in particular.Results: 1,646 patients with ischemic stroke were included. Stroke severity in t...
Source: Cerebrovascular Diseases - September 13, 2017 Category: Neurology Source Type: research

Predictors of functional outcome and hemorrhagic complications in acute ischemic stroke patients treated with intravenous thrombolysis - A retrospective analysis 
.
Predictors of functional outcome and hemorrhagic complications in acute ischemic stroke patients treated with intravenous thrombolysis - A retrospective analysis
. Int J Clin Pharmacol Ther. 2017 Oct 26;: Authors: Zhao Q, Shan W, Liu L, Fu X, Liu P, Hu Y Abstract Intravenous thrombolysis (IVT) with recombinant tissue plasminogen activator (rt-PA) within 4.5 hours is an effective and routine therapy for acute ischemic stroke (AIS). The purpose of the study was to identify predictors of functional outcome at 3 months and hemorrhagic complications after IVT. A total of 123 AIS patients treated with in...
Source: International Journal of Clinical Pharmacology and Therapeutics - November 4, 2017 Category: Drugs & Pharmacology Tags: Int J Clin Pharmacol Ther Source Type: research

Stroke-associated infection independently predicts 3-month poor functional outcome and mortality
This study aimed to assess the effects of SAI on patient mortality and functional outcome at 3  months after stroke onset. We retrospectively analyzed 809 consecutive patients with acute stroke (517 men and 292 women; median age, 72 years) who were admitted to our department between September 2014 and June 2016. SAI was defined as an infection diagnosed during the hospitalization period. Po or outcome was defined as a modified Rankin Scale (mRS) score of 3–5 or death (mRS score of 6). The effect of SAI on functional outcome was evaluated using a multivariate logistic regression analysis. SAI occurred in 169 patients (2...
Source: Journal of Neurology - December 16, 2017 Category: Neurology Source Type: research

Centralisation of acute stroke services in London: Impact evaluation using two treatment groups
This study evaluates the impact of centralising London's stroke care on 7 process and outcome indicators using a difference‐in‐difference analysis with two treatment groups, Hyper Acute and discontinued London Trusts, and data on all stroke patients recorded in the hospital episode statistics database from April 2006 to April 2014. The policy resulted in improved thrombolysis treatment and lower rates of pneumonia in acute units. However, 6 indicators worsened in the Trusts that were meant to discontinue services, including deaths within 7 and 30 days, readmissions, brain scan rates, and thrombolysis treatment. The re...
Source: Health Economics - December 28, 2017 Category: Health Management Authors: Rocco Friebel, Katharina Hauck, Paul Aylin Tags: RESEARCH ARTICLE Source Type: research

Combined electrical stimulation and exercise for swallow rehabilitation post-stroke: a pilot randomized control trial.
CONCLUSIONS & IMPLICATIONS: The pilot demonstrated successful recruitment, treatment safety and tolerability and clinically meaningful outcome improvements, justifying progression to a fully powered study. It also showed clinically meaningful treatment trends for the Ampcare ESP intervention. PMID: 29288590 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - December 30, 2017 Category: Speech-Language Pathology Authors: Sproson L, Pownall S, Enderby P, Freeman J Tags: Int J Lang Commun Disord Source Type: research

Factors Contributing to Hydration, Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post  Stroke
AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 wit...
Source: Dysphagia - March 1, 2018 Category: Speech-Language Pathology Source Type: research

The Effect of Improved Dysphagia Care on Outcome in Patients with Acute Stroke: Trends from 8-Year Data of a Large Stroke Register
Conclusion: Although advances have been made in dysphagia care, prevalent screening and treatment practices remain insufficient to reduce pneumonia rate, improve functional outcome, and decrease case fatality in dysphagic stroke patients. More research is urgently needed to develop more effective swallowing therapies.Cerebrovasc Dis 2018;45:101 –108
Source: Cerebrovascular Diseases - March 13, 2018 Category: Neurology Source Type: research

Development and validation of a risk score to predict 30-day mortality in patients with atrial fibrillation-related stroke: GPS-GF score.
Conclusion The GPS-GF score is a simple and valid tool for predicting 30-day mortality in patients with AF-related stroke. PMID: 29544401 [PubMed - as supplied by publisher]
Source: Neurological Research - March 20, 2018 Category: Neurology Tags: Neurol Res Source Type: research

Efficacy of Bedside Respiratory Muscle Training in Patients With Stroke: A Randomized Controlled Trial
This study aimed to investigate the efficacy of bedside respiratory muscle training on pulmonary function and stroke-related disabilities in stroke rehabilitation. Design Patients with stroke (N = 40) in a rehabilitation unit were randomly assigned to either the intervention group (n1 = 20) or the control group (n2 = 20). Both groups participated in a conventional stroke rehabilitation program. During the study period, the intervention group received bedside respiratory muscle training twice a day for 3 wks. The respiratory muscle training consisted of (1) a breath stacking exercise, (2) inspiratory muscle training, and...
Source: American Journal of Physical Medicine and Rehabilitation - September 19, 2018 Category: Rehabilitation Tags: Original Research Articles CME Article . 2018 Series . Number 10 Source Type: research

Factors Contributing to Hydration, Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post  Stroke
AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 wit...
Source: Dysphagia - October 1, 2018 Category: Speech-Language Pathology Source Type: research